Original Research Article
Year: 2022 | Month: February | Volume: 12 | Issue: 2 | Pages: 115-124
DOI: https://doi.org/10.52403/ijhsr.20220216
Prevalence of Disrespect and Abuse and its Determinants during Antenatal Care Services in Rural Uttar Pradesh India
Akhilesh Yadav1, T.B. Singh2, Shikha Sachan3
1Doctoral Fellow, Institute of Medical Sciences, Banaras Hindu University, Varanasi-221005, India.
2Professor, Centre of Biostatistics, Institute of Medical Sciences, Banaras Hindu University, Varanasi-221005, India.
3Assistant Professor, Dept. of Obstetric and Gynaecology, Institute of Medical Sciences, Banaras Hindu University, Varanasi-221005, India.
Corresponding Author: Akhilesh Yadav
ABSTRACT
Background: Respectful maternity care is essential to increase safe motherhood, linked with increased maternal health services utilization, such as ANC (Antenatal Care). However, disrespect and abuse during maternal health care service utilisation remain a potential barrier to improve service utilisation and the quality of services.
Objective: This study aims to estimate the prevalence of disrespect and abuse (D&VA) during the utilisation of ANC services and identifies the associated factors.
Methodology: A community based cross-sectional survey was conducted in the Balarampur district of Uttar Pradesh, India. The study included 364 women who underwent facility-based childbirth before six months of the survey. A multistage cluster sampling was used to select the potential participants of the study.
Results: the findings of the study show that nearly 60% of women experienced disrespect and abuse during ANC services utilisation. About 18% of women reported that the health providers were rude to them. Also, 1.5% of women reported that health providers used abusive language during the ANC services utilisation. Women aged 25-34 years and 35 and above years were 54 % and 69 % less likely to experience disrespect and abuse respectively than women aged 15-24 Years. Low odds of disrespect and abuse was observed with other backward, and General caste than the women belong to Scheduled tribe/caste. Women who experience disrespect and abuse during ANC services were less likely to receive all four types of ANC services.
Conclusions: Every woman has the right to receive kind and respectful maternity care, and mistreatment during maternal care services remains hindrances to achieving safe motherhood and child care.
Key words: Disrespect and Abuse, Maternity Care, Antenatal Care Services, India.