Patient and provider perspectives of disrespect and abuse during childbirth in Tanzania: a literature review

Das, Gopika; Masoi, Theresia John; Kibusi, Stephen M.; Chaudhary, Arun; Greenwald, Mary; Goodman, Annekathryn

dc.creator	Das, Gopika
dc.creator	Masoi, Theresia John
dc.creator	Kibusi, Stephen M.
dc.creator	Chaudhary, Arun
dc.creator	Greenwald, Mary
dc.creator	Goodman, Annekathryn
dc.date	2022-07-08T09:34:13Z
dc.date	2022-07-08T09:34:13Z
dc.date	2021
dc.date.accessioned	2022-10-20T14:01:49Z
dc.date.available	2022-10-20T14:01:49Z
dc.identifier	Das, G., Masoi, T. J., Kibusi, S. M., Chaudhary, A., Greenwald, M., & Goodman, A. (2021). Patient and provider perspectives of disrespect and abuse during childbirth in Tanzania: a literature review. Open Journal of Obstetrics and Gynecology, 11(9), 1248-1272.
dc.identifier	DOI: 10.4236/ojog.2021.119118
dc.identifier	http://hdl.handle.net/20.500.12661/3531
dc.identifier.uri	http://hdl.handle.net/20.500.12661/3531
dc.description	Full text article. Also available at https://doi.org/10.4236/ojog.2021.119118
dc.description	Objective: Disrespectful and abusive (D&A) maternity care is a deterrent to facility childbirth and can thus contribute to child and maternal mortality. This study will review existing literature on D&A in Tanzania to better understand and contextualize the issue. Methods: A comprehensive literature search was conducted to find relevant publications on D&A during childbirth in Tanzania. The search was conducted on the National Center for Biotechnology Information (NCBI) and PubMed (U.S. National Library of Medicine at the National Institutes of Health). The inclusion criteria were as follows: qualitative, quantitative, and ethnographic studies conducted in Tanzania on obstetrical violence; published in English; focused on prevalence, incidence, root causes, historical trends, interventions, and policy recommendations for obstetrical violence in Tanzania. Results: Twenty-one studies were selected for this literature review. Up to 73.1% of women reported experiencing at least one form of D&A during labor. Commonly reported D&A events include non-dignified care, non-confidential care, and physical abuse. Other forms of D&A, including detention in facilities and asking for unofficial payments, are also reported. Ninety-six percent of nurses, midwives, and nursing assistants in Tanzania self-reported engaging in at least one form of D&A. Lack of training and provider support, long work hours, fear of blame, and limited infrastructure were reported as factors leading to D&A by providers. Conclusions: In Tanzania, D&A during childbirth is prevalent in healthcare systems. The direct relationship between D&A and poor maternal and fetal health is well-documented. Individual and systemic factors influence both provider and patient perspectives of D&A, providing a window into a complex and sensitive phenomenon. It is important that D&A in Tanzania be viewed holistically, and that interventions target the multifaceted nature of the issue.
dc.language	en
dc.publisher	Scientific Research Publishing Inc
dc.subject	Traumatic birth
dc.subject	Traumatic childbirth
dc.subject	Childbirth
dc.subject	Tanzania
dc.subject	Abusive maternity care
dc.subject	Maternity care
dc.title	Patient and provider perspectives of disrespect and abuse during childbirth in Tanzania: a literature review
dc.type	Article