ArticleReproductive health2019
Understanding mistreatment during institutional delivery in Northeast Nigeria: a mixed-method study.
Article in Reproductive health, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
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Who cites it
12 citing papers in PubMed.
- Quality of antenatal care and associated factors in public and private facilities of Western Hararghe Zone Ethiopia using WHO framework.Scientific reports · 2025Article
- Disrespectful care towards mothers giving birth at selected hospital in Kigali/Rwanda.BMC pregnancy and childbirth · 2025Article
- Experiences with facility delivery services within the context of a maternal neonatal health project in Gombe State, Northeast Nigeria: a qualitative study.The Pan African medical journal · 2025Article
- Midwifery service managers' readiness for prevention of obstetric violence in Nigeria: A community readiness model.Heliyon · 2024Article
- Maternal and newborn health prioritization in Yobe State, Nigeria: analysis of stakeholders' perspective.Conflict and health · 2024Article
- Understanding rural women's preferences for telephone call engagement with primary health care providers in Nigeria: a discrete choice experiment.BMJ global health · 2023Article
- Women's perceptions of telephone interviews about their experiences with childbirth care in Nigeria: A qualitative study.PLOS global public health · 2023Article
- To call or not to call: exploring the validity of telephone interviews to derive maternal self-reports of experiences with facility childbirth care in northern Nigeria.BMJ global health · 2022Article
- Toward improving respectful maternity care: a discrete choice experiment with rural women in northeast Nigeria.BMJ global health · 2020Review
- Reducing Disrespect and Abuse of Women During Antenatal Care and Delivery Services at Injibara General Hospital, Northwest Ethiopia: A Pre-Post Interventional Study.International journal of women's health · 2020Article
- Prevalence and perception of disrespect and abuse during childbirth in public healthcare facilities in Lagos, Nigeria.Nigerian medical journal : journal of the Nigeria Medical AssociationArticle
- Disrespectful Maternity Care and Abuse During Childbirth: Exploring Perceptions and Experiences of Women Delivered at a Tertiary Hospital in Abakaliki, Nigeria.Nigerian medical journal : journal of the Nigeria Medical AssociationArticle
Corrections and comments
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Authors and funding
5 authors.
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Abstract
backgroundImproving quality of care including the clinical aspects and the experience of care has been advocated for improved coverage and better childbirth outcomes.
objectiveThis study aimed to explore the quality of care relating to the prevalence and manifestations of mistreatment during institutional birth in Gombe State, northeast Nigeria, an area of low institutional delivery coverage.
methodsThe frequency of dimensions of mistreatment experienced by women delivering in 10 health facilities of Gombe State were quantitatively captured during exit interviews with 342 women in July-August 2017. Manifestations of mistreatment were qualitatively explored through in-depth interviews and focus groups with 63 women living in communities with high and low coverage of institutional deliveries.
resultsThe quantitative data showed that at least one dimension of mistreatment was reported by 66% (95% confidence interval (CI) 45-82%) of women exiting a health facility after delivery. Mistreatment related to health system conditions and constraints were reported in 50% (95% CI 31-70%) of deliveries. In the qualitative data women expressed frustration at being urged to deliver at the health facility only to be physically or verbally mistreated, blamed for poor birth outcomes, discriminated against because of their background, left to deliver without assistance or with inadequate support, travelling long distances to the facility only to find staff unavailable, or being charged unjustified amount of money for delivery.
conclusionsMistreatment during institutional delivery in Gombe State is highly prevalent and predominantly relates to mistreatment arising from both health system constraints as well as health worker behaviours, limiting efforts to increase coverage of institutional delivery. To address mistreatment during institutional births, strategies that emphasise a broader health systems approach, tackle multiple causes, integrate a detailed understanding of the local context and have buy-in from grassroots-level stakeholders are recommended.
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