Abstract:

Background: Among the factors contributing to the high maternal morbidity and mortality in Uganda is the proportion of pregnant women who do not deliver under skilled supervision. There is paucity of data concerning the magnitude of patient abuse by health workers which is a main factor preventing facility delivery. This study aimed to determine the magnitude of abuse and the forms of abuse the patients in Bushenyi district in Uganda. Methods: In this cross sectional survey, 374 women who had just delivery in the health facilities were interviewed to identify any form of abuse treatment. The independent predictors of patient abuse were analysed at bivariate and multivariate level using binary logistic regression analysis. Results: The prevalence of patient abuse among the respondents was found to be 41.1% (P = 0.013). The commonest form of abuse reported was patient neglect 31.9% (p = 0.000), verbal abuse (29.3 %) and bribery (15.1%). The associated with patient abuse were; patient age 15-25years, prime gravidity and low Health center facility. Conclusions: The prevalence of patient abuses during childbirth very high and detrimental the health system. Close supervision midwives especially in the lower level facilities, as well as keeping the company of the relatives or friends to especially the younger the patients around the labour suite, Community sensitisation and empowerment through health education are suggested.

Keywords: Patient abuse, childbirth, South Western Uganda

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