From: Applying a participatory approach to the promotion of a culture of respect during childbirth
Type of Disrespect and Abuse observed | Baseline N = 208 n (%) | Evaluation N = 459 n (%) | Difference between Evaluation and Baseline % |
---|---|---|---|
Physical Abuse | |||
Fundal pressure applied | 7 (3.4) | 1 (0.2) | −3.2 |
Lack of anesthesia for episiotomy | 9 (4.3) | 0 (0.0) | −4.3 |
Non-Consented Care | |||
Lack of consent for first examination | 177 (85.1) | 0 (0.0) | −85.1 |
Lack of consent for vaginal examination | 170 (81.7) | 0 (0.0) | −81.7 |
Non-Confidential Care | |||
Examination performed in way or setting that other clients could hear | 11 (5.4) | 42 (9.2) | 3.8 |
Health providers discussed mother’s private health information in a way or setting that others could hear | 42 (20.2) | 143 (31.2) | 11.0 |
Lack of Privacy | |||
No partitions separating beds | 179 (86.1) | 118 (25.7) | −60.4 |
Partitions did not give privacy/not adequately closed to provide privacy | 76 (36.5) | 199 (43.4) | 6.9 |
Mother not well covered | 133 (63.9) | 14 (3.1) | −60.8 |
Non-Dignified Care | |||
Mother not welcomed in a kind and gentle manner | 51 (24.5) | 0 (0) | −24.5 |
Mother not told where to go in antenatal ward | 28 (13.5) | 0 (0) | −13.5 |
Delivering service provider did not congratulate the mother after birth | 55 (26.3) | 7 (1.5) | −24.8 |
Provider did not introduce herself to mother | 194 (93.3) | 55 (12.0) | −81.3 |
Mother not cleaned after birth and third stage of labor | 33 (26.1) | 3 (0.7) | −25.4 |
Mother not called her name throughout interactions | 123 (60.0) | 1 (0.2) | −59.8 |
No bed ready for mother | 113 (54.3) | 96 (20.9) | −33.4 |
Bed provided to mother was not clean | 135 (65.9) | 6 (1.3) | −64.6 |
No pad provided to the mother after birth | 17 (8.2) | 439 (95.6) | 87.4 |