Abuse and disrespectful care on women during access to antenatal care services and its implications in Ndola and Kitwe health facilities

Nyirenda, Herbert Tato; Nyirenda, Tambulani; Choka, Nancy; Agina, Paul; Kuria, Shiphrah; Chengo, Rehema; Nyirenda, Herbert Bc; Mubita, Brenda

doi:10.1016/j.srhc.2020.100554

Cited by 4 publications

(5 citation statements)

References 17 publications

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“…Additionally, Age, language, educational level, and length of time residing in the district all significantly correlated with disrespectful treatment. (Nyirenda et al, 2020). Kassa and Abeje (2020) found that The majority of sub-Saharan countries provide free obstetric treatment, making it clear that detention of women during childbirth at medical facilities occurs at a very low rate, in line with the results of a recent study findings it is less occurred as the cost at most of health care facilities is within reach and according their choice the degree of payment.…”

Section: Discussionsupporting

confidence: 56%

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Experienced Disrespectful and Abusive forms among Women During Childbirth at Health Care Facility in Port Said City

Hamouda,

elbahlowan,

Shalaby

et al. 2023

Port Said Scientific Journal of Nursing

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Background: During childbirth, women faced much disrespectful and abusive behaviour, which is obvious. Some of its subtler manifestations may not always be concerning by women aim: Investigate forms of disrespect and abuse women face during childbirth and how women perceive respectful treatment at health care facilities in Port Said city. Subjects and Method: Design: was descriptive. Setting: carried out at vaccination clinics of pediatrics at six primary health care centers in Port Sid city. Subjects: a representative sample of 247 postpartum women at health care Facility. Tools: Tool I: A structured interview. On women's characteristics and abuse experienced; Tool II; scale about women's perception of disrespect and abuse experienced. The Results: 85.4% of women report experiencing disrespective and abusive treatment throughout labor, Commonest type experienced was a nonconsented care (72.9%, n=180), A significance relationship between women's perception of abuse with demographic characteristics, Regression analysis showed that payment ability for delivery has a positive link with abuse experienced. Conclusion:Majority of women reported at least one kind of abuse or disrespect during labor. Factors of experiencing abuse and disrespect were: Antenatal care visits insufficient, Education, Monthly income and ability to pay. In addition, Study revealed good perception of women regard respectful care. Recommendations:Greater support from governments and development partners for research and action on disrespect and abuse, Emphasizing the rights of women to dignified, respectful health care throughout pregnancy and childbirth, Generating data related to respectful

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Section: Discussionsupporting

confidence: 56%

“…So, judgment or pleasant were based on experience. Nyirenda et al, (2020). Supported study finding, By encouraging early identification and promoting good health before childbirth, antenatal care attendance has a significant potential to improve the lives of mothers and neonates.…”

Section: Discussionmentioning

confidence: 93%

Experienced Disrespectful and Abusive forms among Women During Childbirth at Health Care Facility in Port Said City

Hamouda,

elbahlowan,

Shalaby

et al. 2023

Port Said Scientific Journal of Nursing

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“…Uptake of adequate ANC improved utilization of institutional delivery [ 46 ]. Nonetheless, the uptake of recommended 4ANC visits was low in many LMICs, including low uptake of recommended interventions [ 60 , 65 , 75 , 78 , 80 , 95 ]. In Nepal, a study revealed that two-thirds of women who completed 4ANC visits; only 21% received recommended interventions [ 65 ].…”

Section: Resultsmentioning

confidence: 99%

“…Studies reported poor satisfaction with ANC services in many IMICs [106,109,110]. Factors of poor client satisfaction were lack of privacy, discrimination based on specific attributes and being left unattended, providers' attitude, delay in providing care, inadequate care, unavailability of skilled providers, physical abuse, not being allowed to choose a position in the examination, lack of privacy mothers' multiple complications, providers' negative assumptions and disregard for mothers' options in care, and long waiting time [54,95,105,[107][108][109][110].…”

Section: Clients' Satisfactionmentioning

confidence: 99%

Input, process, and output factors contributing to quality of antenatal care services: a scoping review of evidence

Khatri

Mengistu

Assefa

2022

BMC Pregnancy Childbirth

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Background High-quality antenatal care (ANC) provides a lifesaving opportunity for women and their newborns through providing health promotion, disease prevention, and early diagnosis and treatment of pregnancy-related health issues. However, systematically synthesised evidence on factors influencing the quality of ANC services is lacking. This scoping review aims to systematically synthesize the factors influencing in provision and utilisation of quality ANC services. Methods We conducted a scoping review of published evidence on the quality of ANC services. We searched records on four databases (PubMed, Scopus, Embase, and Google scholar) and grey literature from 1 to 2011 to 30 August 2021. We analysed data using Braun and Clarke’s thematic analysis approach. We followed Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews (PRISMA-ScR) guideline for the review. We explained themes using the Donabedian healthcare quality assessment model (input-process-output). Results Several inputs- and process-related factors contributed to suboptimal quality of ANC in many low and lower- or middle-income countries. Input factors included facility readiness (e.g., lack of infrastructure, provision of commodities and supplies, health workforce, structural and intermediary characteristics of pregnant women, and service delivery approaches). Processes-related factors included technical quality of care (e.g., lack of skilled adequate and timely care, and poor adherence to the guidelines) and social quality (lack of effective communication and poor client satisfaction). These input and process factors have also contributed to equity gaps in utilisation of quality ANC services. Conclusion Several input and process factors influenced the provision and utilization of optimum quality ANC services. Better health system inputs (e.g., availability of trained workforces, commodities, guidelines, context-specific programs) are essential to creating enabling facility environment for quality ANC services. Care processes can be improved by ensuring capacity-building activities for workforces (training, technical support visits), and mentoring staff working at peripheral facilities. Identifying coverage of quality ANC services among disadvantaged groups could be the initial step in designing and implementing targeted program approaches.

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“…Women felt more comfortable attending counseling sessions when privacy is guaranteed, likely because they feel free to share information [44]. Lack of privacy has been reported as a key barrier to accessing and receiving quality ANC [45][46][47][48]. Ensuring privacy reduces fear and offers opportunities to discuss a broader range of health issues [42,43,49].…”

Section: Plos Onementioning

confidence: 99%

Receiving antenatal care components and associated factors in Northwestern Tanzania

et al. 2023

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Introduction Tanzania had an estimated 5.400 maternal deaths in 2020. Suboptimal quality of antenatal care (ANC) presents a major challenge. It is not known what precisely the uptake of the various ANC components is, such as counseling on birth preparedness and complication readiness, preventive measures and screening tests. We assessed the level of receiving the various ANC components and associated factors in order to identify opportunities to improve ANC. Methods A cross-sectional household survey using a structured questionnaire through face-to-face interviews, was conducted in April 2016 in Mara and Kagera regions, Tanzania, applying a two-stage, stratified-cluster sampling design. The analysis included 1,162 women aged 15–49 years who attended ANC during their last pregnancy and had given birth not longer than two years prior to the survey. To account for inter- and intra-cluster variations, we used mixed-effect logistic regression to examine factors associated with receiving essential ANC components: counseling around birth preparedness and complication readiness (with presumed effects on knowledge about danger signs) and preventive measures. Results About In 878 (76.1%) women preparedness for birth and its complications was observed to exist. Overall counseling was low where 902 (77.6%) women received adequate counseling. Overall knowledge of danger signs was low in 467 women (40.2%). Uptake of preventive measures was low, with presumptive malaria treatment in 828 (71.3%) and treatment of intestinal worms in 519 (44.7%) women. Screening test levels varied for HIV in 1,057 (91.2%), any blood pressure measurement in 803 (70.4%), syphilis in 367 (32.2%) and tuberculosis in 186 (16.3%) women. After adjusting for age, wealth and parity, the likelihood of receiving adequate counseling on essential topics was less in women without education versus primary education (aOR 0.64; 95% CI 0.42–0.96) and in women who had <4 ANC visits versus ≥4 visits (aOR 0.57; 95% CI 0.40–0.81). Receiving care in privacy or not (aOR 2.01; 95% CI 1.30–3.12) and having secondary education as compared to primary education (aOR 1.92; 95% CI 1.10–3.70) were associated with receiving adequate counseling. Odds of receiving adequate care in at least one ANC visit were lower in women with joint decision making on major purchases versus decision making by male partner or other family members alone (aOR 0.44; 95% CI 0.24–0.78), similar to being less knowledgeable on danger signs (aOR 0.70; 95% CI 0.51–0.96). Conclusion Overall uptake of various essential ANC components was low. Frequent ANC visits and ensuring privacy are all essential to improve the uptake of ANC.

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Abuse and disrespectful care on women during access to antenatal care services and its implications in Ndola and Kitwe health facilities

Cited by 4 publications

References 17 publications

Experienced Disrespectful and Abusive forms among Women During Childbirth at Health Care Facility in Port Said City

Experienced Disrespectful and Abusive forms among Women During Childbirth at Health Care Facility in Port Said City

Input, process, and output factors contributing to quality of antenatal care services: a scoping review of evidence

Receiving antenatal care components and associated factors in Northwestern Tanzania

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