LEVEL AND FACTORS ASSOCIATED WITH DISRESPECT AND ABUSE DURING CHILDBIRTH IN SHONE PUBLIC HEALTH FACILITIES HADIYYA ZONE, SNNPR, ETHIOPIA

Abstract

Disrespect and abuse of women during facility-based childbirth is not a new phenomenon women’s health and right advocates have long complained of poor treatment in reproductive and maternal health services, especially for poor and marginalized women. 98% of the women in Nigeria faced disrespect and abuse during childbirth and 78% of the women in Addis Ababa were disrespected and abused during childbirth. Objective: The aim of this study was to assess the level and factors associated with disrespect during childbirth Shone public health facilities, Hadiyya Zone Southern Region Ethiopia, February 1-29/2020. Method: A facilities based cross sectional study was conducted among 533 women in Shone public health facilities. A multistage sampling technique was used to select study participants. The data were analyzed using logistic regression analysis to identify factors associated with disrespect and abuse. Adjusted odds ratio with its 95% confidence interval level was estimated and level of statistical significance was declared at p-value less or equal to 0.05. Results: In this study, level of disrespect and abuse was 92.1% with (65.0 -73.7). Factors such as having a monthly income less than 1000 ETB [AOR= 4.44, 95% CI: 1.04 -18.97]. Lack of ANC follow up [AOR = 0.16, 95% CI: 1.06 – 2.55] who stayed in the health facilities less than 24hours after delivery [AOR= 0.93, 95% CI: 1.21 – 3.07] were independent predictors of disrespect and abuse during childbirth. Conclusions and recommendations: According to this study, (69.7%) of the respondents faced at least one kind of disrespectful and abusive action during childbirth in Shone public health facilities. Thus, seven out of every ten women encountered disrespect and abuse during childbirth in the study area. Factors such as having income less than 1000 Ethiopian Birr, lack of ANC follow up and stay in health facility after delivery were independent predictors of disrespect and abuse during childbirth. Thus, all concerned entities should pay attention in strengthening ANC follow which in turn plays pivotal role in enhancing respectful maternal care