The Proportion and Nature of Disrespect and Abuse during facility-based care in a rural and an urban setting in Kano, northwest Nigeria; A mixed-method study
Texila international journal of public health
Objectives: Disrespect and abuse is noted to be high but poorly reported, especially in northern Nigeria. This study was undertaken to determine the proportion and nature of disrespect and abuse of women during childbirths in health facilities at selected locations in Kano, a north-west Nigerian State Method: Ethical approval and informed consent were obtained. The study adopted quantitative and qualitative data collection methods. A sample size of 292 women who delivered in the past 1year
... the past 1year preceding the study. Quantitative data was analyzed using descriptive statistics (frequencies, percentages, means and standard deviation) and inferential statistics (chi-square). Qualitative data was analyzed along themes using Atlas.ti. P value is ≤ 0.05 was considered statistically significant. Results: The average age of the respondents was 28.3±6.9 years. Most of the respondents were aged 25-29 years, mostly married (96%), housewives (68.8%), of Hausa tribe (85.1%) and had primary education (52.2%). About 50.7% were urban and 49.3% were rural residents. Averagely, 46.5% said that they experienced D&A during care but it was more in urbn (76.3%), compared to rural (18.30%). More than one type of D&A occurred in most individual (76%) mainly at multiple service points, but physical abuse is the most recurrent in various mix. Among types of D&A occurring singly, non-consented care and non-confidential care were mostly reported. Downward pressure placed on the abdomen before baby was born, being blamed for something that happened to them or their babies, health workers did not provide explanations for procedures and sexual abuse were also reported. Conclusion: D&A is common in health facilities in both rural and urban settings of Kano. However, D&A was higher in urban compare to the rural areas. The proportion among urban women was higher than that reported in a previous study in Kano. Although D&A types commonly occurred as a mix. Further studies to explore the determinants and recommendations for D&A are necessary.