Disrespect and abuse of women during the process of childbirth at health facilities in sub-Saharan Africa: a systematic review and meta-analysis.
BMC Int Health Hum Rights
; 20(1): 23, 2020 09 07.
Article
em En
| MEDLINE
| ID: mdl-32894127
ABSTRACT
BACKGROUND:
Disrespectful and abusive treatment of women by health care providers during the process of childbirth at health facility is an international problem. There is a lack of data on disrespect and abuse of women during the process of childbirth at health facilities in Sub-Saharan Africa. The purpose of this study was to determine the prevalence of disrespect and abuse of women during the process of childbirth at health facilities in sub-Saharan Africa.METHODS:
The PRISMA guideline protocol was followed to write the systematic review and meta-analysis. Published studies were searched from Medline, PubMed, CINAHL, EMBASE, Maternal and infant care, science direct, and PsycINFO. Articles were accessed by three reviewers (ZY, BT and AA) using the following key terms, "attitude of health personnel" AND "delivery obstetrics*/nursing" OR "maternity care" AND "disrespect" OR "abuse" OR "professional misconduct" AND "parturition" AND "prevalence" AND "professional-patient relations" AND "Sub-Saharan Africa". Additional articles were retrieved by cross referencing of reference. The heterogeneity of studies were weighed using Cochran's Q test and I2 test statistics. Publication bias was assessed by Egger's test.RESULTS:
Thirty three studies met the inclusion and included in this systematic review and meta-analysis of disrespect and abuse of women during the process of childbirth at health facilities. The pooled prevalence of disrespect and abuse women during the process of childbirth at health facilities in Sub-Saharan Africa was 44.09% (95% CI 29.94-58.24).Particularly physical abuse was 15.77% (95% CI 13.38-18.15), non-confidential care was 16.87% (95% CI 14.49-19.24), abandonment was 16.86% (95% CI 13.88-19.84) and detention was 4.81% (95% CI 3.96-5.67).CONCLUSION:
In this study disrespect and abuse of women during the process of childbirth at health facilities are high compared with other studies, particularly non-confidential care and abandonment his high compared with other studies. This study points out that the ministry of health, health care providers, maternal health experts shall due attention to women's right during the process of childbirth at health facilities.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Relações Profissional-Paciente
/
Atitude do Pessoal de Saúde
/
Má Conduta Profissional
/
Parto
/
Abuso Físico
/
Instalações de Saúde
Tipo de estudo:
Guideline
/
Risk_factors_studies
/
Systematic_reviews
Limite:
Adult
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Female
/
Humans
/
Pregnancy
País/Região como assunto:
Africa
Idioma:
En
Revista:
BMC Int Health Hum Rights
Ano de publicação:
2020
Tipo de documento:
Article
País de afiliação:
Etiópia