A Mixed Study to Assess the Dimension and Pattern of Disrespect and Abuse Among Women During Facility-Based Childbirth in Tamale Metropolis

Abstract

Background: Global initiatives to enhance maternal health care include plans to lower rates of maternal death, raise the proportion of competent birth attendants, and guarantee that all women have access to high-quality reproductive health services. Reducing avoidable rates of maternal and neonatal death and illness is essential to achieving the sustainable development objectives. The primary objective of the study is to ascertain the dimensions and patterns of disrespect and abuse experienced by women during facility-based childbirth in the Tamale Metropolis. Methods: The study was conducted in Tamale Central Hospital, Tamale West Hospital, Tamale Teaching Hospital, and the SDA Hospital within the Tamale Metropolis, this hospital-based study will employ a descriptive cross-sectional study design with a mixed methods approach. The study population comprises women who have given birth in the selected health facilities within northern Ghana. Results: Findings from the study indicate that a notable number (47.9%) of participants reported that healthcare providers did not demonstrate culturally appropriate behavior, and 70.9% noted that providers did not introduce themselves. Additionally, 58.3% reported a lack of privacy during childbirth. Further analysis revealed that several factors contribute to disrespect and abuse during childbirth, including a lack of healthcare provider training in respectful maternity care, non-adherence of nurses and midwives to the patient's charter of Ghana Health Service, cultural norms that normalize disrespect and abuse during childbirth, and personal beliefs of pregnant mothers that also normalize such behavior. Conclusion: The study underscores the importance of addressing these factors to enhance the quality of maternity care and foster a respectful and supportive environment for expectant mothers.