Experiences and drivers of verbal abuse among women during labour and delivery in Ndola and Kitwe districts of Zambia

Mukanga, Bright; Nyirenda, Herbert Tato; Choka, Nancy; Mulenga, David; Daka, Victor

doi:10.1080/2331205x.2021.1924432

Cited by 4 publications

(3 citation statements)

References 35 publications

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“…This is consistent with a study conducted in a Midwife-Led Obstetric unit in the Tshwane district, South Africa, where women reported that midwives shout at them, label them, judge them and use rude remarks while addressing them [22]. This corresponds with a study conducted in the Ndola and Kitwe districts of Zambia, where participants indicated that they were verbally abused as they were scolded, shouted at and told hurtful words and displeasing statements and remarks [23]. Non-empathetic language is not only a concern in Limpopo Province.…”

Section: Negative Interaction With Midwivessupporting

confidence: 88%

Strategies to Reduce Maternal Death Rate and Improve the Provision of Quality Healthcare Services in Selected Hospitals of Vhembe District Limpopo Province

Mahada,

Tshitangano,

Mudau

2023

Nursing Reports

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The maternal death rate remains high in South Africa despite the availability of many existing strategies to improve the quality of service. A 30% increase in the maternal mortality rate was reported between 2020 and 2021, with Limpopo ranking fourth highest out of nine provinces. The Vhembe district maintained its position as the third-ranked area with a notably elevated maternal mortality rate. This study aimed to explore the strategies used to reduce the maternal death rate and improve the provision of quality maternal healthcare services based on participant experiences in selected hospitals of the Vhembe district, Limpopo Province. One hospital was purposively sampled from every four municipalities. A qualitative approach using a phenomenological design was employed. Twenty-eight participants were sampled using a convenience sampling method. The semi-structured interview guide was used to collect data, complemented by the use of an audio recorder, continuing until data saturation was reached. Data saturation was reached at the 20th participant; however, the researcher continued until 28 sampled participants were interviewed. An interpretative phenomenological analysis was used following the analytical stages of interpretative data analysis. The study proposal was ethically cleared by the University of Venda Ethics Committee (FHS/22/PH/08/3108). The results indicate that, despite implementing strategies to improve maternal healthcare services and reduce the maternal death rate, several factors, such as the lack of material resources, shortage of staff, incompetent staff and poor infection control, affect the quality of maternal health services in the Vhembe district. The Limpopo Department of Health and hospital management should ensure that hospitals have all the necessary resources and support healthcare professionals through in-service training to ensure the functionality of existing strategies.

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Section: Negative Interaction With Midwivessupporting

confidence: 88%

Strategies to Reduce Maternal Death Rate and Improve the Provision of Quality Healthcare Services in Selected Hospitals of Vhembe District Limpopo Province

Mahada,

Tshitangano,

Mudau

2023

Nursing Reports

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“…A study in Ethiopia using the same validated tool reported a lower incidence of unfriendly care (2.2%) and a higher incidence of verbal abuse (37%) 9 . Another study in Zambia reported 11% for verbal abuse 15 . Women's perception of disrespect and abuse differ based on the sociocultural setting within and across nations.…”

Section: Discussionmentioning

confidence: 99%

“…9 Another study in Zambia reported 11% for verbal abuse. 15 Women's perception of disrespect and abuse differ based on the sociocultural setting within and across nations. This may account for the differences in the reported prevalence in both African countries despite the use of a validated tool similar to ours to assess disrespect and abuse.…”

Section: Re Sultsmentioning

confidence: 99%

Prevalence and factors associated with disrespect and abuse among women who delivered in a University Teaching Hospital in Nigeria

Ezeanochie

Yamah

2023

Intl J Gynecology & Obste

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Objective To determine the prevalence and factors associated with disrespect and abuse during childbirth among women who delivered in a University Teaching Hospital using a validated tool. Methods This was a cross‐sectional study conducted at the Department of Obstetrics and Gynecology, University of Benin Teaching Hospital. Participants included women who presented for the 6‐week postnatal visit. The primary outcome was the experience of disrespect and abuse by the women in any of the thematic domains in the tool, namely friendly care, abuse‐free care, timely care, discrimination‐free care, abandonment, and non‐consented care. Results In all, 200 participants were enrolled in the study. The prevalence of disrespect and abuse among the study population was 36.5%. Verbal abuse and untimely care were the commonest (15.5%). Nurses were mostly the perpetrators of disrespect and abuse. Maternal age, parity, and marital status among others were not significantly predictive of disrespect and abuse by respondents. Conclusion Disrespect and abuse from health workers during childbirth is a prevalent problem among women who delivered in the hospital. This undesirable experience of childbirth needs to be addressed by stakeholders in maternal health.

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Health workers’ disrespectful and abusive behaviour towards women during labour and delivery: A qualitative study in Durban, South Africa

et al. 2021

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Background A high prevalence of disrespectful and abusive behaviour by health workers towards women during labour and delivery has been widely described in health facilities, particularly in Africa, and is a worldwide public health concern. Such behaviours are barriers to care-seeking, and are associated with adverse outcomes for mothers and newborns. This paper reports experiences of disrespectful care among informal working women in three public health facilities in Durban, South Africa. Methods A qualitative longitudinal study was conducted among a cohort of informal working women recruited during pregnancy in two clinics in Durban. The study comprised a series of in-depth interviews conducted at different time points from pregnancy until mothers had returned to work, followed by focus group discussions (FGDs) with cohort participants. We present data from participatory FGDs, known as ‘Journey with my Baby’, conducted at the end of the study, during which women’s experiences from pregnancy until returning to work were reviewed and explored. Thematic analysis was used with NVIVO v12.4. Results Three ‘Journey with my Baby’ FGDs were conducted with a total of 15 participants between March and October 2019. Many participants narrated experiences of disrespectful behavior from nurses during labour and childbirth, with several women becoming very distressed as a result. Women described experiencing rudeness and verbal abuse from nurses, lack of privacy and confidentiality, nurses refusing to provide care, being denied companionship and being left unattended for long periods during labour. Women described feeling anxious and unsafe while in the labour ward because of the behaviour they experienced directly and observed other patients experiencing. Such experiences created bad reputations for health facilities, so that women in the local community were reluctant to attend some facilities. Conclusion Disrespect and abuse continues to be a serious concern in public health facilities in South Africa. We challenge the health system to effectively address the underlying causes of disrespectful behavior among health workers, initiate robust monitoring to identify abusive behavior when it occurs, and take appropriate actions to ensure accountability so that women receive the high-quality maternity care they deserve.

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Experiences and drivers of verbal abuse among women during labour and delivery in Ndola and Kitwe districts of Zambia

Cited by 4 publications

References 35 publications

Strategies to Reduce Maternal Death Rate and Improve the Provision of Quality Healthcare Services in Selected Hospitals of Vhembe District Limpopo Province

Strategies to Reduce Maternal Death Rate and Improve the Provision of Quality Healthcare Services in Selected Hospitals of Vhembe District Limpopo Province

Prevalence and factors associated with disrespect and abuse among women who delivered in a University Teaching Hospital in Nigeria

Health workers’ disrespectful and abusive behaviour towards women during labour and delivery: A qualitative study in Durban, South Africa

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