Cargando…

Promoting compassionate and respectful maternity care during facility-based delivery in Ethiopia: perspectives of clients and midwives

OBJECTIVE: The purpose of this qualitative study was to explore clients’ and midwives’ perceptions of compassionate and respectful care during facility-based delivery in Bishoftu District, the regional state of Oromia, Ethiopia. SETTING: Public health facilities (two health centres and one district...

Descripción completa

Detalles Bibliográficos
Autores principales: Jiru, Hirut Dinku, Sendo, Endalew G
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BMJ Publishing Group 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8506867/
https://www.ncbi.nlm.nih.gov/pubmed/34635524
http://dx.doi.org/10.1136/bmjopen-2021-051220
_version_ 1784581769377349632
author Jiru, Hirut Dinku
Sendo, Endalew G
author_facet Jiru, Hirut Dinku
Sendo, Endalew G
author_sort Jiru, Hirut Dinku
collection PubMed
description OBJECTIVE: The purpose of this qualitative study was to explore clients’ and midwives’ perceptions of compassionate and respectful care during facility-based delivery in Bishoftu District, the regional state of Oromia, Ethiopia. SETTING: Public health facilities (two health centres and one district hospital). STUDY DESIGN: A qualitative exploratory descriptive research design was used. STUDY PARTICIPANTS: The research population included purposely sampled women who had given birth in a health facility in the previous 2 weeks and midwifery experts who provided maternity care in the health facility’s labour and delivery wards. Data were gathered through an individual interview (with 10 midwives and 12 women in labour). Interviews were audio-recorded and transcribed immediately. For the research, thematic analysis was performed manually. Both a priori codes (from the query guide) and emerging inductive codes were used in the study. In the thematic data analysis, three inter-related stages were involved, namely data reduction, data display and data conclusion. RESULTS: From the analysis of in-depth interviews with labouring women, three themes emerged, namely: dignified and respectful care, neglectful care and unqualified staff. Five main categories emerged from in-depth interviews with midwives: trusting relationships formed with labouring women, compassionate and respect-based behaviour, good communication skills and holistic care, intentional disrespect toward women, and barriers to compassionate and respectful maternity care due to structural factors. These themes were discovered to be a rich and detailed account of midwives’ perspectives on compassionate and respectful maternity care. CONCLUSION: The majority of women who witnessed or suffered disrespect and violence during labour and childbirth were dissatisfied with their maternity care during labour and delivery. Despite midwives’ accounts showing that they were aware of the importance of compassionate and respectful maternity care, clients face verbal abuse, neglect, and a lack of supportive treatment during labour and childbirth. Clients’ human rights were violated by disrespectful or abusive acts, whether perpetrated or observed. It is essential to address structural problems such as provider workload, and all other initiatives aimed at improving midwives’ interpersonal relationships with women to provide compassionate and respectful client-centred maternity care.
format Online
Article
Text
id pubmed-8506867
institution National Center for Biotechnology Information
language English
publishDate 2021
publisher BMJ Publishing Group
record_format MEDLINE/PubMed
spelling pubmed-85068672021-10-22 Promoting compassionate and respectful maternity care during facility-based delivery in Ethiopia: perspectives of clients and midwives Jiru, Hirut Dinku Sendo, Endalew G BMJ Open Obstetrics and Gynaecology OBJECTIVE: The purpose of this qualitative study was to explore clients’ and midwives’ perceptions of compassionate and respectful care during facility-based delivery in Bishoftu District, the regional state of Oromia, Ethiopia. SETTING: Public health facilities (two health centres and one district hospital). STUDY DESIGN: A qualitative exploratory descriptive research design was used. STUDY PARTICIPANTS: The research population included purposely sampled women who had given birth in a health facility in the previous 2 weeks and midwifery experts who provided maternity care in the health facility’s labour and delivery wards. Data were gathered through an individual interview (with 10 midwives and 12 women in labour). Interviews were audio-recorded and transcribed immediately. For the research, thematic analysis was performed manually. Both a priori codes (from the query guide) and emerging inductive codes were used in the study. In the thematic data analysis, three inter-related stages were involved, namely data reduction, data display and data conclusion. RESULTS: From the analysis of in-depth interviews with labouring women, three themes emerged, namely: dignified and respectful care, neglectful care and unqualified staff. Five main categories emerged from in-depth interviews with midwives: trusting relationships formed with labouring women, compassionate and respect-based behaviour, good communication skills and holistic care, intentional disrespect toward women, and barriers to compassionate and respectful maternity care due to structural factors. These themes were discovered to be a rich and detailed account of midwives’ perspectives on compassionate and respectful maternity care. CONCLUSION: The majority of women who witnessed or suffered disrespect and violence during labour and childbirth were dissatisfied with their maternity care during labour and delivery. Despite midwives’ accounts showing that they were aware of the importance of compassionate and respectful maternity care, clients face verbal abuse, neglect, and a lack of supportive treatment during labour and childbirth. Clients’ human rights were violated by disrespectful or abusive acts, whether perpetrated or observed. It is essential to address structural problems such as provider workload, and all other initiatives aimed at improving midwives’ interpersonal relationships with women to provide compassionate and respectful client-centred maternity care. BMJ Publishing Group 2021-10-11 /pmc/articles/PMC8506867/ /pubmed/34635524 http://dx.doi.org/10.1136/bmjopen-2021-051220 Text en © Author(s) (or their employer(s)) 2021. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. https://creativecommons.org/licenses/by-nc/4.0/This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/ (https://creativecommons.org/licenses/by-nc/4.0/) .
spellingShingle Obstetrics and Gynaecology
Jiru, Hirut Dinku
Sendo, Endalew G
Promoting compassionate and respectful maternity care during facility-based delivery in Ethiopia: perspectives of clients and midwives
title Promoting compassionate and respectful maternity care during facility-based delivery in Ethiopia: perspectives of clients and midwives
title_full Promoting compassionate and respectful maternity care during facility-based delivery in Ethiopia: perspectives of clients and midwives
title_fullStr Promoting compassionate and respectful maternity care during facility-based delivery in Ethiopia: perspectives of clients and midwives
title_full_unstemmed Promoting compassionate and respectful maternity care during facility-based delivery in Ethiopia: perspectives of clients and midwives
title_short Promoting compassionate and respectful maternity care during facility-based delivery in Ethiopia: perspectives of clients and midwives
title_sort promoting compassionate and respectful maternity care during facility-based delivery in ethiopia: perspectives of clients and midwives
topic Obstetrics and Gynaecology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8506867/
https://www.ncbi.nlm.nih.gov/pubmed/34635524
http://dx.doi.org/10.1136/bmjopen-2021-051220
work_keys_str_mv AT jiruhirutdinku promotingcompassionateandrespectfulmaternitycareduringfacilitybaseddeliveryinethiopiaperspectivesofclientsandmidwives
AT sendoendalewg promotingcompassionateandrespectfulmaternitycareduringfacilitybaseddeliveryinethiopiaperspectivesofclientsandmidwives