Open Journal of Obstetrics and Gynecology, 2018, 8, 610-629
http://www.scirp.org/journal/ojog
ISSN Online: 2160-8806
ISSN Print: 2160-8792
DOI: 10.4236/ojog.2018.86067 Jun. 25, 2018 610 Open Journal of Obstetrics and Gynecology
Prevalence of Disrespectful Maternity Care and
Abuse among Women Seeking Maternity Care
Services at the Kenyatta National Hospital,
Nairobi: A Cross-Sectional Descriptive Study
Ondieki Peter Atai
*
, Hannah Inyama, Sabina Wakasiaka, Joyce Jebet, Jennifer Oyieke
Department of Midwifery and Obstetric Nursing, School of Nursing Sciences, University of Nairobi, Nairobi, Kenya
Abstract
Background: Respectful Maternity Care (RMC) is a basic human right for
every childbearing woman. Acts of disrespectful maternity care and abuse are
commonly reported worldwide and are recognized as a powerful deterrence to
facility based childbirth than the traditionally known accessibility. In Kenya,
acts of disrespect and abuse are frequently reported. Objectives of the study:
To assess the prevalence of disrespectful maternity care and abuse among
women seeking maternity care services at the Kenyatta National Hospital,
Nairobi. Methods: This study was conducted at the Kenyatta National Hos-
pital maternity wards. A descriptive study design was employed and targeted
164 respondents. The study utilized an interviewer administered question-
naire and an observational checklist to collect required data. Participants were
sampled using simple random sampling method. Data was collected between
July 15
th
and July 30
th
2017 and was entered, cleaned and analyzed using SPSS
20. Results were presented in descriptive form, figures and tables. Results:
Out of the targeted 164 participants, 152 (93%) women were interviewed
during the study. The study found that women experienced at least some form
of disrespect and abuse while seeking maternity care services at the Kenyatta
National hospital. In general, prevalence of disrespectful maternity care and
abuse ranged from 9% for discriminatory care to as high as 32% for
non-privacy of care. Untimely care/abandonment of care was 22%, similar to
non-consensual care (22%). Prevalence for non-confidential care was 28%.
Majority of the women who experienced disrespect and abuse chose to resort
to acquiescence whereby they just complied or kept quiet. The study found a
strong association between marital status and physical abuse of women in la-
bor 95% CI (P < 0.000) and level of education was found to be strongly asso-
How to cite this paper: Atai, O.P., Inyama,
H., Wakasiaka, S., Jebet, J. and Oyieke, J.
(2018) Prevalence of Disrespectful Mater-
nity Care and Abuse among Women Seeking
Maternity Care Services at the Kenyatta Na-
tional Hospital, Nairobi: A Cross-Sectional
Descriptive Study. Open Journal of Obstetrics
and Gynecology, 8, 610-629.
https://doi.org/10.4236/ojog.2018.86067
Received: May 6, 2018
Accepted: June 22, 2018
Published: June 25, 2018
Copyright © 2018 by authors and
Scientific Research Publishing Inc.
This work is licensed under the Creative
Commons Attribution International
License (CC BY 4.0).
http://creativecommons.org/licenses/by/4.0/
Open Access