Lecturer, School of Nursing, St. Paul's Hospital Millennium Medical College, Addis Ababa, Ethiopia and PhD student at Institute of Health and Society, Faculty of Medicine, University of Oslo, Oslo, Norway.
Associate Professor, Department of Health Management and Health Economics, Institute of Health and Society, Faculty of Medicine, University of Oslo, Oslo, Norway, and Head of Division of Surgery, Akershus University Hospital, Nordbyhagen, Norway.
Sex Reprod Health Matters. 2022 Dec;30(1):2088058. doi: 10.1080/26410397.2022.2088058.
There is evidence that women in Ethiopia often face disrespect and abuse in health care facilities during childbirth. Disrespect and abuse (D&A) violate women's right to dignified, respectful health care and decrease their trust in health care facilities. There is a need for more insight into women's perspectives on D&A during childbirth in different contexts. Therefore, this study aimed to explore women's perspectives on D&A during childbirth in a teaching hospital in South-West Ethiopia. A qualitative study was conducted from November 2017 to February 2018 using in-depth interviews and focus group discussions. Postnatal women were purposively chosen and scheduled for interviews six weeks postpartum. Data saturation occurred once 32 women were interviewed, and four focus group discussions were conducted. A thematic analysis method was used to analyse the data using MAXQDA qualitative analysis software. Three main themes emerged from the data: disrespect and abuse, its contributors, and perceived consequences. The subthemes of D&A include neglected care, non-consented care, physical abuse, lack of privacy, loss of autonomy, objectification, lack of companionship, and verbal abuse. The subthemes of contributors include health care provider-related, health care system-related, and women-related contributors. The subthemes of perceived consequences include the fear of using health care facilities. Women in Ethiopia experienced D&A. Health system factors, such as the teaching environment and scarcity of supplies, contribute the most to the identified D&A. Therefore, providers, administrators, training institutions, and researchers must collaborate to address these health system factors to reduce disrespect and abuse during childbirth in teaching hospitals.
有证据表明，在埃塞俄比亚，女性在分娩期间经常在医疗保健机构中遭受不尊重和虐待。不尊重和虐待（D&A）侵犯了女性享有尊严和尊重的医疗保健权利，并降低了她们对医疗保健机构的信任。需要更多地了解不同背景下女性对分娩期间 D&A 的看法。因此，本研究旨在探讨埃塞俄比亚西南部一所教学医院中女性对分娩期间 D&A 的看法。2017 年 11 月至 2018 年 2 月，采用深入访谈和焦点小组讨论进行了一项定性研究。在产后六周，对有针对性选择的产妇进行访谈。一旦对 32 名妇女进行了访谈，并且进行了四次焦点小组讨论，就达到了数据饱和。使用 MAXQDA 定性分析软件，采用主题分析方法对数据进行分析。数据中出现了三个主要主题：不尊重和虐待、其促成因素和感知后果。不尊重和虐待的子主题包括忽视护理、未经同意的护理、身体虐待、缺乏隐私、丧失自主权、客体化、缺乏陪伴和言语虐待。促成因素的子主题包括与医疗保健提供者相关、与医疗保健系统相关和与妇女相关的促成因素。感知后果的子主题包括对使用医疗保健设施的恐惧。埃塞俄比亚的女性经历了 D&A。医疗系统因素，如教学环境和供应品短缺，是导致所确定的 D&A 的最主要因素。因此，提供者、管理人员、培训机构和研究人员必须合作解决这些医疗系统因素，以减少教学医院中分娩期间的不尊重和虐待。
