Publication

Mistreatment of women in public health facilities of Ethiopia

Sheferaw, E. D., Kim, Y-M., van den Akker, T. & Stekelenburg, J., 27-Aug-2019, In : Reproductive Health. 16, 1, 10 p., 130.

Research output: Contribution to journalArticleAcademicpeer-review

APA

Sheferaw, E. D., Kim, Y-M., van den Akker, T., & Stekelenburg, J. (2019). Mistreatment of women in public health facilities of Ethiopia. Reproductive Health, 16(1), [130]. https://doi.org/10.1186/s12978-019-0781-y

Author

Sheferaw, Ephrem D ; Kim, Young-Mi ; van den Akker, Thomas ; Stekelenburg, Jelle. / Mistreatment of women in public health facilities of Ethiopia. In: Reproductive Health. 2019 ; Vol. 16, No. 1.

Harvard

Sheferaw, ED, Kim, Y-M, van den Akker, T & Stekelenburg, J 2019, 'Mistreatment of women in public health facilities of Ethiopia', Reproductive Health, vol. 16, no. 1, 130. https://doi.org/10.1186/s12978-019-0781-y

Standard

Mistreatment of women in public health facilities of Ethiopia. / Sheferaw, Ephrem D; Kim, Young-Mi; van den Akker, Thomas; Stekelenburg, Jelle.

In: Reproductive Health, Vol. 16, No. 1, 130, 27.08.2019.

Research output: Contribution to journalArticleAcademicpeer-review

Vancouver

Sheferaw ED, Kim Y-M, van den Akker T, Stekelenburg J. Mistreatment of women in public health facilities of Ethiopia. Reproductive Health. 2019 Aug 27;16(1). 130. https://doi.org/10.1186/s12978-019-0781-y


BibTeX

@article{4a52b0d244844542ad0ac292ff5d5992,
title = "Mistreatment of women in public health facilities of Ethiopia",
abstract = "BACKGROUND: Recent evidence suggests that mistreatment of women during childbirth is a global challenge facing health care systems. This study seeks to explore the prevalence of mistreatment of women in public health facilities of Ethiopia, and identify associated factors.METHODS: A two-stage cross sectional sampling design was used to select institutions and women. The study was conducted in hospitals and health centers across four Ethiopian regions. Quantitative data were collected from postpartum women. Mistreatment was measured using four domains: (1) physical abuse, (2) verbal abuse, (3) failure to meet professional standards of care, and (4) poor rapport between women and providers. Percentages of mistreatment and odds ratios for the association between its presence and institutional and socio demographic characteristics of women were calculated using bivariate and multivariable logistic regression modeling.RESULTS: A total of 379 women were interviewed, of whom 281 (74%) reported any mistreatment. Physical and verbal abuse were reported by 7 (2%) and 31 (8%) women interviewed respectively. Failure to meet professional standards of care and poor rapport between women and providers were reported by 111 (29%) and 274 (72%) women interviewed respectively. Multivariable logistic regression analysis revealed that the odds of reporting mistreatment were higher among women with four or more previous births (aOR = 3.36 95%CI 1.22,9.23, p = 0.019) compared to women with no previous childbirth, Muslim women (aOR = 3.30 95%CI 1.4,7.77, p = 0.006) and women interviewed in facilities with less than 17 births per MNH staff in a month (aOR = 3.63 95%CI 1.9,6.93, p < 0.001). However, the odds of reporting mistreatment were lower among women aged 35 and older (aOR = 0.22 95%CI 0.06, 0.73, p = 0.014) and among women interviewed between 8 and 42 days after childbirth (aOR = 0.37 95%CI 0.15, 0.9, p = 0.028).CONCLUSION: Mistreatment during childbirth in Ethiopia is commonly reported. Health workers need to consider provision of individualized care for women and monitor their experiences in order to adjust quality of their services.",
author = "Sheferaw, {Ephrem D} and Young-Mi Kim and {van den Akker}, Thomas and Jelle Stekelenburg",
year = "2019",
month = aug,
day = "27",
doi = "10.1186/s12978-019-0781-y",
language = "English",
volume = "16",
journal = "BMC Reproductive Health",
issn = "1742-4755",
number = "1",

}

RIS

TY - JOUR

T1 - Mistreatment of women in public health facilities of Ethiopia

AU - Sheferaw, Ephrem D

AU - Kim, Young-Mi

AU - van den Akker, Thomas

AU - Stekelenburg, Jelle

PY - 2019/8/27

Y1 - 2019/8/27

N2 - BACKGROUND: Recent evidence suggests that mistreatment of women during childbirth is a global challenge facing health care systems. This study seeks to explore the prevalence of mistreatment of women in public health facilities of Ethiopia, and identify associated factors.METHODS: A two-stage cross sectional sampling design was used to select institutions and women. The study was conducted in hospitals and health centers across four Ethiopian regions. Quantitative data were collected from postpartum women. Mistreatment was measured using four domains: (1) physical abuse, (2) verbal abuse, (3) failure to meet professional standards of care, and (4) poor rapport between women and providers. Percentages of mistreatment and odds ratios for the association between its presence and institutional and socio demographic characteristics of women were calculated using bivariate and multivariable logistic regression modeling.RESULTS: A total of 379 women were interviewed, of whom 281 (74%) reported any mistreatment. Physical and verbal abuse were reported by 7 (2%) and 31 (8%) women interviewed respectively. Failure to meet professional standards of care and poor rapport between women and providers were reported by 111 (29%) and 274 (72%) women interviewed respectively. Multivariable logistic regression analysis revealed that the odds of reporting mistreatment were higher among women with four or more previous births (aOR = 3.36 95%CI 1.22,9.23, p = 0.019) compared to women with no previous childbirth, Muslim women (aOR = 3.30 95%CI 1.4,7.77, p = 0.006) and women interviewed in facilities with less than 17 births per MNH staff in a month (aOR = 3.63 95%CI 1.9,6.93, p < 0.001). However, the odds of reporting mistreatment were lower among women aged 35 and older (aOR = 0.22 95%CI 0.06, 0.73, p = 0.014) and among women interviewed between 8 and 42 days after childbirth (aOR = 0.37 95%CI 0.15, 0.9, p = 0.028).CONCLUSION: Mistreatment during childbirth in Ethiopia is commonly reported. Health workers need to consider provision of individualized care for women and monitor their experiences in order to adjust quality of their services.

AB - BACKGROUND: Recent evidence suggests that mistreatment of women during childbirth is a global challenge facing health care systems. This study seeks to explore the prevalence of mistreatment of women in public health facilities of Ethiopia, and identify associated factors.METHODS: A two-stage cross sectional sampling design was used to select institutions and women. The study was conducted in hospitals and health centers across four Ethiopian regions. Quantitative data were collected from postpartum women. Mistreatment was measured using four domains: (1) physical abuse, (2) verbal abuse, (3) failure to meet professional standards of care, and (4) poor rapport between women and providers. Percentages of mistreatment and odds ratios for the association between its presence and institutional and socio demographic characteristics of women were calculated using bivariate and multivariable logistic regression modeling.RESULTS: A total of 379 women were interviewed, of whom 281 (74%) reported any mistreatment. Physical and verbal abuse were reported by 7 (2%) and 31 (8%) women interviewed respectively. Failure to meet professional standards of care and poor rapport between women and providers were reported by 111 (29%) and 274 (72%) women interviewed respectively. Multivariable logistic regression analysis revealed that the odds of reporting mistreatment were higher among women with four or more previous births (aOR = 3.36 95%CI 1.22,9.23, p = 0.019) compared to women with no previous childbirth, Muslim women (aOR = 3.30 95%CI 1.4,7.77, p = 0.006) and women interviewed in facilities with less than 17 births per MNH staff in a month (aOR = 3.63 95%CI 1.9,6.93, p < 0.001). However, the odds of reporting mistreatment were lower among women aged 35 and older (aOR = 0.22 95%CI 0.06, 0.73, p = 0.014) and among women interviewed between 8 and 42 days after childbirth (aOR = 0.37 95%CI 0.15, 0.9, p = 0.028).CONCLUSION: Mistreatment during childbirth in Ethiopia is commonly reported. Health workers need to consider provision of individualized care for women and monitor their experiences in order to adjust quality of their services.

U2 - 10.1186/s12978-019-0781-y

DO - 10.1186/s12978-019-0781-y

M3 - Article

C2 - 31455400

VL - 16

JO - BMC Reproductive Health

JF - BMC Reproductive Health

SN - 1742-4755

IS - 1

M1 - 130

ER -

ID: 95191141