TY - JOUR
T1 - Determinants of respectful maternity care at a tertiary care teaching institute in South India
T2 - A mixed-methods study
AU - Dasari, Papa
AU - Sastry, Jaya Gowri
AU - Thulasingam, Mahalakshmy
AU - Fisher, Jane
AU - Chandrasekaran, Nithya
N1 - Funding Information:
The project was funded by SPARC, IIT, Kharagpur (SPARC grant no. SPARC/2018‐2019/P/862/SL.)
Funding Information:
We greatly appreciate and acknowledge the support from SPARC, IIT, Kharagpur, and the Director and Dean of Research, JIPMER, for permitting us to conduct the study. We also express our gratitude to all the participants of the study. We acknowledge the work of the field investigator, Ms Kayathri Karthikeyan, in data collection.
Publisher Copyright:
© 2023 International Federation of Gynecology and Obstetrics.
PY - 2024/2
Y1 - 2024/2
N2 - Objective: To determine the proportion of women who experienced disrespect and abuse (D&A) and the type of D&A during labor and postpartum, and to determine the factors significantly associated with D&A. Methods: A cross-sectional mixed-methods study undertaken in tertiary care teaching institute South India. After ethical approval, 380 postpartum women within 72 h of delivery were recruited for the study. The determinants of respectful maternity care (RMC) were assessed quantitatively and qualitatively. For quantitative assessment, they were interviewed using questionnaires adopted from the United States Agency for International Development- Maternal and Child Health Integrated Program (USAID-MCHIP) protocol, which has verification criteria for RMC. As a second method for quantitative assessment, they were asked to rate the care from their perspective on a 10-point score. For the qualitative component, they were asked to identify the healthcare workers associated with D&A by their designation and to answer three open-ended questions. IBM SPSS Statistics 25 (IBM Corporation, Statistical Package for Social Sciences, version 25) was used for analysis. D&A as per RMC standards I–VII and its severity were expressed as frequencies and percentages with 95% confidence interval. Univariate analysis was used to determine the associated factors, and severity was determined by χ2 test. Results: The prevalence of D&A was high (85%) according to the RMC standards of the USAID-MCHIP questionnaire, whereas it was only 33% according to women's perspective. The most common type of D&A was non-dignified care. The factors significantly associated with D&A were women over 25 years, those admitted as an emergency referral, having a recommendation letter, and relatives working at the same healthcare facility. Conclusion: The prevalence of D&A was high as measured by the USAID-MCHIP questionnaire, and the most common type was non-dignified care followed by physical abuse.
AB - Objective: To determine the proportion of women who experienced disrespect and abuse (D&A) and the type of D&A during labor and postpartum, and to determine the factors significantly associated with D&A. Methods: A cross-sectional mixed-methods study undertaken in tertiary care teaching institute South India. After ethical approval, 380 postpartum women within 72 h of delivery were recruited for the study. The determinants of respectful maternity care (RMC) were assessed quantitatively and qualitatively. For quantitative assessment, they were interviewed using questionnaires adopted from the United States Agency for International Development- Maternal and Child Health Integrated Program (USAID-MCHIP) protocol, which has verification criteria for RMC. As a second method for quantitative assessment, they were asked to rate the care from their perspective on a 10-point score. For the qualitative component, they were asked to identify the healthcare workers associated with D&A by their designation and to answer three open-ended questions. IBM SPSS Statistics 25 (IBM Corporation, Statistical Package for Social Sciences, version 25) was used for analysis. D&A as per RMC standards I–VII and its severity were expressed as frequencies and percentages with 95% confidence interval. Univariate analysis was used to determine the associated factors, and severity was determined by χ2 test. Results: The prevalence of D&A was high (85%) according to the RMC standards of the USAID-MCHIP questionnaire, whereas it was only 33% according to women's perspective. The most common type of D&A was non-dignified care. The factors significantly associated with D&A were women over 25 years, those admitted as an emergency referral, having a recommendation letter, and relatives working at the same healthcare facility. Conclusion: The prevalence of D&A was high as measured by the USAID-MCHIP questionnaire, and the most common type was non-dignified care followed by physical abuse.
KW - birth companion
KW - disrespect and abuse
KW - postpartum women
KW - RMC
KW - South India
KW - standards
KW - tertiary healthcare
UR - http://www.scopus.com/inward/record.url?scp=85168136672&partnerID=8YFLogxK
U2 - 10.1002/ijgo.15034
DO - 10.1002/ijgo.15034
M3 - Article
C2 - 37589210
AN - SCOPUS:85168136672
SN - 0020-7292
VL - 164
SP - 721
EP - 731
JO - International Journal of Gynecology and Obstetrics
JF - International Journal of Gynecology and Obstetrics
IS - 2
ER -