ArticleBMJ global health2021
Women's report of mistreatment during facility-based childbirth: validity and reliability of community survey measures.
Article in BMJ global health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.
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14 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Women's reported experience of respectful maternity care measures worldwide: a systematic review.BMC public health · 2026Pooled it
- A Scoping Review of Available Scales and Tools Used to Measure Obstetric Violence.Journal of advanced nursing · 2026Article
- Impacts of DIF Item Balance and Effect Size Incorporation With the Rasch Tree.Educational and psychological measurement · 2026Article
- Maternal healthcare quality, continuity, and experiences among pregnant adolescents and adult women in Ethiopia, Kenya, and South Africa: A cohort study.PLOS global public health · 2026Article
- Dimensional structure and internal consistency of the Brazilian Portuguese version of the Mistreatment of Women during Childbirth Questionnaire.Revista brasileira de epidemiologia = Brazilian journal of epidemiology · 2026Article
- Providers perspectives on a team-based maternal health care delivery in Ghana: A qualitative study.PLOS global public health · 2025Article
- Measuring respectful maternal and newborn care in Nepal: Comparing linked observation and interview data- prospective cohort study.PLOS global public health · 2025Article
- Effectiveness of a respectful maternity care program in a Guatemalan indigenous region rural hospital: a quasi-experimental study.Frontiers in global women's health · 2025Article
- The maternal and newborn health eCohort to track longitudinal care quality: study protocol and survey development.Global health action · 2024Article
- Respectful maternity care in Israel during the Covid-19 pandemic: a cross-sectional study of associations between childbirth care practices and women's perceptions of care.BMC pregnancy and childbirth · 2024Article
- Comparing observed occurrence of mistreatment during childbirth with women's self-report: a validation study in Ghana, Guinea and Nigeria.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
- Dignity and respect in maternity care.BMJ global health · 2022Article
- Development of measures for assessing mistreatment of women during facility-based childbirth based on labour observations.BMJ global health · 2021Article
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13 authors.
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Abstract
backgroundAccountability for mistreatment during facility-based childbirth requires valid tools to measure and compare birth experiences. We analyse the WHO 'How women are treated during facility-based childbirth' community survey to test whether items mapping the typology of mistreatment function as scales and to create brief item sets to capture mistreatment by domain.
methodsThe cross-sectional community survey was conducted at up to 8 weeks post partum among women giving birth at hospitals in Ghana, Guinea, Myanmar and Nigeria. The survey contained items assessing physical abuse, verbal abuse, stigma, failure to meet professional standards, poor rapport with healthcare workers, and health system conditions and constraints. For all domains except stigma, we applied item-response theory to assess item fit and correlation within domain. We tested shortened sets of survey items for sensitivity in detecting mistreatment by domain. Where items show concordance and scale reliability ≥0.60, we assessed convergent validity with dissatisfaction with care and agreement of scale scores between brief and full versions.
results2672 women answered over 70 items on mistreatment during childbirth. Reliability exceeded 0.60 in all countries for items on poor rapport with healthcare workers and in three countries for items on failure to meet professional standards; brief scales generally showed high agreement with longer versions and correlation with dissatisfaction. Brief item sets were ≥85% sensitive in detecting mistreatment in each country, over 90% for domains of physical abuse and health system conditions and constraints.
conclusionBrief scales to measure two domains of mistreatment are largely comparable with longer versions and can be informative for these four distinct settings. Brief item sets efficiently captured prevalence of mistreatment in the five domains analysed; stigma items can be used and adapted in full. Item sets are suitable for confirmation by context and implementation to increase accountability and inform efforts to eliminate mistreatment during childbirth.
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