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Background <p>Over the past decade, global public health has increasingly focused on studying the mistreatment towards women during facility-based childbirth. However, in Rwanda, research on disrespectful and abusive care experienced by mothers during childbirth remains limited. This study aimed to assess disrespect and abuse experienced by women during their recent childbirth at a selected district hospital in Kigali, Rwanda.</p> Methods <p>We conducted a cross-sectional study in a selected urban district hospital in Kigali, Rwanda. We employed systematic random sampling to select 246 mothers who recently delivered at the study site and had been discharged from the hospital but were still on the premises. We utilised descriptive statistics and calculated a summation score of nine items of disrespect and abuse to determine our outcome of interest. Subsequently, we dichotomised the outcome. Additionally, we employed chi-square analysis and logistic regression to identify predictors of disrespect and abuse.</p> Results <p>The prevalence of disrespect and abuse was 67.48%. During the follow-up questions, 28.86% of participants reporting experiencing disrespect and abuse once and 32.52% reporting experiencing it two to eight times. Participants experienced disrespect and abuse between one and eight times. The most prevalent forms of disrespect and abuse experienced were; abandonment (<i>n</i> = 77), undignified care (<i>n</i> = 76), and lack of information on received care (<i>n</i> = 65). The unadjusted logistic analysis indicated that gravida 3 was significantly associated with disrespect and abuse, with a <i>P</i>-value of 0.022 and a crude odds ratio of 3.2 (95% CI: 1.18–9.08). However, after adjusting for other variables, this association was no longer statistically significant, as reflected by an adjusted odds ratio with <i>P</i>-value of 0.061.</p> Conclusion <p>Our study revealed the high rate of disrespect and abuse towards women during labour and childbirth. Disrespect and abuse remains a significant issue in our study setting, emphasising the need for interventions to mitigate this problem by enhancing accountability mechanisms among healthcare providers working in maternity services.</p>

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Disrespectful care towards mothers giving birth at selected hospital in Kigali/Rwanda

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2025年7月2日

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  • Alice Muhayimana,
  • Irene Josephine Kearns,
  • Aimable Nkurunziza,
  • Olive Tengera,
  • Claudine Muteteli,
  • Vedaste Bagweneza,
  • Pacifique Umubyeyi,
  • Aline Uwase

摘要

Background

Over the past decade, global public health has increasingly focused on studying the mistreatment towards women during facility-based childbirth. However, in Rwanda, research on disrespectful and abusive care experienced by mothers during childbirth remains limited. This study aimed to assess disrespect and abuse experienced by women during their recent childbirth at a selected district hospital in Kigali, Rwanda.

Methods

We conducted a cross-sectional study in a selected urban district hospital in Kigali, Rwanda. We employed systematic random sampling to select 246 mothers who recently delivered at the study site and had been discharged from the hospital but were still on the premises. We utilised descriptive statistics and calculated a summation score of nine items of disrespect and abuse to determine our outcome of interest. Subsequently, we dichotomised the outcome. Additionally, we employed chi-square analysis and logistic regression to identify predictors of disrespect and abuse.

Results

The prevalence of disrespect and abuse was 67.48%. During the follow-up questions, 28.86% of participants reporting experiencing disrespect and abuse once and 32.52% reporting experiencing it two to eight times. Participants experienced disrespect and abuse between one and eight times. The most prevalent forms of disrespect and abuse experienced were; abandonment (n = 77), undignified care (n = 76), and lack of information on received care (n = 65). The unadjusted logistic analysis indicated that gravida 3 was significantly associated with disrespect and abuse, with a P-value of 0.022 and a crude odds ratio of 3.2 (95% CI: 1.18–9.08). However, after adjusting for other variables, this association was no longer statistically significant, as reflected by an adjusted odds ratio with P-value of 0.061.

Conclusion

Our study revealed the high rate of disrespect and abuse towards women during labour and childbirth. Disrespect and abuse remains a significant issue in our study setting, emphasising the need for interventions to mitigate this problem by enhancing accountability mechanisms among healthcare providers working in maternity services.