ArticleBMC pregnancy and childbirth2020
Self-reported disrespect and abuse by nurses and midwives during childbirth in Tanzania: a cross-sectional study.
Article in BMC pregnancy and childbirth, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 2 of them syntheses that pooled it.
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Who cites it
10 citing papers in PubMed, 2 syntheses or guidelines pooled it, 27 citations in OpenAlex.
- Maternity Care Providers Perspectives and Experiences of Obstetric Violence in Low-, Middle- and High-Income Countries: An Integrative Review.Journal of advanced nursing · 2026Pooled it
- Prevalence of mistreatment and disrespect of women during childbirth in the world: a systematic review and meta-analysis.Reproductive health · 2025Pooled it
- 'One woman, one bed': prevalence and factors associated with women's experiences of respectful birth in urban Dar es Salaam, Tanzania - across-sectional survey.Global health action · 2025Article
- FIGO statement on respectful care: Addressing disrespectful maternity care.International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics · 2025Article
- Theories for interventions to reduce physical and verbal abuse: A mixed methods review of the health and social care literature to inform future maternity care.PLOS global public health · 2023Review
- Disrespect and abuse in maternity care in a low-resource setting in Tanzania: Provider's perspectives of practice.PloS one · 2023Article
- The role of nurse-client relationships in maternal and child healthcare: a qualitative study in rural Tanzania.Frontiers in health services · 2023Article
- "A person who does not have money does not enter": a qualitative study on refugee women's experiences of respectful maternity care.BMC pregnancy and childbirth · 2022Article
- The IDEAL approach to establish contemporary maternity care during labor.Journal of family medicine and primary care · 2022Article
- Midwives' perspectives on person-centred maternity care in public hospitals in South-east Nigeria: A mixed-method study.PloS one · 2021Article
Corrections and comments
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Authors and funding
3 authors at 2 institutions in 2 countries.
Funding
Abstract
backgroundFacility-based childbirth has increased globally. Unfortunately, there have also been reports of women experiencing disrespect and abuse by healthcare providers during childbirth. This study aimed to measure the prevalence of self-reported disrespect and abuse (D&A) by healthcare providers of women during childbirth in health facilities in Tanzania, and to clarify the factors related to D&A.
methodsA cross-sectional survey was conducted in public health facilities of three regions in Tanzania from September 2016 to October 2016. Nurses and midwives who had ever conducted deliveries completed a 22-item section about D&A and three sections about working conditions and environment. A model for predicting D&A based on several factors such as their characteristics, working conditions, and working environment was developed by conducting multiple regression analysis.
resultsThirty public health facilities in three regions within Tanzania were selected to reflect different levels of hospitals. Among 456 participants (nurses, midwives, and nursing assistants), 439 were included in the analysis. Average number of self-reported D&A out of 22 items was five, and nearly all participants (96.1%) reported enacting one form of D&A at the least and two forms of D&A at the most. About 25-44% of D&A items were in the forms related to women's experiences with childbirth psychologically. Moreover, at least 10-30% of the participants enacted some form of D&A which could directly affect the well-being of mothers and babies. D&A scores increased with an increase in 'working hours per week' and 'taking a break during evening shifts'. D&A scores decreased with an increase in the scores of the 'two components of the Index of Working Satisfaction (professional status and interaction between nurses)', and 'any type of supervision for new nurse-midwives'.
conclusionMost studies about D&A of healthcare providers previously focused on the reports of women. To our knowledge, this is the first report that focused on D&A reported by healthcare providers. Working conditions and systems including personal relationships with colleagues were both positively and negatively related to D&A of healthcare providers rather than the provider's individual and facility structural characteristics.
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