ArticleBMC pregnancy and childbirth2023
'I believe respect means providing necessary treatment on time' - a qualitative study of health care providers' perspectives on disrespect and abuse during childbirth in Southwest Ethiopia.
Article in BMC pregnancy and childbirth, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 4 of them syntheses that pooled it.
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Who cites it
8 citing papers in PubMed, 4 syntheses or guidelines pooled it, 11 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
- Health system responsiveness for maternal healthcare services in East Africa: a mixed-methods systematic review.BMC pregnancy and childbirth · 2025Pooled it
- "One's life becomes even more miserable when we hear all those hurtful words". A mixed methods systematic review of disrespect and abuse in abortion care.Frontiers in reproductive health · 2025Pooled it
- Overcoming barriers and harnessing facilitators: Respectful maternity care in least-developed countries - a systematic review.Women's health (London, England)Pooled it
- Promoting respectful maternity care in Nepal: a qualitative exploratory study of a pilot forum play intervention with hospital staff.BMC pregnancy and childbirth · 2026Article
- Obstetric Violence Through the Perspectives of Women and Midwives in Hospital Birth Settings: A Qualitative Study.Healthcare (Basel, Switzerland) · 2026Article
- Article
- Translating cross-language qualitative data in health professions education research: Is there an iceberg below the waterline?Medical education · 2025Review
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Authors and funding
4 authors at 3 institutions in 2 countries.
Funding
Abstract
backgroundThe majority of maternal deaths occur in low-income countries, and facility-based childbirth is recognised as a strategy to reduce maternal mortality. However, experiences of disrespect and abuse during childbirth are reported as deterrents to women's utilisation of health care facilities. Health care providers play a critical role in women's experiences during childbirth; yet, there is limited research on service providers' views of disrespect and abuse in Ethiopia. Therefore, this study aimed to explore providers' perspectives on disrespect and abuse during childbirth in a teaching hospital in Southwest Ethiopia.
methodQualitative study was conducted in a tertiary teaching hospital in Jimma Ethiopia. In-depth interviews were conducted with 32 purposefully selected health care providers, including midwives, obstetrics and genecology resident's, senior obstetricians and nurses. Interviews were audio-recorded, transcribed and thematically analysed using the qualitative data analysis software program MAXQDA.
resultsThree major themes were identified from the health care providers' perspectives: (1) respectful and abuse-free care, (2) recognised disrespect and abuse; and (3) drivers of women's feelings of disrespect and abuse. The first theme indicates that most of the participants perceived that women were treated with respect and had not experienced abuse during childbirth. The second theme showed that a minority of the participants recognised that women experienced disrespect and abuse during childbirth. The third theme covered situations in which providers thought that drivers for women felt disrespected.
conclusionMost providers perceived women's experiences as respectful, and they normalized, and rationalized disrespect and abuse. The effect of teaching environment, the scarcity of resources has been reported as a driver for disrespect and abuse. To ensure respectful maternity care, a collaborative effort of administrators, teaching institutions, professional associations and researchers is needed. Such collaboration is essential to create a respectful teaching environment, ensure availability of resources, sustained in-service training for providers, and establishing an accountability mechanism for respectful maternity care.
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