Women’s experiences of disrespect and abuse in maternity care facilities in Benue State, Nigeria

2.50
Hdl Handle:
http://hdl.handle.net/10547/622728
Title:
Women’s experiences of disrespect and abuse in maternity care facilities in Benue State, Nigeria
Authors:
Orpin, Joy; Puthussery, Shuby ( 0000-0002-1865-9546 ) ; Davidson, Rosemary; Burden, Barbara
Abstract:
Background: Disrespect and abuse (D&A) of women in health facilities continues to be a prevailing public health issue in many countries. Studies have reported significantly high prevalence of D&A among women during pregnancy and childbirth in Nigeria, but little is known about women’s perceptions and experiences of D&A during maternity care in the country. The aim of this study was to explore: 1) how women perceived their experiences of D&A during pregnancy, childbirth, and in the postnatal period in Benue, Nigeria; and 2) how women viewed the impact of D&A on the future use of health facilities for maternity care. Method:  Five focus group discussions with a sample of 32 women were conducted as part of a qualitative phenomenological study. All the women received maternity care in health facilities in Benue state, Nigeria and had experienced at least one incident of disrespect and abuse. Audio-recorded discussions were transcribed and analysed using a six-stage thematic analysis using NVivo11.  Results: The participants perceived incidents such as being shouted at  and the use of abusive language as a common practice. Women described these incidents as devaluing and dehumanising to their sense of dignity. Some women perceived that professionals did not intend to cause harm by such behaviours. Emerged themes included: (1) ‘normative’ practice; (2) dehumanisation of women; (3) no harm intended and (4) intentions about the use of maternity services in future. The women highlighted the importance of accessing health facilities for safe childbirth and expressed that the experiences of D&A may not impact their intended use of health facilities. However, the accounts reflected their perceptions about the inherent lack of choice and an underlying sense of helplessness.   Conclusion: Incidents of D&A that were perceived as commonplace carry substantial implications for the provision of respectful maternity care in Nigeria and other similar settings.  As a country with one of the highest rates of maternal deaths, the findings point to the need for policy and practice to address the issue urgently through implementing preventive  measures  including empowering women to reinforce their right to be treated with dignity and respect, and sensitising health care professionals.
Affiliation:
University of Bedfordshire
Citation:
Orpin J, Puthussery S, Davidson R, Burden B (2018) 'Women’s experiences of disrespect and abuse in maternity care facilities in Benue State, Nigeria', BMC Pregnancy and Childbirth, 18:213
Publisher:
SpringerNature
Journal:
BMC Pregnancy and Childbirth
Issue Date:
5-Jun-2018
URI:
http://hdl.handle.net/10547/622728
DOI:
10.1186/s12884-018-1847-5
PubMed ID:
29879944
PubMed Central ID:
PMC5992700
Additional Links:
https://link.springer.com/article/10.1186/s12884-018-1847-5; https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5992700/
Type:
Article
Language:
en
ISSN:
1471-2393
Appears in Collections:
Health

Full metadata record

DC FieldValue Language
dc.contributor.authorOrpin, Joyen
dc.contributor.authorPuthussery, Shubyen
dc.contributor.authorDavidson, Rosemaryen
dc.contributor.authorBurden, Barbaraen
dc.date.accessioned2018-06-05T13:21:08Z-
dc.date.available2018-06-05T13:21:08Z-
dc.date.issued2018-06-05-
dc.identifier.citationOrpin J, Puthussery S, Davidson R, Burden B (2018) 'Women’s experiences of disrespect and abuse in maternity care facilities in Benue State, Nigeria', BMC Pregnancy and Childbirth, 18:213en
dc.identifier.issn1471-2393-
dc.identifier.pmid29879944-
dc.identifier.doi10.1186/s12884-018-1847-5-
dc.identifier.urihttp://hdl.handle.net/10547/622728-
dc.description.abstractBackground: Disrespect and abuse (D&A) of women in health facilities continues to be a prevailing public health issue in many countries. Studies have reported significantly high prevalence of D&A among women during pregnancy and childbirth in Nigeria, but little is known about women’s perceptions and experiences of D&A during maternity care in the country. The aim of this study was to explore: 1) how women perceived their experiences of D&A during pregnancy, childbirth, and in the postnatal period in Benue, Nigeria; and 2) how women viewed the impact of D&A on the future use of health facilities for maternity care. Method:  Five focus group discussions with a sample of 32 women were conducted as part of a qualitative phenomenological study. All the women received maternity care in health facilities in Benue state, Nigeria and had experienced at least one incident of disrespect and abuse. Audio-recorded discussions were transcribed and analysed using a six-stage thematic analysis using NVivo11.  Results: The participants perceived incidents such as being shouted at  and the use of abusive language as a common practice. Women described these incidents as devaluing and dehumanising to their sense of dignity. Some women perceived that professionals did not intend to cause harm by such behaviours. Emerged themes included: (1) ‘normative’ practice; (2) dehumanisation of women; (3) no harm intended and (4) intentions about the use of maternity services in future. The women highlighted the importance of accessing health facilities for safe childbirth and expressed that the experiences of D&A may not impact their intended use of health facilities. However, the accounts reflected their perceptions about the inherent lack of choice and an underlying sense of helplessness.   Conclusion: Incidents of D&A that were perceived as commonplace carry substantial implications for the provision of respectful maternity care in Nigeria and other similar settings.  As a country with one of the highest rates of maternal deaths, the findings point to the need for policy and practice to address the issue urgently through implementing preventive  measures  including empowering women to reinforce their right to be treated with dignity and respect, and sensitising health care professionals.en
dc.language.isoenen
dc.publisherSpringerNatureen
dc.relation.urlhttps://link.springer.com/article/10.1186/s12884-018-1847-5-
dc.relation.urlhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC5992700/-
dc.rightsGreen - can archive pre-print and post-print or publisher's version/PDF-
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/4.0/*
dc.subjectmaternal healthen
dc.subjectmaternityen
dc.subjectNigeriaen
dc.subjectdisrespecten
dc.subjectabuseen
dc.subjectL510 Health & Welfareen
dc.titleWomen’s experiences of disrespect and abuse in maternity care facilities in Benue State, Nigeriaen
dc.typeArticleen
dc.contributor.departmentUniversity of Bedfordshireen
dc.identifier.journalBMC Pregnancy and Childbirthen
dc.identifier.pmcidPMC5992700-
dc.date.updated2018-06-05T13:10:30Z-
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