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Leul Deribe 2 Articles
Prevalence of disrespect and abuse of women during child birth and associated factors in Bahir Dar town, Ethiopia
Biresaw Wassihun, Leul Deribe, Nadia Worede, Teklemariam Gultie
Epidemiol Health. 2018;40:e2018029.   Published online July 1, 2018
DOI: https://doi.org/10.4178/epih.e2018029
  • 11,000 View
  • 384 Download
  • 25 Citations
AbstractAbstract PDF
Abstract
OBJECTIVES
Disrespect and abuse are an often-unacknowledged cause of maternal mortality and morbidity globally. The objective of this study was to assess the prevalence and associated factors of disrespect and abuse of women during childbirth at a health facility in the town of Bahir Dar, Ethiopia.
METHODS
In this community-based cross-sectional study, 422 mothers were interviewed from March 1 to 30, 2017 using a systematic random sampling technique with the kth value of 23 calculated based on the number of households in each sub-city and the expected sample size from sub-cities. Data were collected using a structured face-to-face interview questionnaire. EpiData version 3.1 was used to code and enter data, which were analyzed using SPSS version 22. Descriptive statistics were calculated for each variable, and binary logistic regression analysis with 95% confidence intervals (CIs) was carried out to determine the associations between predictor variables and outcome variables.
RESULTS
A total of 410 women participated in the study, with a response rate of 97.2%. The overall prevalence of disrespect and abuse was 67.1% (95% CI, 63.0 to 72.0). Disrespect and abuse were more prevalent in women with a monthly income less than 2,000 Ethiopian birr (adjusted odds ratio [aOR], 1.74; 95% CI, 1.08 to 2.80), mothers who stayed in a health facility after delivery (aOR, 5.14; 95% CI, 2.23 to 11.82), those who received care at a governmental hospital (aOR, 2.49; 95% CI, 1.15 to 5.40), and those who attended fewer than 4 antenatal care visits (aOR, 1.97; 95% CI, 1.15 to 3.40).
CONCLUSIONS
The prevalence of disrespect and abuse was high in this study setting. To decrease the prevalence of this phenomenon, appropriate interventions should be designed, focusing on increasing the number of antenatal care visits, increasing the incomes of mothers, and improving the relationship between health workers and mothers during mothers’ stay at health facilities.
Summary
Korean summary
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Citations

Citations to this article as recorded by  
  • Understanding variation in person-centered maternity care: Results from a household survey of postpartum women in 6 regions of Ethiopia
    Elizabeth K. Stierman, Linnea A. Zimmerman, Solomon Shiferaw, Assefa Seme, Saifuddin Ahmed, Andreea A. Creanga
    AJOG Global Reports.2023; 3(1): 100140.     CrossRef
  • Respectful maternity care and associated factors among mothers who gave birth in three hospitals of Southwest Ethiopia: A cross-sectional study
    Amanuel Adugna, Kassa Kindie, Gossa Fetene Abebe
    Frontiers in Public Health.2023;[Epub]     CrossRef
  • What factors are associated with forms of mistreatment during facility-based childbirth? A survey of referral health facilities in south-east Nigeria
    Ijeoma Nkem Okedo-Alex, Ifeyinwa Chizoba Akamike, Ugonna Igwilo, Chika Nwakanma Onwasigwe
    Journal of Biosocial Science.2022; 54(5): 776.     CrossRef
  • Respectful maternity care among laboring women in public hospitals of Benishangul Gumuz Region, Ethiopia: A mixed cross-sectional study with direct observations
    Bezabh Amsalu, Amanu Aragaw, Yitagesu Sintayehu, Alekaw Sema, Yalelet Belay, Getasew Tadese, Nigus Kassie, Alemu Guta, Abel Tibebu, Getahun Tiruye
    SAGE Open Medicine.2022; 10: 205031212210769.     CrossRef
  • Neglected and non-consented care during childbirth in public health facilities in Central Tigray, Ethiopia
    Elsa Tesfa Berhe, Hailay Abrha Gesesew, Paul R. Ward, Teferi Gebru Gebremeskel
    BMC Pregnancy and Childbirth.2022;[Epub]     CrossRef
  • Baseline Thrombocytopenia and Disease Severity Among COVID-19 Patients, Tibebe Ghion Specialized Hospital COVID-19 Treatment Center, Northwest Ethiopia
    Fikir Asrie, Esayas Tekle, Yemataw Gelaw, Mulat Dagnew, Aschalew Gelaw, Markos Negash, Eyuel Kassa, Segenet Bizuneh, Dessalew Wudineh
    Journal of Blood Medicine.2022; Volume 13: 315.     CrossRef
  • Disrespect and abuse experienced by women giving birth in public health facilities of Eastern Ethiopia: a multicenter cross-sectional study
    Sintayehu Gebregziabher, Behailu Hawulte, Legesse Abera, Abel Tibebu Goshu
    Journal of International Medical Research.2022; 50(10): 030006052211300.     CrossRef
  • Compassionate and respectful maternity care for mothers who gave birth in public health facilities in North Gondar, Ethiopia: a cross-sectional study
    Agerie Mengistie Zeleke, Gashaw Melkie Bayeh
    African Journal of Midwifery and Women's Health.2022; 16(3): 1.     CrossRef
  • “I Would Have Stayed Home if I Could Manage It Alone”: A Case Study of Ethiopian Mother Abandoned by Care Providers During Facility-Based Childbirth
    Yohannes Mehretie Adinew, Janet Kelly, Amy Marshall, Helen Hall
    International Journal of Women's Health.2021; Volume 13: 501.     CrossRef
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    Yohannes Mehretie Adinew, Helen Hall, Amy Marshall, Janet Kelly
    Global Health Action.2021;[Epub]     CrossRef
  • Vaginal examinations and mistreatment of women during facility-based childbirth in health facilities: secondary analysis of labour observations in Ghana, Guinea and Nigeria
    Kwame Adu-Bonsaffoh, Hedieh Mehrtash, Chris Guure, Ernest Maya, Joshua P Vogel, Theresa Azonima Irinyenikan, Adeniyi Kolade Aderoba, Mamadou Dioulde Balde, Richard Adanu, Meghan A Bohren, Özge Tuncalp
    BMJ Global Health.2021; 5(Suppl 2): e006640.     CrossRef
  • Magnitude and associated factors of disrespect and abusive care among laboring mothers at public health facilities in Borena District, South Wollo, Ethiopia
    Mulusew Maldie, Gudina Egata, Muluken Genetu Chanie, Amare Muche, Reta Dewau, Nigusu Worku, Mamo Dereje Alemu, Gojjam Eshetie Ewunetie, Tesfaye Birhane, Elsabeth Addisu, Wolde Melese Ayele, Metadel Adane, Tanya Doherty
    PLOS ONE.2021; 16(11): e0256951.     CrossRef
  • Respectful maternity care during labor and childbirth and associated factors among women who gave birth at health institutions in the West Shewa zone, Oromia region, Central Ethiopia
    Gizachew Abdissa Bulto, Dereje Bayissa Demissie, Abera Shibru Tulu
    BMC Pregnancy and Childbirth.2020;[Epub]     CrossRef
  • Counteracting Abuse in Health Care: Evaluating a One-Year Drama Intervention with Staff in Sweden
    Anke Zbikowski, A. Jelmer Brüggemann, Barbro Wijma, Katarina Swahnberg
    International Journal of Environmental Research and Public Health.2020; 17(16): 5931.     CrossRef
  • Promoting respectful maternity care for adolescents in Ghana: a quasi-experimental study protocol
    Helen H. Habib, Kwasi Torpey, Ernest Tei Maya, Augustine Ankomah
    Reproductive Health.2020;[Epub]     CrossRef
  • Disrespect and abuse of women during the process of childbirth at health facilities in sub-Saharan Africa: a systematic review and meta-analysis
    Zemenu Yohannes Kassa, Berhan Tsegaye, Abebaw Abeje
    BMC International Health and Human Rights.2020;[Epub]     CrossRef
  • Determinants of person-centered maternity care at the selected health facilities of Dessie town, Northeastern, Ethiopia: community-based cross-sectional study
    Fentaw Teshome Dagnaw, Sofonyas Abebaw Tiruneh, Melkalem Mamuye Azanaw, Aragaw Tesfaw Desale, Melaku Tadege Engdaw
    BMC Pregnancy and Childbirth.2020;[Epub]     CrossRef
  • Abuse and disrespectful care on women during access to antenatal care services and its implications in Ndola and Kitwe health facilities
    Herbert Tato Nyirenda, Tambulani Nyirenda, Nancy Choka, Paul Agina, Shiphrah Kuria, Rehema Chengo, Herbert B.C Nyirenda, Brenda Mubita
    Sexual & Reproductive Healthcare.2020; 26: 100554.     CrossRef
  • Disrespect and Abuse during Childbirth in Ethiopia: A Systematic Review
    Meresa Berwo Mengesha, Asgele Gebrekrstos Desta, Hayat Maeruf, Hagos Degefa Hidru, A.Seval Ozgu-Erdinc
    BioMed Research International.2020; 2020: 1.     CrossRef
  • Community Versus Out-of-Hospital Birth: What's in a Name?
    Melissa Cheyney, Marit L. Bovbjerg, Lawrence Leeman, Saraswathi Vedam
    Journal of Midwifery & Women's Health.2019; 64(1): 9.     CrossRef
  • Disrespectful and abusive behavior during childbirth and maternity care in Ethiopia: a systematic review and meta-analysis
    Zemenu Yohannes Kassa, Siraj Husen
    BMC Research Notes.2019;[Epub]     CrossRef
  • Disrespect and abuse during childbirth in Western Ethiopia: Should women continue to tolerate?
    Firew Tekle Bobo, Habtamu Kebebe Kasaye, Belachew Etana, Mirkuzie Woldie, Tesfaye Regassa Feyissa, Rakhi Dandona
    PLOS ONE.2019; 14(6): e0217126.     CrossRef
  • Mistreatment of women in public health facilities of Ethiopia
    Ephrem D. Sheferaw, Young-Mi Kim, Thomas van den Akker, Jelle Stekelenburg
    Reproductive Health.2019;[Epub]     CrossRef
  • Obstetric violence and its associated factors among postnatal women in a Specialized Comprehensive Hospital, Amhara Region, Northwest Ethiopia
    Muhabaw Shumye Mihret
    BMC Research Notes.2019;[Epub]     CrossRef
  • How women are treated during facility-based childbirth in four countries: a cross-sectional study with labour observations and community-based surveys
    Meghan A Bohren, Hedieh Mehrtash, Bukola Fawole, Thae Maung Maung, Mamadou Dioulde Balde, Ernest Maya, Soe Soe Thwin, Adeniyi K Aderoba, Joshua P Vogel, Theresa Azonima Irinyenikan, A Olusoji Adeyanju, Nwe Oo Mon, Kwame Adu-Bonsaffoh, Sihem Landoulsi, Chr
    The Lancet.2019; 394(10210): 1750.     CrossRef
Levels of adherence and factors associated with adherence to option B+ prevention of mother-to-child transmission among pregnant and lactating mothers in selected government health facilities of South Wollo Zone, Amhara Region, northeast Ethiopia, 2016
Delelegn Tsegaye, Leul Deribe, Shambel Wodajo
Epidemiol Health. 2016;38:e2016043.   Published online October 13, 2016
DOI: https://doi.org/10.4178/epih.e2016043
  • 12,142 View
  • 387 Download
  • 18 Citations
AbstractAbstract PDF
Abstract
OBJECTIVES
The aim of this study was to measure the levels of adherence and to identify factors associated with adherence to option B+ prevention of mother-to-child transmission (PMTCT) among pregnant and lactating mothers in selected government health facilities of South Wollo Zone, Amhara Region, northeast Ethiopia.
METHODS
An institution-based cross-sectional quantitative study design was employed from March 1, 2016 to April 14, 2016, using a standard structured data collection instrument. A sample of 191 human immunodeficiency virus (HIV)-positive pregnant and lactating mothers who were receiving PMTCT follow-up in the selected health facilities participated in the study. The data were entered using EpiData 3.1 and analyzed using SPSS version 21. Bivariate and multivariate logistic regression analyses were employed to identify factors associated with adherence. The p-values <0.05 and 95% confidence intervals (CIs) were used to identify associations between independent predictors and the outcome variable.
RESULTS
The level of adherence to option B+ PMTCT drugs was 87.9%. Women who received in-hospital treatment, who lived in rural areas, and faced challenges in initiating lifelong option B+ treatment on the same-day that they were diagnosed with HIV were less likely to adhere to the treatment (adjusted odds ratios [95% CI] of 0.3 [0.11 to 0.82], 0.26 [0.1 to 0.73], and 0.08 [0.02 to 0.37], respectively).
CONCLUSIONS
Collaborative efforts of zonal health departments with health facility administrators and counselors are recommended for effective and efficient interventions focusing on hospitals, rural areas, and patients who face challenges on the day of their diagnosis.
Summary
Korean summary
Key Message

Citations

Citations to this article as recorded by  
  • Antiretroviral therapy adherence among breastfeeding mothers at a health facility in north Malawi
    Beatrice Kanyimbo, Ursula K Kafulafula, Bertha Chakhame
    African Journal of Midwifery and Women's Health.2022; 16(1): 1.     CrossRef
  • Adherence to option B+ and its association with disclosure status and counseling among HIV-positive pregnant and lactating women in Ethiopia: systematic review and meta-analysis
    Chalachew Adugna Wubneh, Birye Dessalegn Mekonnen, Mekdess Wesenyeleh Delelegn, Kendalem Asmare Atalell
    Public Health.2022; 211: 105.     CrossRef
  • The role of men in antenatal care and preventing HIV transmission from mothers to infants in Gambella region, Ethiopia
    Mirgissa Kaba, Michelle R. Kaufman, Andrea Ruff, Anteneh Asefa Mekonnen
    PLOS Global Public Health.2022; 2(8): e0000879.     CrossRef
  • What influences uptake and early adherence to Option B+ (lifelong antiretroviral therapy among HIV positive pregnant and breastfeeding women) in Central Uganda? A mixed methods study
    Aggrey David Mukose, Hilde Bastiaens, Fredrick Makumbi, Esther Buregyeya, Rose Naigino, Joshua Musinguzi, Jean-Pierre Van Geertruyden, Rhoda K. Wanyenze, Julie AE Nelson
    PLOS ONE.2021; 16(5): e0251181.     CrossRef
  • Level of adherence to option B plus PMTCT and associated factors among HIV positive pregnant and lactating women in public health facilities of Hawassa city, Southern Ethiopia
    Samuel Abdisa, Zelalem Tenaw, Frank T. Spradley
    PLOS ONE.2021; 16(8): e0255808.     CrossRef
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    Reta Tsegaye, Werku Etafa, Bizuneh Wakuma, Getu Mosisa, Diriba Mulisa, Tadesse Tolossa
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    Moses Mukosha, Grace Chiyesu, Bellington Vwalika
    Pan African Medical Journal.2020;[Epub]     CrossRef
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    Abinet Dagnaw Mekuria, Assefa Legesse Sisay, Kassa Ketsela Hailegiorgies, Ayele Mamo Abebe
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    Gebremedhin Gebreegziabher Gebretsadik, Hailay Gebretnsae, Mulu Ftwi, Afewerki Tesfahunegn Nigusse
    HIV/AIDS - Research and Palliative Care.2020; Volume 12: 687.     CrossRef
  • Adherence to Antiretroviral Treatment for Prevention of Mother-to-Child Transmission of HIV in Eastern Ethiopia: A Cross-Sectional Study


    Anwar Fedlu, Birhanu Alie, Ammas Siraj Mohammed, Fuad Adem, Abduselam Hassen
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  • Adherence to Option B+ Care for the Prevention of Mother-to-Child Transmission Among Pregnant Women in Ethiopia


    Fikadu Wondimu, Fisseha Yetwale, Endashew Admassu, Wakgari Binu, Gizachew Abdissa Bulto, Getie Lake, Eden Girmaye, Kababa Temesgen, Taklu Marama
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    Eyosiyas Yeshialem Asefa, Dejene Edosa Dirirsa
    HIV/AIDS - Research and Palliative Care.2020; Volume 12: 789.     CrossRef
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  • “I Was Not Told That I Still Have The Virus”: Perceptions of Utilization of Option B+ Services at a Health Center in Malawi
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  • Option B plus antiretroviral therapy adherence and associated factors among HIV positive pregnant women in Southern Ethiopia
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    BMC Pregnancy and Childbirth.2019;[Epub]     CrossRef
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    BMC Pregnancy and Childbirth.2018;[Epub]     CrossRef

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