Respectful maternity care during facility-based child birth and associated factors in public health facilities of Ilu AbaBor zone, Southwest Ethiopia

Abstract

Background Current data suggest that far more women around the world are exposed to abuse by health care providers while receiving maternity care. This predisposes them to psychological distress; abstain from accessing health facilities for care and end up with avoidable death and disability. Objective To assess the level of respectful care during delivery among mothers giving birth in public health facilities in Ilu AbaBor, Southwest Ethiopia, 2019. Materials and methods An institution-based cross-sectional study was conducted among 285 randomly selected mothers in the post-natal ward from 17 health facilities in 2019. Data were collected through interviewer-administered pre-tested questionnaires. The collected data were entered into Epi-data version 3.1 statistical and analyzed by SPSS version 21. Both bivariable and multivariable logistic regression models were employed. Results The proportion of respectful care during maternity care in health care institutions of Ilu Ababor zone was 47.3%. In the multivariable logistic regression; age (AOR 0.25, 95% CI 0.08, 0.81), occupation (AOR 4.16: (1.34, 12.9)), planned pregnancy (AOR 0.28: (0.12, 0.67)), mode of delivery (AOR 0.05: (0.01, 0.33)), and receiving care from providers who had a compassionate and respectful care training (AOR 0.13: (0.06, 0.25)) were independent predictors of respectful care. Conclusions The proportion of respectful care of the health institution in the Ilu Ababor zone was low compared to the other studies. Variables like; age, occupational status, pregnancy plan, mode of delivery, facing complications during labor and delivery, and taking compassionate and respectful care training were independent predictors of respectful maternity care. This study recommended that the responsible stakeholders should strengthen monitoring and evaluation of the practice and mainstreaming of respectful maternity care, give training for health professionals, and develop guidelines used to monitor, report, and track barriers to the practice of maternity care.

The prevalence of respectful maternity care during childbirth and its determinants in Ethiopia: A systematic review and meta-analysis

“…As per the findings of four studies [ 23 , 25 , 30 , 31 ], the pregnancy planning status at the time of childbirth had a positive association with RMC. The likelihood of receiving RMC was 4.43 times higher for those mothers with planned pregnancies as compared to women with unplanned pregnancies [AOR: 4.43, 95% CI: 2.74, 6.12] ( Fig 10 ).…”

“…Studies conducted in Addis Ababa (n = 173) [ 36 ] and South Nations, Nationalities, and Peoples’ Region(SNNPR) (n = 783) [ 29 ], accounted for the minimum and maximum sample sizes, respectively. In terms of the distribution of the studies across the geographical region, five studies were from Amhara [ 24 , 32 – 35 ], five from Oromia [ 22 , 23 , 25 , 27 , 31 ], two from Addis Ababa [ 26 , 36 ], two from SNNPR [ 28 , 29 ], one from Harari [ 30 ], and one from Benishangul Gumuz [ 21 ]. When it came to the risk of bias in the included studies, the majority (14) had a low risk, with the remaining two having a moderate risk ( Table 1 ).…”

“…The influence of CRC training on RMC was assessed by using the findings of three studies [ 21 , 23 , 31 ]. Women who received maternal health services from CRC-trained healthcare providers were 4.09 times more likely than their counterparts to receive RMC [AOR = 4.09, 95% CI: 1.73, 6.44] ( Fig 7 ).…”

Intrapartum respectful maternity care practices and its barriers in Eastern India

“…[ 29 ] Researchers have highlighted that measurement tools should explore whether mistreatment was intentional and the role of local social norms such as women’s status and patient-provider dynamics that influence women’s perceptions of abuse in different contexts. [ 30 ] However, our study did not explore these factors.…”

Experience of respectful maternity care during childbirth and associated factors in public hospitals of the South West Region of Ethiopia: an institution-based, cross-sectional study

“…This MOR Index was developed through a participatory investigation process and could be a reliable and valid measure of RMC. The instruments evaluating independent factors were adjusted from different literature 22 24–27. To keep the quality of information, all the questionnaires were reviewed and its completeness checked each day by supervisors and principal investigators (online supplemental annex I).…”