Abstract:

Objectives: This study was undertaken to explore various factors affecting disrespect and abuse (D&A) of women during childbirths in health facilities in selected locations in Kano, a north-west Nigerian State.

Method: Ethical approval and informed consent were obtained. The study adopted quantitative and qualitative data collection methods. A sample size of 292 women who delivered in the past 1year preceding the study. Quantitative data was analyzed using descriptive statistics (frequencies, percentages, means and standard deviation) and inferential statistics (chi-square). Qualitative data was analyzed along themes using Atlas. ti. P value is ≤ 0.05 was considered statistically significant.

Results: The age group 25-29years had the highest proportion of D&A (61.84%). Those who were single had more proportion of D&A (55.6%) compared to those who were married (45.7%). The women that leaved in urban setting (75.3%) had more proportion of D&A compared to those who lived in a rural setting (18.3%). The proportion of D&A was highest among parity group 7-8 (100%). D&A greater if the respondent spends 2days (95.7%) and above in the hospital compared to when they spent <2 (45.8%). 94.2% of those who will not recommend the facility for delivery had D&A compared to 22.4% of those who will recommend the facility. Health system inadequacies including lack of supervision, poor remuneration, inadequate staffing and supplies were common barriers mentioned.

Conclusion: Socio-demographic, obstetrics, level of health facility, health system inadequacy and social class affect occurrence of D&A. improved socio-demographic status and health systems can reduce the occurrence of D&A.

Keywords: Factors; Disrespect; Abuse; Health Facility; Nigeria

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