Magnitude and associated factors of respectful maternity care in Tirunesh Beijing Hospital, Addis Ababa, Ethiopia, 2021

Abstract

Objective: The main aim of this research was to assess the magnitude of respectful maternity care and associated factors during labour and delivery in Tirunesh Beijing General Hospital, 2021. Methods: Facility-based cross-sectional research was employed among 319 postnatal mothers who were selected by systematic random sampling technique. Bi-variable and multi-variable logistic regression analysis was used to identify associated factors. Variables whose p-value < 0.05 in the multivariable model with 95% confidence interval were considered as statically significant. Results: A total of 319 respondents participated in the research with a response rate of 100%. The overall prevalence of respectful maternity care was 87.8%. Type of delivery in which caesarean section (adjusted odds ratio = 10.4, 95% confidence interval: (1.8, 61) and spontaneous vaginal delivery (adjusted odds ratio = 2.9, 95% CI: 1.4, 6). Getting delivery service by the provider of their preference (adjusted odds ratio = 2.6, 95% CI: 1.3, 5.2), still birth (AOR = 5.8 95% CI: 1.3, 25.8) and sex of delivery attendant (adjusted odds ratio = 3.6, 95% CI: 1.8, 7.5) were associated factors RMC. Conclusion and recommendation: In our research area, a sizable number of women have received respectful maternity care, but abuse and disrespect are still complaints. Therefore, emphasis should be placed on respectful maternity care by every healthcare professional and health service manager.

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

“…The thematic domains of friendly and abuse‐free care showed that 9% of the respondents felt treated in an unfriendly manner and 15.5% felt verbally abused. 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 .…”

“…They were interviewed by trained research assistants with a questionnaire adapted from a screening tool to detect disrespect and abuse during childbirth that was validated in an African population 7 . The adopted screening tool has been validated in some African settings including states within Ethiopia and in Ghana 7,9,10 . Women who declined to provide informed consent were excluded from the study.…”

“…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.…”

“…7 The adopted screening tool has been validated in some African settings including states within Ethiopia and in Ghana. 7,9,10 Women who declined to provide informed consent were excluded from the study. The primary outcome was the experience of disrespect and abuse by the women in any of the six thematic domains in the tool, namely friendly care, abuse-free care, timely care, discriminationfree care, abandonment, and non-consented care.…”