Women’s empowerment and experiences of mistreatment during childbirth in facilities in Lucknow, India: results from a cross-sectional study

Diamond‐Smith, Nadia; Treleaven, Emily; Murthy, Nirmala; Sudhinaraset, May

doi:10.1186/s12884-017-1501-7

Cited by 39 publications

(63 citation statements)

References 37 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Similar findings have been reported by another study done in urban slums of Lucknow, India. [24] Okafor et al . have also reported that maternal characteristics such as age, parity, and educational status did not affect prevalence of DA significantly.…”

Section: Discussionmentioning

confidence: 99%

Disrespect and abuse during facility-based childbirth and its sociodemographic determinants – A barrier to healthcare utilization in rural population

Nawab

Erum

Almasi‐Hashiani

et al. 2019

J Family Med Prim Care

View full text Add to dashboard Cite

Context: The provider-driven disrespect and abuse (DA) of women during childbirth is a marker for quality of maternal care and violation of basic human rights. Aims: This study was done to assess prevalence and sociodemographic determinants of DA experienced during facility-based childbirth. Settings and Design: This is a cross-sectional, community-based study done in six villages in the district of Aligarh, north India. Subjects and Methods: In all, 305 women who underwent facility-based childbirth were interviewed by pretested and structured questionnaire at home between 4 and 6 weeks postpartum period. Statistical Analysis Used: Descriptive statistics, Chi-square test, and bivariate regression analysis using SPSS 20.0 were used. Results: A total of 257 (84.3%) of 305 women reported any form of DA. Nonconsented services (71.1%) and nonconfidential care (62.3%) were the most common types. Abandonment/neglect during childbirth was reported by 10.2% women, nondignified care by 9.2%, physical abuse by 5.9%, detention in the health facility by 3.3%, and discrimination by 3.9%. Women who had undergone vaginal birth [odds ratio (OR) 3.36; confidence interval (CI) 1.7–6.5], at public health facility (OR 2.65; CI 1.4–5.0), given care by providers other than doctors (OR 2.89; CI 1.5–5.5), who belonged to low socioeconomic status (OR 3.68; CI 1.4–9.7), and who did not decide place of delivery themselves (OR 4.49; CI 2.0–12.1) were more at risk of DA. Out of all females unwilling to attend facility in future, 93.8% reported experiencing DA. The association between any DA and decision to attend the facility in future was statistically significant. Conclusion: More than 8 of 10 women experienced any DA during facility-based childbirth. It can be a barrier to utilization of facility for childbirth. Preventing DA is important to improve quality of maternal care and institutional deliveries.

show abstract

Section: Discussionmentioning

confidence: 99%

Disrespect and abuse during facility-based childbirth and its sociodemographic determinants – A barrier to healthcare utilization in rural population

Nawab

Erum

Almasi‐Hashiani

et al. 2019

J Family Med Prim Care

View full text Add to dashboard Cite

show abstract

“…Observational data of deliveries at facilities in Uttar Pradesh confirmed women’s reports of mistreatment [ 25 ]. Other studies have documented factors associated with mistreatment, including women’s empowerment, presence of support person, and type of providers [ 24 , 26 , 27 ]. Women were more likely to experience mistreatment if they were less empowered [ 27 ], had no companions [ 26 ], and received care from nurses compared to physicians or midwives [ 24 ].…”

Section: Introductionmentioning

confidence: 99%

“…Other studies have documented factors associated with mistreatment, including women’s empowerment, presence of support person, and type of providers [ 24 , 26 , 27 ]. Women were more likely to experience mistreatment if they were less empowered [ 27 ], had no companions [ 26 ], and received care from nurses compared to physicians or midwives [ 24 ]. Research in Uttar Pradesh also found that women who reported mistreatment at the time of delivery were more likely to have a complicated delivery or postpartum complications [ 24 ].…”

Section: Introductionmentioning

confidence: 99%

Validation of the person-centered maternity care scale in India

Afulani¹,

Diamond‐Smith²,

Phillips³

et al. 2018

Reprod Health

Self Cite

123

View full text Add to dashboard Cite

BackgroundPerson-centered care during childbirth is recognized as a critical component of quality of maternity care. But there are few validated tools to measure person-centered maternity care (PCMC). This paper aims to fill this measurement gap. We present the results of the psychometric analysis of the PCMC tool that was previously validated in Kenya using data from India. We aim to assess the validity and reliability of the PCMC scale in India, and to compare the results to those found in the Kenya validation.MethodsWe use data from a cross-sectional survey conducted from August to October 2017 with recently delivered women at 40 government facilities in Uttar Pradesh, India (N = 2018). The PCMC measure used is a previously validated scale with subscales for dignity and respect, communication and autonomy, and supportive care. We performed psychometric analyses, including iterative exploratory and confirmatory factor analysis, to assess construct and criterion validity and reliability.ResultsThe results provide support for a 27-item PCMC scale in India with a possible score range from 0 to 81, compared to the 30-item PCMC scale in Kenya with a 0 to 90 possible score range. The overall PCMC scale has good reliability (Cronbach alpha = 0.85). Similar to Kenya, we are able to group the items in to three conceptual domains representing subscales for “Dignity and Respect,” “Communication and Autonomy,” and “Supportive Care.” The sub-scales also have relatively good reliability (Cronbach alphas range from 0.67 to 0.73). In addition, increasing scores on the scale is associated with future intentions to deliver in the same facility, suggesting good criterion validity.ConclusionsThis research extends the PCMC literature by presenting results of validating the PCMC scale in a new context. The psychometric analysis using data from Uttar Pradesh, India corroborates the Kenya analysis showing the scale had good content, construct, and criterion validity, as well as high reliability. The overlap in items suggests that this scale can be used across different contexts to compare women’s experiences of care, and to inform and evaluate quality improvement efforts to promote comprehensive PCMC.

show abstract

“…On the other hand, women's empowerment is commonly de ned and described using proxy procedures. These proxies include access/control over household income; women's involvement in household decision-making; perceptions of gender norms; and perceived equity in their power and resources [16] [24]. Prior literature has considered women's empowerment as the process through which those who have been left without the capacity to make informed life preferences obtain such capability comprising of several concepts, such as the capacity to access and make use of resources, the ability to move, agency, and autonomy [24].…”

Section: Independent Variablesmentioning

confidence: 99%

Women’s Status and Empowerment within the Household as a Determinant of Adequate Antenatal Care Visits in Malawi. A Population-Based Study

Ntenda¹

2020

Preprint

View full text Add to dashboard Cite

Background Research has linked women status and empowerment to an improved health status of the general population. However, there is a deficiency of pragmatic data to support how females’ position within the household may impact adequate antenatal care (ANC) visits in Malawi. Therefore, this study explored whether the women’s status and empowerment influence adequate ANC visits in Malawi.Methods The current study sampled and analyzed ever-married women of reproductive age from the 2010 and 2015–16 Malawi Demographic and Health Surveys (MDHS). The two-level multilevel multivariable analyses were performed by means of the generalized linear mixed models (GLMMs) to investigate the relationships between the women’s status and empowerment within the household and adequate ANC visits while controlling for covariates.Results About 46% and slightly over 50% of participants had adequate ANC visits in 2010 and 2015–16 respectively. The GLMMs shows that women with no formal education (adjusted odds ratio [aOR]: 0.71; 95% confidence interval [CI]: 0.54–0.94) and primary education (aOR: 0.65; 95% CI: 0.53–0.80) had reduced odds of achieving adequate ANC visits. Additionally, younger women, women from the poorest households, women who did not have access to media and women who resided in the northern region had reduced odds of achieving adequate ANC visits. The GLMMs also revealed variations in the communities with respect to the odds of achieving adequate ANC visits.Conclusion The association of women’s education on adequate ANC visits underscores the need for policymakers’ to think through incorporating education sector in ANC settings to increase health-related knowledge among women of reproductive age in order to inform them of the importance of achieving adequate ANC visits.

show abstract

Women’s empowerment and experiences of mistreatment during childbirth in facilities in Lucknow, India: results from a cross-sectional study

Cited by 39 publications

References 37 publications

Disrespect and abuse during facility-based childbirth and its sociodemographic determinants – A barrier to healthcare utilization in rural population

Disrespect and abuse during facility-based childbirth and its sociodemographic determinants – A barrier to healthcare utilization in rural population

Validation of the person-centered maternity care scale in India

Women’s Status and Empowerment within the Household as a Determinant of Adequate Antenatal Care Visits in Malawi. A Population-Based Study

Contact Info

Product

Resources

About