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

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dc.contributor.authorDas, Gopika
dc.contributor.authorMasoi, Theresia John
dc.contributor.authorKibusi, Stephen M.
dc.contributor.authorChaudhary, Arun
dc.contributor.authorGreenwald, Mary
dc.contributor.authorGoodman, Annekathryn
dc.date.accessioned2022-07-08T09:34:13Z
dc.date.available2022-07-08T09:34:13Z
dc.date.issued2021
dc.descriptionFull text article. Also available at https://doi.org/10.4236/ojog.2021.119118en_US
dc.description.abstractObjective: 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.en_US
dc.identifier.citationDas, 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.en_US
dc.identifier.otherDOI: 10.4236/ojog.2021.119118
dc.identifier.urihttp://hdl.handle.net/20.500.12661/3531
dc.language.isoenen_US
dc.publisherScientific Research Publishing Incen_US
dc.subjectTraumatic birthen_US
dc.subjectTraumatic childbirthen_US
dc.subjectChildbirthen_US
dc.subjectTanzaniaen_US
dc.subjectAbusive maternity careen_US
dc.subjectMaternity careen_US
dc.titlePatient and provider perspectives of disrespect and abuse during childbirth in Tanzania: a literature reviewen_US
dc.typeArticleen_US
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