DOI: http://dx.doi.org/10.18203/2394-6040.ijcmph20221749

Prevalence of disrespect and abuse and its determinants during delivery in rural Uttar Pradesh India

Akhilesh Yadav, T. B. Singh, Shikha Sachan

Abstract


Background: Disrespect and abuse treatment during childbirth in health facilities is a burning issue all over the world and emerged as a common problem in maternal health care. It is contributing to untold suffering and discouraging women from seeking care in health facilities. Women experiencing disrespect, abusive, or abandonment during childbirth is an international agenda. This study aims to estimate the prevalence of disrespect and abuse (D and VA) during delivery and identifies the associated factors.

Methods: A community-based cross-sectional survey was conducted in the Balarampur district of Uttar Pradesh, India. The study included 364 women who underwent facility-based childbirth before six months of the survey. A multistage cluster sampling was used to select the potential participants of the study.

Results: the findings of the study show Utmost every woman (98.5%) experienced any kind of disrespect or abuse during institutional delivery. However, 92% of women experienced non-consent care in which women were neither informed nor their verbal or written consent was taken before any medical procedures in the labor room. Disrespect and abuse during labor and delivery were significantly associated with Age group, religion, level of education, age at marriage, place of delivery, no. of ANC visit.

Conclusions: Every woman has the right to receive kind and respectful maternity care, and mistreatment during maternal care services remains hindrance to achieving safe motherhood and child care.


Keywords


Disrespect and abuse, Maternity care, Postpartum, India

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References


Alkema L, Chou D, Hogan D, Zhang S, Moller AB, Gemmill A et al. Global, regional, and national levels and trends in maternal mortality between 1990 and 2015, with scenario-based projections to 2030: a systematic analysis by the UN Maternal Mortality Estimation Inter-Agency Group. Lancet. 2016;387(10017):462-74.

Government of India. Maternal Mortality in India 2014-2016: Special. 2018.

Bulletin. Sample Registration System, Office of the Registrar General, Ministry of Home Affairs, New Delhi. Available at: http://www.censusindia.gov.in/vital_statistics/SRS_Bulletins/MMR%20Bulletin-2014-16. Accessed on 12 March, 2021.

WHO. Adolescent Pregnancy, 2008. Available at: https://apps.who.int/iris/bitstream/handle/10665/112320/WHO_RHR_1. Accessed on 01 June 2022.

Crowe S, Utley M, Costello A, Pagel C. How many births in sub-Saharan Africa and South Asia will not be attended by a skilled birth attendant between 2011 and 2015? BMC pregnancy and childbirth. 2012;12(1):1-9.

Donnay F. Maternal survival in developing countries: what has been done, what can be achieved in the next decade. Int J Gynecol Obstetr. 2000;70(1):89-97.

Ikamari LD. Maternal health care utilisation in Teso District. Afr J Health Sci. 2004;11(1):21-32.

Pathak PK, Singh A, Subramanian SV. Economic inequalities in maternal health care: prenatal care and skilled birth attendance in India, 1992-2006. PloS One. 2010;5(10):e13593.

Jewkes R, Abrahams N, Mvo Z. Why do nurses abuse patients? Reflections from South African obstetric services. Social Sci Med. 1998;47(11):1781-95.

Bowser D, Hill K. Exploring evidence for disrespect and abuse in facility-based childbirth. Boston: USAID-TR Action Project, Harvard School of Public Health. 2010;3.

Adamson PC, Krupp K, Niranjankumar B, Freeman AH, Khan M, Madhivanan P. Are marginalized women being left behind? A population-based study of institutional deliveries in Karnataka, India. BMC Public Health. 2012;12(1):1-6.

Ram F, Singh A, Ram U. Human rights approach to maternal and child health: has India fared well? Indian J Med Res. 2013;137(4):721.

George A. Persistence of high maternal mortality in Koppal district, Karnataka, India: observed service delivery constraints. Reprod Health Matters. 2007;15(30):91-102.

Kashyap A. No tally of the anguish: Accountability in maternal health care in India. Human Rights Watch. 2009.

Bhattacharya S, Sundari Ravindran TK. Silent voices: institutional disrespect and abuse during delivery among women of Varanasi district, northern India. BMC Pregnancy Childbirth. 2018;18(1):1-8.

Azhar Z, Oyebode O, Masud H. Disrespect and abuse during childbirth in district Gujrat, Pakistan: a quest for respectful maternity care. PLoS One. 2018;13(7):e0200318.

Okafor II, Ugwu EO, Obi SN. Disrespect and abuse during facility-based childbirth in a low-income country. Int J Gynecol Obstetr. 2015;128(2):110

WHO. The prevention and elimination of disrespect and abuse during facility-based childbirth: WHO statement, 2014. Available at: https://apps.who.int/iris/bitstream/handle/10665/134588/WHO_RHR_14.23_eng. Accessed on 01 June 2022.

Abuya T, Warren CE, Miller N, Njuki R, Ndwiga C, Maranga A et al. Exploring the prevalence of disrespect and abuse during childbirth in Kenya. PloS One. 2015;10(4):e0123606.