Department of Nursing, College of Medicine and Health Sciences, Arba Minch University, Arba Minch, Ethiopia.
School of Nursing and Midwifery, College of Health and Medical Sciences, Haramaya University, Harar, Ethiopia.
BMC Pregnancy Childbirth. 2020 Feb 10;20(1):86. doi: 10.1186/s12884-020-2757-x.
In Ethiopia, approximately three-fourths of mothers do not deliver in health facilities. Disrespect and abuse during childbirth fallouts in underutilization of institutional delivery that upshots maternal morbidity and mortality. Thus, the ambition of this study was to assess respectful maternity care and associated factors in Harar hospitals, Eastern Ethiopia.
A facility-based cross-sectional study was conducted from April 01 to July 01, 2017. A total of 425 women, delivered at Harar town hospitals, were nominated using a systematic random sampling technique. A pretested and organized questionnaire was used to collect the data. After checking for completeness, the data were entered into EpiData version 3.1 and exported to SPSS version 22.0 for cleaning and analyses. Both bivariate and multivariable logistic regression was computed to identify factors associated with respectful maternity care. Statistical significance was declared at a P-value of < 0.05.
Data were collected on 425 women. Overall, only 38.4% (95% CI: 33.7, 42.0%) of women received respectful maternity care. Delivering at private hospitals [AOR: 2.3, 95% CI: 1.25, 4.07], having ANC follow-up [AOR: 1.8, 95% CI: 1.10, 3.20], planned pregnancy [AOR: 3.0, 95% CI: 1.24, 7.34], labor attended by male provider [AOR: 1.8, 95% CI: 1.14, 2.77] and normal maternal outcome [AOR: 2.3, 95% CI: 1.13, 4.83] were significantly associated with respectful maternity care.
Only four out of ten women received respectful care during labor and delivery. Providing women-friendly, abusive free, timely and discriminative free care are the bases to improve the uptake of institutional delivery. Execution of respectful care advancement must be the business of all healthcare providers. Furthermore, to come up with a substantial reduction in maternal mortality, great emphasis should be given to make the service woman-centered.
在埃塞俄比亚,大约四分之三的产妇不在医疗机构分娩。分娩时受到的不尊重和虐待导致机构分娩利用率低下,从而导致产妇发病率和死亡率上升。因此,本研究旨在评估哈勒尔市医院的尊重产妇护理情况及其相关因素,哈勒尔市位于埃塞俄比亚东部。
这是一项 2017 年 4 月 1 日至 7 月 1 日在哈勒尔镇医院进行的基于机构的横断面研究。采用系统随机抽样技术抽取了 425 名产妇。使用经过预测试和组织良好的问卷收集数据。数据录入 EpiData 版本 3.1 并导出到 SPSS 版本 22.0 进行清理和分析。采用单变量和多变量逻辑回归分析来确定与尊重产妇护理相关的因素。统计显著性定义为 P 值<0.05。
共收集了 425 名妇女的数据。总体而言,只有 38.4%(95%CI:33.7,42.0%)的妇女接受了尊重产妇护理。在私立医院分娩(AOR:2.3,95%CI:1.25,4.07)、进行 ANC 随访(AOR:1.8,95%CI:1.10,3.20)、计划妊娠(AOR:3.0,95%CI:1.24,7.34)、由男性提供者接生(AOR:1.8,95%CI:1.14,2.77)和母婴结局正常(AOR:2.3,95%CI:1.13,4.83)与尊重产妇护理显著相关。
只有十分之四的妇女在分娩和分娩过程中得到了尊重。提供以妇女为中心、无虐待、及时和无歧视的护理是提高机构分娩率的基础。尊重护理的实施必须是所有医疗保健提供者的共同责任。此外,为了大幅降低产妇死亡率,应高度重视以妇女为中心的服务。