Nepoštovanje i zlostavljanje žena tokom procesa porođaja u zdravstvenim ustanovama u subsaharskoj Africi: sistematski pregled i meta-analiza.
BMC international health and human rights
Sažetak istraživanja
Istorijat Nepoštovanje i zlostavljanje žena od strane zdravstvenih radnika tokom procesa porođaja u zdravstvenoj ustanovi je međunarodni problem. Nedostaju podaci o nepoštovanju i zlostavljanju žena tokom procesa porođaja u zdravstvenim ustanovama u podsaharskoj Africi.
Svrha ove studije bila je da se utvrdi prevalencija nepoštovanja i zlostavljanja žena tokom procesa porođaja u zdravstvenim ustanovama u subsaharskoj Africi.
Metode Za pisanje sistematskog pregleda i metaanalize slijedio je PRISMA protokol smjernica. Objavljene studije pretražene su iz Medline, PubMed, CINAHL, EMBASE, Maternal and infant care, science direct i PsycINFO. Člancima su pristupila tri recenzenta (ZY, BT i AA) koristeći sljedeće ključne termine, "stav zdravstvenog osoblja" I "porođajno akušerstvo*/njega" ILI "porođajna njega" I "nepoštovanje" ILI "zlostavljanje" ILI "profesionalno nedolično ponašanje" I "porođaj" I "prevalencija" I "prevalencija" "Subsaharska Afrika". Dodatni članci su dobijeni unakrsnim referencama. Heterogenost studija je odmerena korišćenjem Cochran-ovog Q testa i statistike I 2 testa. Pristrasnost publikacije procijenjena je Eggerovim testom.
Rezultati Trideset i tri studije su zadovoljile inkluziju i uključene u ovaj sistematski pregled i metaanalizu nepoštovanja i zlostavljanja žena tokom procesa porođaja u zdravstvenim ustanovama. Ukupna prevalencija nepoštovanja i zlostavljanja žena tokom procesa porođaja u zdravstvenim ustanovama u podsaharskoj Africi iznosila je 44,09% (95% CI: 29,94-58,24). Posebno fizičko zlostavljanje je bilo 15,77% (95% CI: 13,38-18,15), ne-16% CI: 19,94-58,24%. 14.49-19.24), napuštanje je bilo 16,86% (95% CI: 13,88-19,84), a pritvor 4,81% (95% CI: 3,96-5,67).
Zaključak U ovoj studiji nepoštovanje i zlostavljanje žena tokom procesa porođaja u zdravstvenim ustanovama je visoko u poređenju sa drugim studijama, posebno nepoverljiva nega i napuštanje visoko u poređenju sa drugim studijama. U ovoj studiji se ističe da će Ministarstvo zdravlja, zdravstveni radnici, stručnjaci za materinsko zdravlje dužnu pažnju posvetiti pravima žena tokom procesa porođaja u zdravstvenim ustanovama.
Prikaži originalni naslov i sažetak na engleskom
Disrespect and abuse of women during the process of childbirth at health facilities in sub-Saharan Africa: a systematic review and meta-analysis.
Background Disrespectful and abusive treatment of women by health care providers during the process of childbirth at health facility is an international problem. There is a lack of data on disrespect and abuse of women during the process of childbirth at health facilities in Sub-Saharan Africa. The purpose of this study was to determine the prevalence of disrespect and abuse of women during the process of childbirth at health facilities in sub-Saharan Africa.
Methods The PRISMA guideline protocol was followed to write the systematic review and meta-analysis. Published studies were searched from Medline, PubMed, CINAHL, EMBASE, Maternal and infant care, science direct, and PsycINFO. Articles were accessed by three reviewers (ZY, BT and AA) using the following key terms, "attitude of health personnel" AND "delivery obstetrics*/nursing" OR "maternity care" AND "disrespect" OR "abuse" OR "professional misconduct" AND "parturition" AND "prevalence" AND "professional-patient relations" AND "Sub-Saharan Africa". Additional articles were retrieved by cross referencing of reference. The heterogeneity of studies were weighed using Cochran's Q test and I 2 test statistics. Publication bias was assessed by Egger's test.
Results Thirty three studies met the inclusion and included in this systematic review and meta-analysis of disrespect and abuse of women during the process of childbirth at health facilities. The pooled prevalence of disrespect and abuse women during the process of childbirth at health facilities in Sub-Saharan Africa was 44.09% (95% CI: 29.94-58.24).Particularly physical abuse was 15.77% (95% CI: 13.38-18.15), non-confidential care was 16.87% (95% CI: 14.49-19.24), abandonment was 16.86% (95% CI: 13.88-19.84) and detention was 4.81% (95% CI: 3.96-5.67).
Conclusion In this study disrespect and abuse of women during the process of childbirth at health facilities are high compared with other studies, particularly non-confidential care and abandonment his high compared with other studies. This study points out that the ministry of health, health care providers, maternal health experts shall due attention to women's right during the process of childbirth at health facilities.
Izvorni podaci
- DOI
- 10.1186/s12914-020-00242-y
- PMID
- 32894127
- PMCID
- PMC7487593
- Provjereno
- 2026-07-26
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