Departement of Public Health, Consortium Project at Women Empowerment-Amref Health Africa, Wolaita Sodo, Ethiopia.
School of Public Health, College of Health Science and Medicine, Wolaita Sodo University, Wolaita Sodo, Ethiopia.
BMC Health Serv Res. 2024 Apr 10;24(1):451. doi: 10.1186/s12913-024-10813-7.
Having a good provision of respectful maternity care (RMC) to a woman who gives childbirth is a crucial component of maternal health care to result in positive maternal and neonatal outcomes. Disrespect and lack of women-centered care in birth discourage a woman from seeking healthcare during childbirth contributing to poor healthcare-seeking behaviour and dissatisfaction with the maternity service. The current study aimed to assess key determinants of RMC during childbirth at selected public health facilities of the Gofa zone, Southern Ethiopia.
A cross-sectional study design was conducted from March to April 2021 among 390 women who gave birth in eight randomly selected public health facilities of Gofa zone, Southern Ethiopia. The level of RMC was measured using structured exit interview items. A structured-interviewer-administered questionnaire was used to collect data and then entered into Epi-data version 4.6 and exported to SPSS version 25 for further analysis. Bivariate and multivariate logistic regression analyses were used to identify determinants of RMC among women.
A total of 390 women responded to the exit interview making a response rate of 100%. The mean (± SD) age of the 390 women was 27.9 (± 4.85) years. The overall prevalence of women who received RMC was 40.5%, 95% CI (36-45%). Two hundred and ninety-seven (76.2%; n = 297/390) women had antenatal care (ANC) attendance in the index pregnancy. A woman who had planned pregnancy (AOR = 1.72, CI: 1.04, 2.85), planned to deliver in a health facility (AOR = 1.68, CI: 1.00, 2.81), presence of familial support (AOR = 2.04, CI: 1.20, 3.48), and had information about service availability (AOR = 4.44, CI: 2.09, 9.42) were associated with RMC among women.
The provision of respectful maternity care in the study area was low when compared with local studies. Planned pregnancy, plan to deliver in a health facility, family support, and presence of information about service availability were factors associated with RMC among women. More attention should be given to training and supportive supervision of health care professionals on respectful maternity care and its standards to increase service uptake and make service more women-centred.
为分娩的妇女提供优质的尊重产妇护理（RMC）是产妇保健的重要组成部分，可带来积极的母婴和新生儿结局。在分娩过程中不尊重和缺乏以妇女为中心的护理会阻碍妇女寻求医疗保健，导致不良的医疗保健寻求行为和对产妇服务的不满。本研究旨在评估戈法地区选定公立卫生机构分娩期间 RMC 的主要决定因素，戈法地区位于埃塞俄比亚南部。
2021 年 3 月至 4 月，在戈法地区 8 个随机选定的公立卫生机构分娩的 390 名妇女中进行了横断面研究设计。使用结构化的出院面谈项目来衡量 RMC 的水平。使用结构化访谈者管理的问卷收集数据，然后将其输入 Epi-data 版本 4.6 并导出到 SPSS 版本 25 进行进一步分析。使用二变量和多变量逻辑回归分析来确定妇女 RMC 的决定因素。
共有 390 名妇女接受了出院面谈，应答率为 100%。390 名妇女的平均（±SD）年龄为 27.9（±4.85）岁。总体而言，接受 RMC 的妇女比例为 40.5%，95%CI（36-45%）。297（76.2%；n=297/390）名妇女在本次妊娠中有产前护理（ANC）就诊。有计划妊娠（AOR=1.72，CI：1.04，2.85）、计划在医疗机构分娩（AOR=1.68，CI：1.00，2.81）、家庭支持（AOR=2.04，CI：1.20，3.48）和有服务可用性信息（AOR=4.44，CI：2.09，9.42）的妇女与 RMC 相关。
与当地研究相比，研究区域提供的尊重产妇护理水平较低。计划妊娠、计划在医疗机构分娩、家庭支持和有关服务可用性的信息是与妇女获得 RMC 相关的因素。应更加重视培训和支持性监督卫生保健专业人员，以尊重产妇护理及其标准，增加服务利用率并使服务更加以妇女为中心。
