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Mistreatment of women in public health facilities of Ethiopia

BACKGROUND: Recent evidence suggests that mistreatment of women during childbirth is a global challenge facing health care systems. This study seeks to explore the prevalence of mistreatment of women in public health facilities of Ethiopia, and identify associated factors. METHODS: A two-stage cross...

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Autores principales: Sheferaw, Ephrem D., Kim, Young-Mi, van den Akker, Thomas, Stekelenburg, Jelle
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6712647/
https://www.ncbi.nlm.nih.gov/pubmed/31455400
http://dx.doi.org/10.1186/s12978-019-0781-y
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author Sheferaw, Ephrem D.
Kim, Young-Mi
van den Akker, Thomas
Stekelenburg, Jelle
author_facet Sheferaw, Ephrem D.
Kim, Young-Mi
van den Akker, Thomas
Stekelenburg, Jelle
author_sort Sheferaw, Ephrem D.
collection PubMed
description BACKGROUND: Recent evidence suggests that mistreatment of women during childbirth is a global challenge facing health care systems. This study seeks to explore the prevalence of mistreatment of women in public health facilities of Ethiopia, and identify associated factors. METHODS: A two-stage cross sectional sampling design was used to select institutions and women. The study was conducted in hospitals and health centers across four Ethiopian regions. Quantitative data were collected from postpartum women. Mistreatment was measured using four domains: (1) physical abuse, (2) verbal abuse, (3) failure to meet professional standards of care, and (4) poor rapport between women and providers. Percentages of mistreatment and odds ratios for the association between its presence and institutional and socio demographic characteristics of women were calculated using bivariate and multivariable logistic regression modeling. RESULTS: A total of 379 women were interviewed, of whom 281 (74%) reported any mistreatment. Physical and verbal abuse were reported by 7 (2%) and 31 (8%) women interviewed respectively. Failure to meet professional standards of care and poor rapport between women and providers were reported by 111 (29%) and 274 (72%) women interviewed respectively. Multivariable logistic regression analysis revealed that the odds of reporting mistreatment were higher among women with four or more previous births (aOR = 3.36 95%CI 1.22,9.23, p = 0.019) compared to women with no previous childbirth, Muslim women (aOR = 3.30 95%CI 1.4,7.77, p = 0.006) and women interviewed in facilities with less than 17 births per MNH staff in a month (aOR = 3.63 95%CI 1.9,6.93, p < 0.001). However, the odds of reporting mistreatment were lower among women aged 35 and older (aOR = 0.22 95%CI 0.06, 0.73, p = 0.014) and among women interviewed between 8 and 42 days after childbirth (aOR = 0.37 95%CI 0.15, 0.9, p = 0.028). CONCLUSION: Mistreatment during childbirth in Ethiopia is commonly reported. Health workers need to consider provision of individualized care for women and monitor their experiences in order to adjust quality of their services. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (10.1186/s12978-019-0781-y) contains supplementary material, which is available to authorized users.
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spelling pubmed-67126472019-08-29 Mistreatment of women in public health facilities of Ethiopia Sheferaw, Ephrem D. Kim, Young-Mi van den Akker, Thomas Stekelenburg, Jelle Reprod Health Research BACKGROUND: Recent evidence suggests that mistreatment of women during childbirth is a global challenge facing health care systems. This study seeks to explore the prevalence of mistreatment of women in public health facilities of Ethiopia, and identify associated factors. METHODS: A two-stage cross sectional sampling design was used to select institutions and women. The study was conducted in hospitals and health centers across four Ethiopian regions. Quantitative data were collected from postpartum women. Mistreatment was measured using four domains: (1) physical abuse, (2) verbal abuse, (3) failure to meet professional standards of care, and (4) poor rapport between women and providers. Percentages of mistreatment and odds ratios for the association between its presence and institutional and socio demographic characteristics of women were calculated using bivariate and multivariable logistic regression modeling. RESULTS: A total of 379 women were interviewed, of whom 281 (74%) reported any mistreatment. Physical and verbal abuse were reported by 7 (2%) and 31 (8%) women interviewed respectively. Failure to meet professional standards of care and poor rapport between women and providers were reported by 111 (29%) and 274 (72%) women interviewed respectively. Multivariable logistic regression analysis revealed that the odds of reporting mistreatment were higher among women with four or more previous births (aOR = 3.36 95%CI 1.22,9.23, p = 0.019) compared to women with no previous childbirth, Muslim women (aOR = 3.30 95%CI 1.4,7.77, p = 0.006) and women interviewed in facilities with less than 17 births per MNH staff in a month (aOR = 3.63 95%CI 1.9,6.93, p < 0.001). However, the odds of reporting mistreatment were lower among women aged 35 and older (aOR = 0.22 95%CI 0.06, 0.73, p = 0.014) and among women interviewed between 8 and 42 days after childbirth (aOR = 0.37 95%CI 0.15, 0.9, p = 0.028). CONCLUSION: Mistreatment during childbirth in Ethiopia is commonly reported. Health workers need to consider provision of individualized care for women and monitor their experiences in order to adjust quality of their services. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (10.1186/s12978-019-0781-y) contains supplementary material, which is available to authorized users. BioMed Central 2019-08-27 /pmc/articles/PMC6712647/ /pubmed/31455400 http://dx.doi.org/10.1186/s12978-019-0781-y Text en © The Author(s). 2019 Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Research
Sheferaw, Ephrem D.
Kim, Young-Mi
van den Akker, Thomas
Stekelenburg, Jelle
Mistreatment of women in public health facilities of Ethiopia
title Mistreatment of women in public health facilities of Ethiopia
title_full Mistreatment of women in public health facilities of Ethiopia
title_fullStr Mistreatment of women in public health facilities of Ethiopia
title_full_unstemmed Mistreatment of women in public health facilities of Ethiopia
title_short Mistreatment of women in public health facilities of Ethiopia
title_sort mistreatment of women in public health facilities of ethiopia
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6712647/
https://www.ncbi.nlm.nih.gov/pubmed/31455400
http://dx.doi.org/10.1186/s12978-019-0781-y
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