![]() Studies in Ethiopia also show that perceptions of poor quality of care such as lack of privacy and lack of psychosocial support, are significant factors in a woman deciding whether or not to give birth at a health facility. This low utilization in Ethiopia has been shown to be associated with women’s education levels, residence, ethnicity, parity, autonomy and household wealth, among other factors. Currently, only 28% of women receive skilled health care services at delivery. ĭespite the Ethiopian Ministry of Health’s prioritization and vigorous support of efforts to reduce maternal and child mortality, underutilization of RMNCH services remains a problem in Ethiopia and contributes to the country’s high maternal mortality rates: 420 women die for every 100,000 live births in the country and maternal deaths constitute 21% of all deaths to women ages 15–49. Unfortunately, disrespect and abuse of patients, particularly during childbirth, persists globally and is prevalent throughout East Africa. Numerous studies demonstrate that women’s perceptions of how they will be treated at health facilities can strongly influence their choice about where to deliver, and deter women from accessing services in a timely manner, or at all. While multiple factors explain low health service utilization, there is increasing recognition that many women are reluctant to use reproductive, maternal, neonatal, and child health (RMNCH) services because of poor service quality and fears of provider mistreatment. ![]() ![]() Low levels of facility-based delivery are one of the drivers of maternal deaths, and delivery with a skilled birth attendant can significantly reduce maternal mortality. Global public health norms now explicitly condemn such practices, acknowledging them as both a violation of a woman’s rights and also, instrumentally, as a deterrent to the use of life-saving facility-based labor and delivery services. Disrespect and abuse of women during labor and delivery has become an increasingly recognized phenomenon over the past decade. This study examines the experience of disrespect and abuse during labor and delivery in Ethiopia through the juxtaposition of in-depth interviews with midwives, midwifery students, and women who have recently given birth. ![]()
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