Azhar, Zainab, Oyebode, Oyinlola and Masud, Haleema (2018) Disrespect and abuse during childbirth in district Gujrat, Pakistan : a quest for respectful maternity care. PLoS One, 13 (7). e0200318. doi:10.1371/journal.pone.0200318 ISSN 1932-6203.
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Abstract
Background
Disrespectful and abusive practices at health facilities during childbirth discourage many women to seek care at facilities. This may lead to maternal morbidity and mortalities. Despite severe impacts, such practices remain hidden and are rarely reported in developing countries.
Objectives
The study was carried out to assess the prevalence and determinants of the disrespect and abuse (D & A) during child birth in rural Gujrat, Pakistan.
Methods
A cross sectional household based study was conducted in tehsil Kharian of district Gujrat. Data was collected using an interview based questionnaire from the women who had a live birth within the previous two months (n = 360). The D & A scale was based on standard Maternal and Child Health Integrated Programme indicators. Multiple logistic regression was used to find out the determinants of reported D & A.
Results
Almost all women experienced D & A (99.7%) during childbirth according to objective assessment “experienced D & A”. However, only 27.2% reported subjective experience of D & A “reported D & A”. The main determinant of reported D & A was facility based childbirth (OR = 13.49; 10.10–100.16) and lower socio economic strata (OR = 2.89; 1.63–5.11). The risk of reporting D & A was twice in public health facilities as compared to private. Women who had reported D & A were more likely to opt for changing the place of childbirth for next time (OR = 4.37, 95% CI = 2.41–7.90).
Conclusion
D & A during childbirth is highly prevalent and under-recognized in Pakistan. High prevalence at facilities and particularly at public facilities can be a reason for underutilization of this sector for childbirth. Maternal health policies in Pakistan need to be revised based on the charter of respectful maternity care.
| Item Type: | Journal Article |
|---|---|
| Subjects: | R Medicine > RG Gynecology and obstetrics |
| Divisions: | Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Health Sciences Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Health Sciences > Population, Evidence & Technologies (PET) Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School |
| Library of Congress Subject Headings (LCSH): | Maternal health services -- Gujrāt (Pakistan), Childbirth -- Gujrāt (Pakistan), Abused women |
| Journal or Publication Title: | PLoS One |
| Publisher: | Public Library of Science |
| ISSN: | 1932-6203 |
| Official Date: | 11 July 2018 |
| Dates: | Date Event 11 July 2018 Published 22 June 2018 Accepted |
| Volume: | 13 |
| Number: | 7 |
| Article Number: | e0200318 |
| DOI: | 10.1371/journal.pone.0200318 |
| Status: | Peer Reviewed |
| Publication Status: | Published |
| Access rights to Published version: | Open Access (Creative Commons open licence) |
| Date of first compliant deposit: | 21 September 2018 |
| Date of first compliant Open Access: | 24 September 2018 |
| URI: | https://wrap.warwick.ac.uk/108670/ |
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