Risk Factors for Positive Appraisal of Mistreatment during Childbirth among Ethiopian Midwifery Students
Abstract
:1. Introduction
They do that [abuse] for the sake of the mothers. When the labor is in the second stage, and the mother doesn’t care for the baby, the midwives may slap the thigh of the mother only with the aim to save the baby[6] (p. 9).
2. Materials and Methods
3. Results
4. Discussion
5. Conclusions
Author Contributions
Funding
Acknowledgments
Conflicts of Interest
References
- Freedman, L.P.; Ramsey, K.; Abuya, T.; Bellows, B.; Ndwiga, C.; Warren, C.E.; Kujawski, S.; Moyo, W.; Kruk, M.E.; Mbaruku, G. Defining disrespect and abuse of women in childbirth: A research, policy and rights agenda. Bull. World Health Organ. 2014, 92, 915–917. [Google Scholar] [CrossRef] [PubMed] [Green Version]
- World Health Organization. The Prevention and Elimination of Disrespect and Abuse during Facility-Based Childbirth; World Health Organization: Geneva, Switzerland, 2014. [Google Scholar]
- Bowser, D.; Hill, K. Exploring Evidence for Disrespect and Abuse in Facility-Based Childbirth Report of a Landscape Analysis; Harvard School of Public Health: Boston, MA, USA, 2010. [Google Scholar]
- Bohren, M.A.; Vogel, J.P.; Hunter, E.C.; Lutsiv, O.; Makh, S.K.; Souza, J.P.; Aguiar, C.; Saraiva Coneglian, F.; Diniz, A.L.A.; Tuncalp, O.; et al. The Mistreatment of Women during Childbirth in Health Facilities Globally: A Mixed-Methods Systematic Review. PLoS Med. 2015, 12, 1–32. [Google Scholar] [CrossRef] [PubMed] [Green Version]
- Rominski, S.D.; Lori, J.; Nakua, E.; Dzomeku, V.; Moyer, C.A. When the baby remains there for a long time, it is going to die so you have to hit her small for the baby to come out": Justification of disrespectful and abusive care during childbirth among midwifery students in Ghana. Health Policy Plan. 2017, 32, 215–224. [Google Scholar] [CrossRef] [PubMed]
- Burrowes, S.; Holcombe, S.J.; Jara, D.; Carter, D.; Smith, K. Midwives’ and patients’ perspectives on disrespect and abuse during labor and delivery care in Ethiopia: A qualitative study. BMC Pregnancy Childbirth 2017, 17, 1–14. [Google Scholar] [CrossRef] [PubMed] [Green Version]
- Kane, S.; Rial, M.; Kok, M.; Matere, A.; Dieleman, M.; Broerse, J.E.W. Too afraid to go: Fears of dignity violations as reasons for non-use of maternal health services in South Sudan. Reprod. Health 2018, 15, 51. [Google Scholar] [CrossRef] [PubMed] [Green Version]
- Idris Suleman, H.; Sambo Mohammed, N.; Ibrahim Sani, M. Barriers to utilisation of maternal health services in a semi?urban community in northern Nigeria: The clients’ perspective. Niger. Med. J. 2013, 54, 27. [Google Scholar] [CrossRef] [Green Version]
- Lippke, S.; Wienert, J.; Keller, F.M.; Derksen, C.; Welp, A.; Kötting, L.; Hofreuter-Gätgens, K.; Müller, H.; Louwen, F.; Weigand, M.; et al. Communication and patient safety in gynecology and obstetrics—Study protocol of an intervention study. BMC Health Serv. Res. 2019, 19, 908. [Google Scholar] [CrossRef] [Green Version]
- Central Statistical Agency; ICF. Ethiopia Demographic and Health Survey 2016: Key Indicators Report; ICF: Addis Ababa, Ethiopia, 2016.
- Tuncalp, O.; Were, W.M.; MacLennan, C.; Oladapo, O.T.; Gulmezoglu, A.M.; Bahl, R.; Daelmans, B.; Mathai, M.; Say, L.; Kristensen, F. Quality of care for pregnant women and newborns-the WHO vision. BJOG 2015, 122, 1045–1049. [Google Scholar] [CrossRef] [Green Version]
- United Nations General Assembly. Transforming Our World: The 2030 Agenda for Sustainable Development; United Nations General Assembly: New York, NY, USA, 2015. [Google Scholar]
- White Ribbon Alliance. Respectful Maternity Care: The Universal Rights of Childbearing Women; White Ribbon Alliance: Washington, DC, USA, 2011. [Google Scholar]
- White Ribbon Alliance. 5 Approaches to Respectful Maternity Care; White Ribbon Alliance: Washington, DC, USA, 2013. [Google Scholar]
- Mannava, P.; Durrant, K.; Fisher, J.; Chersich, M.; Luchters, S. Attitudes and behaviours of maternal health care providers in interactions with clients: A systematic review. Glob. Health 2015, 11, 36. [Google Scholar] [CrossRef] [Green Version]
- Haggstrom, E.; Mbusa, E.; Wadensten, B. Nurses’ Workplace Distress and Ethical Dilemmas in Tanzanian Health Care. Nurs. Ethics 2008, 15, 478–491. [Google Scholar] [CrossRef]
- Moyer, C.A.; Rominski, S.; Nakua, E.K.; Dzomeku, V.M.; Agyei-Baffour, P.; Lori, J.R. Exposure to disrespectful patient care during training: Data from midwifery students at 15 midwifery schools in Ghana. Midwifery 2016, 41, 39–44. [Google Scholar] [CrossRef] [PubMed]
- Ndwiga, C.; Warren, C.; Abuya, T.; Kanya, L.; Maranga, A.; Ochieng, C.; Wanjala, M.; Chelang’at, B.; Njeru, A.; Odhiambo, A.; et al. Respectful Maternity Care Resource Package: Community Facilitator’s Guide; Population Council: New York, NY, USA, 2014. [Google Scholar]
- Molla, M.; Berhane, Y.; Lindtjørn, B. Traditional values of virginity and sexual behaviour in rural Ethiopian youth: Results from a cross-sectional study. BMC Public Health 2008, 8, 9. [Google Scholar] [CrossRef] [Green Version]
- Bradley, E.H.; Thompson, J.W.; Byam, P.; Webster, T.R.; Zerihun, A.; Alpern, R.; Herrin, J.; Abebe, Y.; Curry, L. Access and quality of rural healthcare: Ethiopian Millennium Rural Initiative. Int. J. Qual. Health Care 2011, 23, 222–230. [Google Scholar] [CrossRef] [PubMed]
- Yigzaw, T.; Ayalew, F.; Kim, Y.-M.; Gelagay, M.; Dejene, D.; Gibson, H.; Teshome, A.; Broerse, J.; Stekelenburg, J. How well does pre-service education prepare midwives for practice: Competence assessment of midwifery students at the point of graduation in Ethiopia. BMC Med. Educ. 2015, 15, 1–10. [Google Scholar] [CrossRef] [PubMed] [Green Version]
- The Federal Democratic Republic of Ethiopia Ministry of Health. HSTP Health Sector Transformation Plan; The Federal Democratic Republic of Ethiopia Ministry of Health: Addis Ababa, Ethiopia, 2015.
- Sheferaw, E.D.; Bazant, E.; Gibson, H.; Fenta, H.B.; Ayalew, F.; Belay, T.B.; Worku, M.M.; Kebebu, A.E.; Woldie, S.A.; Kim, Y.-M.; et al. Respectful maternity care in Ethiopian public health facilities. Reprod. Health 2017, 14, 60. [Google Scholar] [CrossRef] [PubMed]
- Bakker, R.; Sheferaw, E.D.; Stekelenburg, J.; Yigzaw, T.; De Kroon, M.L.A. Development and use of a scale to assess gender differences in appraisal of mistreatment during childbirth among Ethiopian midwifery students. PLoS ONE 2020, 15, e0227958. [Google Scholar] [CrossRef] [Green Version]
- Markos, K. The Effectiveness Of Solution-Focused Brief Group Counseling For Psychological Problems of Sexually Abused Children: The Case Of Godanaw Rehabilitation Integrated Project. Master’s Thesis, Addis Ababa University, Addis Ababa, Ethiopia, 2010. [Google Scholar]
- Natnael, T. Perceived Stress, Coping, and Resilience of Ethiopian Women Labor Migrant Returnees from the Middle East Countries. Ph.D. Thesis, Addis Ababa University, Addis Ababa, Ethiopia, 2015. [Google Scholar]
- Rosenberg, M. Rosenberg Self-Esteem Scale; Princeton University Press: Princeton, NJ, USA, 1965; ISBN1 0034-9887 (Print). ISBN2 0034-9887 (Linking). [Google Scholar]
- Cohen, S.; Kamarck, T.; Mermelstein, R. A global measure of perceived stress. J. Health Soc. Behav. 1983, 24, 385–396. [Google Scholar] [CrossRef]
- Sterne, J.; White, I.R.; Carlin, J.; Spratt, M.; Royston, P.; Kenward, M.G.; Wood, A.M.; Carpenter, J. Multiple imputation for missing data in epidemiological and clinical research: Potential and pitfalls. BMJ 2009, 338, b2393. [Google Scholar] [CrossRef]
- Greenland, S.; Pearce, N. Statistical Foundations for Model-Based Adjustments. Annu. Rev. Public Health 2015, 36, 89–108. [Google Scholar] [CrossRef]
- Gortmaker, S.L.; Hosmer, D.W.; Lemeshow, S. Applied Logistic Regression. Contemp. Sociol. A J. Rev. 1994, 23, 159. [Google Scholar] [CrossRef]
- Ofori, R. Age and ‘type’ of domain specific entry qualifications as predictors of student nurses’ performance in biological, social and behavioural sciences in nursing assessments. Nurse Educ. Today 2000, 20, 298–310. [Google Scholar] [CrossRef] [PubMed]
- Rees, C.E.; Garrud, P. Identifying undergraduate medical students’ attitudes towards communication skills learning: A pilot study. Med Teach. 2001, 23, 400–406. [Google Scholar] [CrossRef] [PubMed]
- Wahlqvist, M.; Gunnarsson, R.; Dahlgren, G.; Nordgren, S. Patient-centred attitudes among medical students: Gender and work experience in health care make a difference. Med Teach. 2010, 32, 32. [Google Scholar] [CrossRef] [PubMed]
- Chang, M.J.; Chang, Y.-J.; Kuo, S.-H.; Yang, Y.-H.; Chou, F.-H. Relationships between critical thinking ability and nursing competence in clinical nurses. J. Clin. Nurs. 2011, 20, 3224–3232. [Google Scholar] [CrossRef] [PubMed]
- Bohren, M.A.; Vogel, J.; Tunçalp, Ö; Fawole, B.; Titiloye, M.A.; Olutayo, A.O.; Oyeniran, A.A.; Ogunlade, M.; Metiboba, L.; Osunsan, O.R.; et al. “By slapping their laps, the patient will know that you truly care for her”: A qualitative study on social norms and acceptability of the mistreatment of women during childbirth in Abuja, Nigeria. SSM Popul. Health 2016, 2, 640–655. [Google Scholar] [CrossRef] [Green Version]
- Kujawski, S.A.; Freedman, L.P.; Ramsey, K.; Mbaruku, G.; Mbuyita, S.; Moyo, W.; E Kruk, M. Community and health system intervention to reduce disrespect and abuse during childbirth in Tanga Region, Tanzania: A comparative before-and-after study. PLoS Med. 2017, 14, e1002341. [Google Scholar] [CrossRef]
- Schoofs, D.; Preuß, D.; Wolf, O.T. Psychosocial stress induces working memory impairments in an n-back paradigm. Psychoneuroendocrinology 2008, 33, 643–653. [Google Scholar] [CrossRef]
- Filby, A.; McConville, F.; Portela, A. What Prevents Quality Midwifery Care? A Systematic Mapping of Barriers in Low and Middle Income Countries from the Provider Perspective. PLoS ONE 2016, 11, e0153391. [Google Scholar] [CrossRef] [Green Version]
- Deyessa, N.; Berhane, Y.; Ellsberg, M.; Emmelin, M.; Kullgren, G.; Högberg, U. Violence against women in relation to literacy and area of residence in Ethiopia. Glob. Health Action 2010, 3. [Google Scholar] [CrossRef]
- Crocker, J. Social Stigma and Self-Esteem: Situational Construction of Self-Worth. J. Exp. Soc. Psychol. 1999, 35, 89–107. [Google Scholar] [CrossRef]
- Hofstede, G. Culture’s Consequences: Comparing Values, Behaviors, Institutions and Organizations Across Nations; Sage: Thousand Oaks, CA, USA, 2001; p. 164. [Google Scholar]
- Tafarodi, R.W.; Walters, P. Individualism–collectivism, life events, and self-esteem: A test of two trade-offs. Eur. J. Soc. Psychol. 1999, 29, 797–814. [Google Scholar] [CrossRef]
- Warren, C.E.; Njue, R.; Ndwiga, C.; Abuya, T. Manifestations and drivers of mistreatment of women during childbirth in Kenya: Implications for measurement and developing interventions. BMC Pregnancy Childbirth 2017, 17, 102. [Google Scholar] [CrossRef] [PubMed] [Green Version]
- Abraham, Y.; Azaje, A. The new innovative medical education system in Ethiopia: Background and development. Ethiop. J. Health Dev. 2013, 27, 36–40. [Google Scholar]
- The Federal Democratic Republic of Ethiopia Ministry of Health. Ethiopian TVET System Revised Model Curriculum Midwifery Level IV Based on Ethiopian Occupational Standard (EOS); The Federal Democratic Republic of Ethiopia Ministry of Health: Adama, Ethiopia, 2016.
Variable | N (%) |
---|---|
Gender | |
Male | 151 (39) |
Female | 239 (61) |
Institution | |
Gondar University | 130 (33) |
Bahir Dar University | 38 (10) |
Bahir Dar HSC | 42 (11) |
Hawassa HSC | 59 (15) |
Arsi University | 40 (10) |
Menelik HSC | 82 (21) |
Religion | |
Orthodox | 304 (78) |
Protestant | 39 (10) |
Islam | 42 (11) |
Other | 6 (1) |
Place of origin | |
Urban | 209 (54) |
Rural | 181 (46) |
Ethnicity | |
Amhara | 255 (65) |
Oromo | 66 (17) |
Other | 70 (18) |
Variable | Bivariable Linear Regression | Multivariable Linear Regression 1 | ||||
---|---|---|---|---|---|---|
B | 95% CI | p | B | 95% CI | p | |
Place of origin (urban is reference category) | −4.202 | [−7.246, −1.159] | 0.007 | −1.488 | [−4.766, 1.790] | 0.373 |
Age | −1.078 | [−1.675, −0.481] | <0.001 | −0.851 | [−1.445, −0.256] | 0.005 |
Observation of mistreatment | 0.775 | [0.492, 1.058] | <0.001 | 0.549 | [0.264, 0.833] | <0.001 |
Self-esteem | −0.731 | [−1.082, −0.380] | <0.001 | −0.155 | [−0.554, 0.244] | 0.445 |
Stress | 0.584 | [0.320, 0.848] | <0.001 | 0.356 | [0.060, 0.652] | 0.019 |
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Bakker, R.; Sheferaw, E.D.; Yigzaw, T.; Stekelenburg, J.; de Kroon, M.L.A. Risk Factors for Positive Appraisal of Mistreatment during Childbirth among Ethiopian Midwifery Students. Int. J. Environ. Res. Public Health 2020, 17, 2682. https://doi.org/10.3390/ijerph17082682
Bakker R, Sheferaw ED, Yigzaw T, Stekelenburg J, de Kroon MLA. Risk Factors for Positive Appraisal of Mistreatment during Childbirth among Ethiopian Midwifery Students. International Journal of Environmental Research and Public Health. 2020; 17(8):2682. https://doi.org/10.3390/ijerph17082682
Chicago/Turabian StyleBakker, Rena, Ephrem D. Sheferaw, Tegbar Yigzaw, Jelle Stekelenburg, and Marlou L. A. de Kroon. 2020. "Risk Factors for Positive Appraisal of Mistreatment during Childbirth among Ethiopian Midwifery Students" International Journal of Environmental Research and Public Health 17, no. 8: 2682. https://doi.org/10.3390/ijerph17082682