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Magnitude and associated factors of disrespect and abusive care among laboring mothers at public health facilities in Borena District, South Wollo, Ethiopia

BACKGROUND: Recent studies have indicated that disrespectful/abusive/coercive service by skilled care providers in health facilities that results in actual or perceived poor quality of care is directly and indirectly associated with adverse maternal and newborn outcomes. According to the 2016 Ethiop...

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Autores principales: Maldie, Mulusew, Egata, Gudina, Chanie, Muluken Genetu, Muche, Amare, Dewau, Reta, Worku, Nigusu, Alemu, Mamo Dereje, Ewunetie, Gojjam Eshetie, Birhane, Tesfaye, Addisu, Elsabeth, Ayele, Wolde Melese, Adane, Metadel
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8601571/
https://www.ncbi.nlm.nih.gov/pubmed/34793460
http://dx.doi.org/10.1371/journal.pone.0256951
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author Maldie, Mulusew
Egata, Gudina
Chanie, Muluken Genetu
Muche, Amare
Dewau, Reta
Worku, Nigusu
Alemu, Mamo Dereje
Ewunetie, Gojjam Eshetie
Birhane, Tesfaye
Addisu, Elsabeth
Ayele, Wolde Melese
Adane, Metadel
author_facet Maldie, Mulusew
Egata, Gudina
Chanie, Muluken Genetu
Muche, Amare
Dewau, Reta
Worku, Nigusu
Alemu, Mamo Dereje
Ewunetie, Gojjam Eshetie
Birhane, Tesfaye
Addisu, Elsabeth
Ayele, Wolde Melese
Adane, Metadel
author_sort Maldie, Mulusew
collection PubMed
description BACKGROUND: Recent studies have indicated that disrespectful/abusive/coercive service by skilled care providers in health facilities that results in actual or perceived poor quality of care is directly and indirectly associated with adverse maternal and newborn outcomes. According to the 2016 Ethiopian Demography and Health Survey, only 26% of births were attended by qualified clinicians, with a maternal mortality rate of 412 per 100,000 live-births. Using seven categories developed by Bowser and Hill (2010), this study looked at disrespect and abuse experienced by women in labor and delivery rooms in health facilities of Borena Ddistrict, South Wollo, Ethiopia. METHODS: A facility-based cross-sectional study was conducted among 374 immediate postpartum women in Borena District from January 12 to March 12, 2020. Systematic sampling was used to access respondents to participate in a structured, pre-tested face-to-face exit interview. Data were entered into EpiData version 4.6 and exported to SPSS version 25 for analysis. Finally, bivariable and multivariable logistic regression analysis were performed to declare statistically significant factors related to maternal disrespect and abusive care in Borena District at a p-value of < 0.05 and at 95% CI. RESULT: Almost four out of five (79.4%) women experienced at least one type of disrespect and abuse during facility-based childbirth. The most frequently reported type of disrespect and abuse was non-consented care 63.7%. Wealth index [AOR = 3.27; 95% CI: (1.47, 7.25)], type of health facility [AOR = 1.96; 95% CI: (1.01, 3.78)], presence of companion(s) [AOR = 0.05; 95% CI: (0.02, 0.12)], and presence of complications [AOR = 2.65; 95% CI: (1.17, 5.99)] were factors found to be significantly related to women experiencing disrespect and abuse. CONCLUSION: The results showed that wealth index, type of health facility, presence of companion(s), and birth complications were found to be significant factors. Therefore, health personnel need to develop interventions that integrate provider’s behavior on companionship and prevention of complications across facilities to reduce the impact of disrespectful and abusive care for laboring women.
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spelling pubmed-86015712021-11-19 Magnitude and associated factors of disrespect and abusive care among laboring mothers at public health facilities in Borena District, South Wollo, Ethiopia Maldie, Mulusew Egata, Gudina Chanie, Muluken Genetu Muche, Amare Dewau, Reta Worku, Nigusu Alemu, Mamo Dereje Ewunetie, Gojjam Eshetie Birhane, Tesfaye Addisu, Elsabeth Ayele, Wolde Melese Adane, Metadel PLoS One Research Article BACKGROUND: Recent studies have indicated that disrespectful/abusive/coercive service by skilled care providers in health facilities that results in actual or perceived poor quality of care is directly and indirectly associated with adverse maternal and newborn outcomes. According to the 2016 Ethiopian Demography and Health Survey, only 26% of births were attended by qualified clinicians, with a maternal mortality rate of 412 per 100,000 live-births. Using seven categories developed by Bowser and Hill (2010), this study looked at disrespect and abuse experienced by women in labor and delivery rooms in health facilities of Borena Ddistrict, South Wollo, Ethiopia. METHODS: A facility-based cross-sectional study was conducted among 374 immediate postpartum women in Borena District from January 12 to March 12, 2020. Systematic sampling was used to access respondents to participate in a structured, pre-tested face-to-face exit interview. Data were entered into EpiData version 4.6 and exported to SPSS version 25 for analysis. Finally, bivariable and multivariable logistic regression analysis were performed to declare statistically significant factors related to maternal disrespect and abusive care in Borena District at a p-value of < 0.05 and at 95% CI. RESULT: Almost four out of five (79.4%) women experienced at least one type of disrespect and abuse during facility-based childbirth. The most frequently reported type of disrespect and abuse was non-consented care 63.7%. Wealth index [AOR = 3.27; 95% CI: (1.47, 7.25)], type of health facility [AOR = 1.96; 95% CI: (1.01, 3.78)], presence of companion(s) [AOR = 0.05; 95% CI: (0.02, 0.12)], and presence of complications [AOR = 2.65; 95% CI: (1.17, 5.99)] were factors found to be significantly related to women experiencing disrespect and abuse. CONCLUSION: The results showed that wealth index, type of health facility, presence of companion(s), and birth complications were found to be significant factors. Therefore, health personnel need to develop interventions that integrate provider’s behavior on companionship and prevention of complications across facilities to reduce the impact of disrespectful and abusive care for laboring women. Public Library of Science 2021-11-18 /pmc/articles/PMC8601571/ /pubmed/34793460 http://dx.doi.org/10.1371/journal.pone.0256951 Text en © 2021 Maldie et al https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Research Article
Maldie, Mulusew
Egata, Gudina
Chanie, Muluken Genetu
Muche, Amare
Dewau, Reta
Worku, Nigusu
Alemu, Mamo Dereje
Ewunetie, Gojjam Eshetie
Birhane, Tesfaye
Addisu, Elsabeth
Ayele, Wolde Melese
Adane, Metadel
Magnitude and associated factors of disrespect and abusive care among laboring mothers at public health facilities in Borena District, South Wollo, Ethiopia
title Magnitude and associated factors of disrespect and abusive care among laboring mothers at public health facilities in Borena District, South Wollo, Ethiopia
title_full Magnitude and associated factors of disrespect and abusive care among laboring mothers at public health facilities in Borena District, South Wollo, Ethiopia
title_fullStr Magnitude and associated factors of disrespect and abusive care among laboring mothers at public health facilities in Borena District, South Wollo, Ethiopia
title_full_unstemmed Magnitude and associated factors of disrespect and abusive care among laboring mothers at public health facilities in Borena District, South Wollo, Ethiopia
title_short Magnitude and associated factors of disrespect and abusive care among laboring mothers at public health facilities in Borena District, South Wollo, Ethiopia
title_sort magnitude and associated factors of disrespect and abusive care among laboring mothers at public health facilities in borena district, south wollo, ethiopia
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8601571/
https://www.ncbi.nlm.nih.gov/pubmed/34793460
http://dx.doi.org/10.1371/journal.pone.0256951
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