BACKGROUND Recent evidence suggests that mistreatment of women during childbirth is a global challenge facing health care systems. This study seeks to explore the prevalence of mistreatment of women in public health facilities of Ethiopia, and identify associated factors. METHODS A two-stage cross sectional sampling design was used to select institutions and women. The study was conducted in hospitals and health centers across four Ethiopian regions. Quantitative data were collected from postpartum women. Mistreatment was measured using four domains: (1) physical abuse, (2) verbal abuse, (3) failure to meet professional standards of care, and (4) poor rapport between women and providers. Percentages of mistreatment and odds ratios for the association between its presence and institutional and socio demographic characteristics of women were calculated using bivariate and multivariable logistic regression modeling. RESULTS A total of 379 women were interviewed, of whom 281 (74%) reported any mistreatment. Physical and verbal abuse were reported by 7 (2%) and 31 (8%) women interviewed respectively. Failure to meet professional standards of care and poor rapport between women and providers were reported by 111 (29%) and 274 (72%) women interviewed respectively. Multivariable logistic regression analysis revealed that the odds of reporting mistreatment were higher among women with four or more previous births (aOR = 3.36 95%CI 1.22,9.23, p = 0.019) compared to women with no previous childbirth, Muslim women (aOR = 3.30 95%CI 1.4,7.77, p = 0.006) and women interviewed in facilities with less than 17 births per MNH staff in a month (aOR = 3.63 95%CI 1.9,6.93, p < 0.001). However, the odds of reporting mistreatment were lower among women aged 35 and older (aOR = 0.22 95%CI 0.06, 0.73, p = 0.014) and among women interviewed between 8 and 42 days after childbirth (aOR = 0.37 95%CI 0.15, 0.9, p = 0.028). CONCLUSION Mistreatment during childbirth in Ethiopia is commonly reported. Health workers need to consider provision of individualized care for women and monitor their experiences in order to adjust quality of their services.

中文翻译：

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在埃塞俄比亚的公共卫生设施中虐待妇女。

背景技术最近的证据表明，在分娩过程中对妇女的虐待是卫生保健系统面临的全球性挑战。这项研究旨在探讨在埃塞俄比亚的公共卫生机构中虐待妇女的普遍程度，并确定相关因素。方法采用两阶段横截面抽样设计来选择机构和女性。这项研究是在四个埃塞俄比亚地区的医院和医疗中心进行的。从产后妇女中收集定量数据。衡量虐待的程度有四个方面：（1）身体虐待，（2）言语虐待，（3）无法达到专业护理标准以及（4）妇女与提供者之间的融洽关系。使用双变量和多变量logistic回归模型计算了虐待的百分率和其存在与女性的机构和社会人口统计学特征之间的关联的比值比。结果总共采访了379名妇女，其中281名（74％）报告有任何虐待。分别有7名（2％）和31（8％）的受访妇女报告了身体和言语虐待。分别有111名（29％）和274名（72％）的受访妇女表示，她们没有达到专业的护理标准，而女性与提供者之间的融洽关系也很差。多变量logistic回归分析显示，与之前没有分娩的穆斯林妇女（aOR = 3.30）相比，有四名或以上分娩的妇女（aOR = 3.36 95％CI 1.22,9.23，p = 0.019）报告虐待的几率更高。 95％CI 1.4,7.77，p = 0.006），并且在MNH工作人员每个月出生的婴儿少于17名的机构中接受采访的妇女（aOR = 3.63 95％CI 1.9,6.93，p <0.001）。但是，报告虐待的几率在35岁以上的女性中较低（aOR = 0.22 95％CI 0.06，0.73，p = 0.014），在分娩后8至42天之间接受采访的女性中（aOR = 0.37 95％CI 0.15， 0.9，p = 0.028）。结论在埃塞俄比亚，分娩过程中经常发生虐待。卫生工作者需要考虑为妇女提供个性化护理并监测她们的经历，以调整她们的服务质量。p = 0.014），并且在分娩后8至42天之间接受访谈的妇女中（aOR = 0.37 95％CI 0.15，0.9，p = 0.028）。结论在埃塞俄比亚，分娩过程中经常发生虐待。卫生工作者需要考虑为妇女提供个性化护理并监测她们的经历，以调整她们的服务质量。p = 0.014），并且在分娩后8至42天之间接受访谈的妇女中（aOR = 0.37 95％CI 0.15，0.9，p = 0.028）。结论在埃塞俄比亚，分娩过程中经常发生虐待。卫生工作者需要考虑为妇女提供个性化护理并监测她们的经历，以调整她们的服务质量。