Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2020 Sep 4;15(9):e0238653.
doi: 10.1371/journal.pone.0238653. eCollection 2020.

Respectful family planning service provision in Sidama zone, Southern Ethiopia

Melese Siyoum  1 , Ayalew Astatkie  2 , Zelalem Tenaw  1 , Abebaw Abeje  1 , Teshome Melese  1
Affiliations

Respectful family planning service provision in Sidama zone, Southern Ethiopia

Melese Siyoum et al. PLoS One. .

Abstract

Introduction: Disrespect and abusive care is a violation of women's basic human rights and it is serious global problem that needs urgent intervention. Poor quality client-provider interaction is commonly reported from family planning programmes. In Ethiopia, disrespect and abusive care is very common (21-78%) across health facilities.

Objective: To assess the status of respectful family planning service (client-provider interaction) in Sidama zone, south Ethiopia.

Methodology: Health facility-based cross-sectional study was conducted from June to August 2018. Data were collected from 920 family planning clients recruited from 40 randomly selected health facilities. The Mother on Respect index (MORi) questionnaire was used to collect the data through client exit interview. Partial proportional odds ordinal regression was employed to identify determinants of respectful family planning service.

Result: Among family planning clients, the level of respectful family planning service was found to be zero (0%) in the very low respect category, 75(18.5%) in the low respect category, 382(41.52%) in moderate respect category and 463(50.33%) in high respect category. Being a short acting method client (AOR = 0.30, 95%CI [0.12, 0.72]), being an uneducated client (AOR = 0.39, 95%CI [0.25, 0.61]) or a client with elementary education (AOR = 0.41, 95%CI [0.23, 0.73]), client's poverty (AOR = 0.75, 95%CI [0.56, 0.99]), and long waiting time (AOR = 0.46, 95%CI [0.30, 0.69])significantly reduced the odds of moderate and high respect compared to low respect. Conversely, preference of male service providers, service providers' work satisfaction and health workers' prior training on respectful care significantly increased the odds of moderate and high respect.

Conclusion: Considering the current strategy of zero tolerance for disrespect and abuse in Ethiopia, the level of respectful care in this study is sub-optimal. Short term training for service providers on respectful care seems valuable to enhance the level of respectful care for family planning clients irrespective of their socioeconomic background.

PubMed Disclaimer

Conflict of interest statement

The authors have declared that there is no conflict of interest.

References

    1. Reis V, Deller B, Carr C, Smith J. Respectful maternity care: country experiences Washington DC: MCHIP/USAID; 2012;3.
    1. Abuya T, Warren CE, Miller N, Njuki R, Ndwiga C, Maranga A, et al. Exploring the prevalence of disrespect and abuse during childbirth in Kenya. PLoS One. 2015;10(4):e0123606 10.1371/journal.pone.0123606 - DOI - PMC - PubMed
    1. Alliance WR. Respectful maternity care: the universal rights of childbearing women. White Ribbon Alliance. 2011.
    1. Bohren MA, Vogel JP, Hunter EC, Lutsiv O, Makh SK, Souza JP, et al. The mistreatment of women during childbirth in health facilities globally: a mixed-methods systematic review. PLoS Medicine. 2015;12(6):e1001847 10.1371/journal.pmed.1001847 - DOI - PMC - PubMed
    1. Bowser D, Hill K. Exploring evidence for disrespect and abuse in facility-based childbirth Boston: USAID-TRAction Project, Harvard School of Public Health; 2010.

Publication types