<p>Reducing Disrespect and Abuse of Women During Antenatal Care and Delivery Services at Injibara General Hospital, Northwest Ethiopia: A Pre–Post Interventional Study</p>

Abstract

Introduction: Disrespect and abuse during pregnancy and childbirth continue to be a barrier for the utilization and quality of care in maternal health services. This study was therefore aimed at reducing the disrespect and abuse of mothers during antenatal care and delivery services at Injibara general hospital, northwest Ethiopia. Materials and Methods: A pre-post interventional mixed method design was conducted among a total of 738 randomly selected mothers who attended antenatal care and delivery services from November 1, 2018 to May 20, 2019. To collect the data, exit interview using an interviewer-administered structured questionnaire was used. Provision of training, preparation of standard written guidelines and protocols, waiting room construction, availing screening or curtain, equipment, essential drugs and supplies, supportive supervision and mentoring, and staff motivation were the lists of interventions applied to decrease disrespect and abuse. Descriptive statistics and independent t-test were computed. The independanet ttest is used because the study populations at the baseline and endline were different. A p-value of <0.05 and a mean difference with 95% CI was used to test the significance of the interventions. Results: The study revealed that disrespect and abuse during pregnancy and childbirth decreased from 71.8% at baseline to 15.9% at the end-line with a 55.9% change (mean difference: 0.56, 95% CI: 0.55-0.57). Alongside, the magnitude on the subscales of disrespect and abuse (physical abuse, non-consented care, non-confidential care, non-dignified care, discrimination and neglected care) was decreased at post-intervention, compared with the baseline. Conclusion: Respectful maternal healthcare after the intervention was significantly improved. The finding suggests that provision of training to healthcare providers, written policies and procedures that describe the responsibilities of healthcare providers in the respectful maternal care process, improving facility infrastructure, availing supplies, regular supportive supervision and mentoring and motivation of high-performance employees have the potential to enhance respectful maternal care. Therefore, incorporating such training into pre-service curricula and in-service training of healthcare workers may indorse the practice of respectful maternal care.

Disrespect and abuse during focused antenatal care and associated factors among pregnant women who visited public health facilities in Awsi Rasu of Afar Region Northeast Ethiopia

“…The data collection tool was developed from the Maternal and Child Health Integrated Program and different related literature and modified according to the local context. 20 , 22 , 23 Two days of training were given to the data collectors. Four-degree midwives supervised the data collection and 10 diploma midwives who were not employees of the study area collected the data.…”

Integrated Pharmaceutical Logistics System Implementation in Chagni Primary Hospital and Injibara General Hospital, Awi Zone, Ethiopia

“…Besides, it was serving an estimated 1.2 million population in Awi zonal administration. 12 Chagni Primary Hospital is located in the Awi Zone of the Amhara Regional state, and it is 165 kilometres from Bahir Dar and 502 kilometres far from Addis Ababa.…”

“…According to the National Research Ethical Review Guideline of Ethiopia, when the purpose of the study is to examine government programs designed to provide the public good or service and when information has been collected by the investigator in such a way that it is impossible to identify study participants, it is exempted from ethical review. 12–14 Before starting data collection, verbal permission for data collection was granted by each public health facility. Verbal consent was obtained from all respondents and confidentiality of the information was assured to them.…”

Disrespect and abuse experienced by women giving birth in public health facilities of Eastern Ethiopia: a multicenter cross-sectional study

“…Physical abuse, lack of permission to provide care, non-confidentiality, undignified care, abandonment, discrimination, and incarceration for failure to pay user fees are all examples of DA that women may encounter at a health facility during childbirth. 4 – 7 …”

“…Physical abuse, lack of permission to provide care, non-confidentiality, undignified care, abandonment, discrimination, and incarceration for failure to pay user fees are all examples of DA that women may encounter at a health facility during childbirth. [4][5][6][7] Ethiopia has devised various strategies to alleviate the extent of maternal DA. To this end, enhancing institutional delivery by skilled attendants is a key strategy.…”