Balde Mamadou Diouldé, Diallo Boubacar Alpha, Bangoura Abou, Sall Oumar, Soumah Anne Marie, Vogel Joshua P, Bohren Meghan A
Cellule de recherche en santé de la reproduction en Guinée (CERREGUI), University National Hospital-Donka, Conakry, Guinea.
Faculté de Médecine, Pharmacie et Odontostomatologie, Université G.A.Nasser de Conakry, Conakry, Guinea.
Reprod Health. 2017 Jan 11;14(1):3. doi: 10.1186/s12978-016-0266-1.
Every woman is entitled to respectful care during childbirth; so it is concerning to hear of informal reports of mistreatment during childbirth in Guinea. This study sought to explore the perceptions and experiences of mistreatment during childbirth, from the perspectives of women and service providers, and the analysis presents findings according to a typology of mistreatment during childbirth.
This study used qualitative methods (in-depth interviews (IDIs) and focus group discussions (FGDs)) and was conducted with four groups of participants: women of reproductive age, midwives, doctors, and administrators. The study took place in two sites in Guinea, an urban area (Mamou) and peri-urban (Pita). Data collection was conducted in two health facilities for providers and administrators, and in the health facility catchment area for women. Data were collected in local languages (Pular and Malinké), then transcribed and analyzed in French. We used a thematic analysis approach and coded transcripts manually.
A total of 64 IDIs and eight FGDs were conducted and are included in this analysis, including 40 IDIs and eight FGDs with women of reproductive age, 5 IDIs with doctors, 13 IDIs with midwives, and 6 IDIs with administrators. Participants described their own personal experiences, experiences of women in their communities and perceptions regarding mistreatment during childbirth. Results were organized according to a typology of mistreatment during childbirth, and included instances of physical abuse, verbal abuse, abandonment and neglect. Women described being slapped by providers, yelled at for noncompliance with provider requests, giving birth on the floor and without skilled attendance in the health facility. Poor physical conditions of health facilities and health workforce constraints contributed to experiences of mistreatment.
These results are important because they demonstrate that the mistreatment of women during childbirth exists in Guinea and occurs in multiple forms. These data should be used by the Ministry of Health and other stakeholders to develop strategies to reduce and prevent the mistreatment of women during childbirth.
每位女性在分娩期间都有权获得尊重关怀；因此，听闻几内亚分娩期间存在虐待的非正式报告令人担忧。本研究旨在从女性和服务提供者的角度探索分娩期间虐待的认知和经历，分析根据分娩期间虐待的类型呈现研究结果。
本研究采用定性方法（深入访谈和焦点小组讨论），对四组参与者进行了研究：育龄妇女、助产士、医生和管理人员。研究在几内亚的两个地点进行，一个是城市地区（马穆），另一个是城郊地区（皮塔）。在两个卫生设施中对提供者和管理人员进行数据收集，在卫生设施服务范围内对女性进行数据收集。数据以当地语言（富拉语和马林凯语）收集，然后转录并用法语进行分析。我们采用主题分析方法，手动对转录本进行编码。
共进行了64次深入访谈和8次焦点小组讨论并纳入本分析，其中包括对40名育龄妇女进行的深入访谈和8次焦点小组讨论、对5名医生进行的深入访谈、对13名助产士进行的深入访谈以及对6名管理人员进行的深入访谈。参与者描述了他们自己的个人经历、社区中女性的经历以及对分娩期间虐待的认知。结果根据分娩期间虐待的类型进行整理，包括身体虐待、言语虐待、遗弃和忽视的实例。女性描述了被提供者扇耳光、因不服从提供者要求而被吼叫、在卫生设施地板上分娩且没有专业人员在场的情况。卫生设施恶劣的物质条件和卫生人力限制导致了虐待经历。
这些结果很重要，因为它们表明几内亚存在分娩期间虐待女性的情况，且形式多样。卫生部和其他利益相关者应利用这些数据制定战略，以减少和预防分娩期间对女性的虐待。
