Conference abstract

Exploring context-specific components of obstetric violence among postnatal mothers, key-community informants, and health care providers in the central zone

Pan African Medical Journal - Conference Proceedings. 2024:21(45).29 Apr 2024.
doi: 10.11604/pamj-cp.2024.21.45.2375
Archived on: 29 Apr 2024
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Keywords: Obstetric violence, pregnancy, postnatal mothers, key community informants, perspectives
Oral presentation

Exploring context-specific components of obstetric violence among postnatal mothers, key-community informants, and health care providers in the central zone

Theresia John Masoi1,&, Lilian Teddy Mselle2, Stephen Mathew Kibusi3, Nathanael Sirili4

1Department of Clinical Nursing, the University of Dodoma, Dodoma, Tanzania, 2Department of Clinical Nursing, School of Nursing, Muhimbili University of Health and Allied Sciences, Dar es Salaam, Tanzania, 3Department of Public Health and Community Nursing, the University of Dodoma, Dodoma, Tanzania, 4Department of Developmental Studies, School of Public Health and Social Sciences Muhimbili University of Health and Allied Sciences, Dar es Salaam, Tanzania

&Corresponding author

Introduction: although obstetric violence during pregnancy, childbirth, and after childbirth has received increasing recognition as a critical issue throughout the world, there remains a lack of consensus on operational definitions of the components and best evidence-based practices to assess since the definitions of respect, disrespect, and abuse can differ among cultures and places. Obstetric violence occurs when a woman experiences mistreatment and has adverse consequences for both the mother and infant worldwide. To Explore context-specific components of obstetric violence among postnatal mothers, key-community informants, and health care providers in central zone Tanzania.

Methods: a qualitative exploratory study employed in-depth interviews with 24 postnatal mothers, 18 healthcare providers, and four religious’ leaders. Additionally, six focus group discussions were held with male partners, community health workers, and ten-cell leaders. Purposive sampling was used to select participants. Data analysis followed qualitative content analysis, incorporating inductive and deductive approaches using NVivo software version 12.

Results: participants identified various forms of obstetric violence, including physical violence, inadequate support, lack of autonomy, non-consensual procedures, objectification, privacy breaches, infantilization, poor communication patterns, stigma, discrimination, and sexual violence. One additional category of community-related obstetric violence, such as the forceful insertion of herbs to fasten the delivery,was also identified.

Conclusion: all interviewed respondents described obstetric violence, indicating its widespread occurrence, potentially deterring women from seeking facility delivery. Therefore, comprehending the context-specific perspectives of obstetric violence is crucial for devising evidence-based strategies and interventions aimed at reducing its prevalence and fostering respectful maternity care.