Background: Disrespectful and abusive maternity care is occurred at various degree at health institutions across many countries including Ethiopia. Consequently, maternal mortality remains high in Ethiopia. Despite its importance, information is scarce about disrespect and abusive care. Hence, this study aimed to assesses magnitude and factors associated with disrespectful and abusive maternity care during child birth in public health facilities of Sidama zone, South Ethiopia.
Methods: Facility based cross-sectional study was conducted in sidama zone public health institutions from February 1-30, 2019. We have applied purposive sampling method for selection of health institutions. In addition, study participants were selected by systematic random sampling technique. Data were collected using checklist and exist interview administered questionnaire. Then, we coded, cleaned and entered data through Epidata version 3.1. Finally, exported and analyzed by SPSS. Logistic regression analysis was done to identify association between explanatory variables and disrespectful and abusive care. An adjusted odds ratio with 95% confidence interval and p-value less than 0.05 was computed to determine the level of significance.
Result: From a total of 577 study participants, only 548 study participants have participated in this study making a response rate of 95%. Magnitude of disrespect and abuse maternity care was 46.9% [95%CI: 42.8-51]. Marital status of single (AOR= 2.6, 95% CI=1.8-6.67), four and more births (AOR=4.67,95%CI:1.6-12.8), instrumental delivery (AOR=2.63,95% CI,1.0-6.6), and care provision by female birth attendants (AOR=1.7,95%CI,1.1-2.7) were factors positively associated with disrespect and abusive maternity care during childbirth.
Conclusion: Magnitude of disrespect and abusive maternity care is high in this study. Instrumental delivery, female health care provider and four and above deliveries and single marital status were factors associated with disrespect and abuse care. Therefore, government facilities should national health strategies and policies should focus on respectful maternity care. It is also recommended to give intensive training on respectful maternity care especially in public hospitals by involving more female health care provider. Promotion of family planning service can be used as alternative method of reduction of reduction of disrespect and abusive maternal care indirectly.