Respectful maternity care and associated factors among mothers in the immediate post–partum period, in public health facilities of Addis Ababa, Ethiopia, 2018

Kitaw, Meron; Tessema, Marta

doi:10.15406/ipcb.2019.05.00140

Cited by 9 publications

(11 citation statements)

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“…The current study indicated that overall, only one-third of women received RMC during labor and childbirth at public health institutions in the South Gondar Zone, Amhara region, Northwest Ethiopia. The result of this finding is lower than the studies conducted in Addis Ababa (82.4%), 23 Bahirdar (57%), 24 and Ethiopia (49.4%). 6 This variation might be due to the difference in the study area.…”

Section: Discussioncontrasting

confidence: 75%

“…This result is supported by a study done in Addis Ababa public health facilities. 23 This might be due to the educational level increase, awareness about delivery care also increasing, and educated people always practice their rights better than non-educated people. Another possible explanation might be that educated patients may be more able to understand their health needs, follow instructions, advocate for themselves and their families, and communicate effectively with health providers.…”

Section: Discussionmentioning

confidence: 99%

“…It was prepared by the principal investigator based on literature reviews, and from the Maternal and Child Health Integrated Program (MCHIP) as part of their respectful maternity care tool kit. [23][24][25][26][27][28] The instrument was first arranged in English and converted into the local language Amharic and back to English by free language specialists. The tool consists of four sections: the first part contains socio-demographic characteristics of the respondents, the second part of the questionnaire contains obstetric characteristics of the participants, the third part contains provider-related factors, and the fourth part contains categories of RMC that women got during facility-based childbirth.…”

Section: Data Collection Tools and Proceduresmentioning

confidence: 99%

“…22 However, there is a lack of evidence and key indicators on the actual burden of D&A on women during childbirth at health facilities in the country, except for a few reports published years of age. [23][24][25] There is limited data on RMC during childbirth and maternity care in Ethiopia particularly at rural health facilities since studies were focused on urban health facilities. Hence, urban health facility studies alone are insufficient for identifying contributing factors that are correlated with disrespectful care during childbirth.…”

Section: Introductionmentioning

confidence: 99%

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Respectful maternity care and associated factors among mothers who gave birth at public health institutions in South Gondar Zone, Northwest Ethiopia 2021

Ferede

Gudayu

Gessesse

et al. 2022

Womens Health (Lond Engl)

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Introduction: Respectful maternity care is essential for improving maternal and neonatal health. Lack of respectful maternity care during childbirth services is one of the deterrents to women seeking facility-based deliveries. It is a health system failure and a violation of women’s rights. There is limited data on respectful maternity care during childbirth and maternity care in Ethiopia, particularly at rural health facilities. But studies have shown that many women from rural areas were more likely to report disrespect and abuse than urban residents. Objective: This study aims to assess respectful maternity care and associated factors among mothers who gave birth at health institutions in the South Gondar zone, northwest Ethiopia, 2021. Methods: A multicenter institutional-based cross-sectional study design was conducted among mothers who gave birth at South Gondar Zone public health institutions, from 1 February to 30 March 2021. Six hundred twenty-two study participants were selected by using systematic random sampling. The data were collected through face-to-face interviews using a pretested and semi-structured questionnaire. Data were entered into Epi-Data version 4.6 and exported to SPSS version 23 for analysis. A multivariable logistic regression analysis was performed to identify factors associated with the outcome variable. An adjusted odds ratio with a 95% confidence interval was computed to determine the level of significance. Result: A total of 611 participants were included in the study with the response rate of 98.2%. The study revealed that only 39.4%, of (95% confidence interval: 35.4–43.2) women received respectful maternity care. Completed secondary education (adjusted odds ratio: 2.47, 95% confidence interval: 1.35–4.50), having antenatal care follow-up (adjusted odds ratio: 0.098, 95% confidence interval: 0.03–0.34), planned pregnancy (adjusted odds ratio: 3.21, 95% confidence interval: 1.69–6.08), cesarean section delivery (adjusted odds ratio: 0.47, 95% confidence interval: 0.25–0.89), and daytime delivery (adjusted odds ratio: 1.9, 95% confidence interval: 1.33–2.72)) were significantly associated with respectful maternity care. Conclusion and Recommendation: Only two out of five women received respectful maternity care during childbirth. Completed secondary education, having antenatal care follow-up, pregnancy intended/wanted, daytime delivery, and cesarean section delivery were identified factors. Therefore, giving emphasis to creating awareness of care providers on the standards and categories of respectful maternity care, improving care provider–client discussion, monitoring, and reinforcing accountability mechanisms for health workers to improve respectful maternity care during labor and childbirth were recommended.

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Section: Discussioncontrasting

confidence: 75%

Section: Discussionmentioning

confidence: 99%

Section: Data Collection Tools and Proceduresmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Respectful maternity care and associated factors among mothers who gave birth at public health institutions in South Gondar Zone, Northwest Ethiopia 2021

Ferede

Gudayu

Gessesse

et al. 2022

Womens Health (Lond Engl)

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“…This is in line with studies conducted in Shashemene, Southwest, Addis Ababa, and Western Ethiopia. 20,29,32,33 This might be because women with the least educated may not have an understanding of birth preparedness and complication readiness particularly in pastoral communities and also mothers with no formal education are less likely to be aware of their rights and demand respectful care as compared with those who attained college and above.…”

Section: Discussionmentioning

confidence: 99%

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

et al. 2022

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Objectives: Maternal disrespect and abuse are the top significant barriers to the use of maternal health services. However, poor attention has been given to the hospitality and suitability of care provided to women in the facilities where they have been moved to utilize health services. This study is aimed to assess the prevalence of maternal disrespect and abuse during focused antenatal care and its associated factors among pregnant women who visit public health facilities in Awsi Rasu of Afar Region Northeast Ethiopia. Methods: Institution-based cross-sectional study design was employed from March 1 to 30, 2022 in selected health facilities of the Awsi Rasu of Afar Region, Northeast Ethiopia. A total of 1278 mothers were included using consecutive sampling techniques. The data were entered into Epi-data version 3.1 and exported to SPSS version 23.0 for statistical analysis. Statistical significance is declared using adjusted odds ratio (AOR) with a corresponding 95% confidence interval (CI). Results: The overall prevalence of disrespect and the abusive experience was 56.7% (95% CI: 54–59.3%). A low average monthly income of less than or equal to 3000 Ethiopian birrs (AOR = 0.72; 95% CI: 0.55–0.94), Age (20–25) years (AOR = 2.33; 95% CI 1.72–3.2), having no formal education (AOR = 2.01; 95% CI: 1.35–3.15), and having unplanned pregnancy (AOR = 1.6; 95% CI: 1.21–2.01) were significantly associated with disrespect and abuse during focused antenatal care. Conclusion: The prevalence of disrespect and abusive experience during antenatal care in the study area was high relative to other studies. In the multivariable logistic regression model age of the mother (20–25 years), no formal education, low family income, and unplanned pregnancy are the predictors of disrespect and abusive care. Providing respectful health care during antenatal care with a suitable approach for all mothers irrespective of their age, unplanned pregnancies, and educational status is the most substantial to encourage maternal service use.

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Consented maternal care and associated factors among mothers who gave birth at public health institutions in South Wollo Zone, Amhara region, Ethiopia 2022

Ferede,

Erega,

Sisay

et al. 2024

SAGE Open Medicine

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Introduction: Informed consent in healthcare services is a legal, ethical, and professional requirement on the part of all treating health providers and providing person-centered care. The methods of requesting consent during childbirth have not been extensively studied. In Ethiopia, there is not at all a single study done. Objective: The purpose of this study is to determine associated factors among mothers who gave birth at health institutions in the South Wollo Zone, Amhara region, Ethiopia in 2022. Methods: Mothers who gave birth at South Wollo Zone public health institutions, from 01 March to 30 April 2022 participated in a multi-center institutional-based cross-sectional study design. Systematic random sampling was used to select 423 study participants. A validated questionnaire was used for data collection, and the data were collected through face-to-face interviews. Data were entered into Epi-Data version 4.6 and exported to SPSS version 23 for analysis. A multivariable logistic regression analysis was performed to identify factors associated with the outcome variable. The level of significance was determined using an adjusted odds ratio with a 95% confidence interval. Result: The study had 416 participants in total, with a response rate of 98.3%. Out of the 416 respondents interviewed, 67.1% of the women received consented care. The age group of 30–34, complications during childbirth, intended pregnancy, merchant, and primary and referral hospital were significantly associated with consented care. Conclusion: The level of non-consented care during delivery was high compared with other literature reflecting substantial mistreatment. Therefore, stakeholders should strengthen monitoring and assessment systems to prevent abuse, and further study is required to look for practical ways to make improvements. Key elements of consented care have also been included in Basic and Emergency Obstetric Care training sessions and given to health providers.

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Respectful maternity care and associated factors among mothers in the immediate post–partum period, in public health facilities of Addis Ababa, Ethiopia, 2018

Cited by 9 publications

References 0 publications

Respectful maternity care and associated factors among mothers who gave birth at public health institutions in South Gondar Zone, Northwest Ethiopia 2021

Respectful maternity care and associated factors among mothers who gave birth at public health institutions in South Gondar Zone, Northwest Ethiopia 2021

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

Consented maternal care and associated factors among mothers who gave birth at public health institutions in South Wollo Zone, Amhara region, Ethiopia 2022

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