Respectful family planning service provision in Sidama zone, Southern Ethiopia

Abstract

Introduction Disrespect and abusive care is a violation of women's basic human rights and it is serious global problem that needs urgent intervention. Poor quality client-provider interaction is commonly reported from family planning programmes. In Ethiopia, disrespect and abusive care is very common (21-78%) across health facilities. Objective To assess the status of respectful family planning service (client-provider interaction) in Sidama zone, south Ethiopia. Methodology Health facility-based cross-sectional study was conducted from June to August 2018. Data were collected from 920 family planning clients recruited from 40 randomly selected health facilities. The Mother on Respect index (MORi) questionnaire was used to collect the data through client exit interview. Partial proportional odds ordinal regression was employed to identify determinants of respectful family planning service.

Late antenatal care initiation and its contributors among pregnant women at selected public health institutions in Southwest Ethiopia

“…The majority (92.7%) of respondents had respectful care in their previous antenatal care follow-up. This finding was in line with 91.85% of respectful family planning services in the Sidama zone, southern Ethiopia [ 29 ]. But, it was much higher than 38.4% respectful maternity care in Harar hospitals, Eastern Ethiopia [ 30 ], and 35.8% respectful maternity care in West Shoa zone, Oromia region, Ethiopia [ 31 ].…”

Provider verbal disrespect in the provision of family planning in public-sector facilities in Western Kenya

“…In spite of this attention to reproductive rights, the global family planning community has not yet adequately conceptualized or addressed the threats to reproductive freedom and quality of care posed by provider disrespect and abuse of family planning clients. As a result, scholars not only have an incomplete understanding of these threats, but contraceptive seekers also continue to face provider judgements, insults, neglect, and other forms of ill-treatment ( Comitéde América Latina y El Caribe para la Defensa de los Derechos de la Mujer (CLADEM) (1999) ; Hazel et al, 2021 ; Mané et al, n.d. ; Siyoum et al, 2020 ). Despite the clear links between family planning and maternity care on the continuum of reproductive healthcare, the framework of disrespect and abuse that has been so transformative to maternal health has seldom been applied to family planning.…”

Utilization of immediate postpartum intrauterine contraceptive device and associated factors among mothers who gave birth at selected hospitals in west Gojjam zone, Ethiopia, multi-level facility-based study, 2019

“…According to the Ethiopian demographic and health survey(EDHS) 2016, the maternal mortality ratio was 412 deaths per 100,000 live births [ 10 ]. Improving contraceptive utilization reduces maternal morbidity and mortality in Sub-Saharan countries [ 11 , 12 ]. Utilization of long term contraceptive methods reduces maternal deaths by 40 %, infant mortality by 10 %, and childhood mortality by 21 % [ 11 , 13 ].…”