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Exploring the Prevalence of Disrespect and Abuse during Childbirth in Kenya

Author: 

Abuya, Timothy

Warren, Charlotte E.

Miller, Nora

Njuki, Rebecca

Ndwiga, Charity

Maranga, Alice

Mbehero, Faith

Njeru, Anne

Bellows, Ben

Publication: 

PLOS One

Page(s): 
1-13
Date Published: 
Friday, April 17, 2015
Cover of Exploring the Prevalence of Disrespect and Abuse during Childbirth in Kenya

Poor quality of care including fear of disrespect and abuse (D&A) perpetuated by health workers influences women’s decisions to seek maternity care. This paper describes manifestations of D&A experienced in Kenya and measures their prevalence. This paper is based on baseline data collected during a before-and-after study designed to measure the effect of a package of interventions to reduce the prevalence of D&A experienced by women during labor and delivery in thirteen Kenyan health facilities. Data was collected through an exit survey of 641 women discharged from postnatal wards. One out of five women experienced feeling humiliated during labor and delivery. Six categories of D&A during childbirth in Kenya were reported.Key manifestations of D&A include: physical abuse, non-consented care, non-confidential care, non-dignified care, discrimination, abandonment, and detention in facilities. Understanding the prevalence of D&A critical in developing interventions at national, health facility and community levels to address the factors and drivers that influence D&A in facilities and to encourage clients’ future facility utilization.

Resource Type: 
Region: 
Country / Countries: 
Kenya

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