Table 8.
Multivariate logistic GLMMs assessing risk factors for observed incidences of disrespect and abuse among maternity patients whose care was observed as part of the Heshima project at baseline (2011) and endline (2014) in 13 facilities in Kenya, n = 1,200*
During examination | During Delivery | Postpartum | |||||
---|---|---|---|---|---|---|---|
Non-consented carea | Verbal abuseb | Lack of privacyc | Physical aggression | Verbal aggression | Lack of privacyd | Shared bed | |
AOR (95 % CI) | AOR (95 % CI) | AOR (95 % CI) | AOR (95 % CI) | AOR (95 % CI) | AOR (95 % CI) | AOR (95 % CI) | |
Group | |||||||
Baseline | Refe | Ref | Refe | Refe | Ref | Refe | Refe |
Endline | 3.29 (2.38 – 4.55) | 0.78 (0.55 – 1.10) | 0.24 (0.17 – 0.34) | 0.12 (0.03 – 0.49) | 0.71 (0.45 – 1.12) | 0.31 (0.20 – 0.50) | 1.57 (1.18 – 2.08) |
Age (for each additional year) | 0.99 (0.95 – 1.02) f | 1.00 (0.96 – 1.04) | 0.97 (0.94 – 1.01) | 1.01 (0.91 – 1.11) | 1.03 (0.98 – 1.09) | 0.98 (0.93 – 1.03) | 0.97 (0.94 – 1.01) |
Parity | |||||||
0 | Ref | Ref | Ref | Ref | Ref | Ref | Ref |
1-2 | 0.88 (0.63 – 1.24) | 1.15 (0.78 – 1.70) | 0.91 (0.64 – 1.29) | 0.89 (0.36 – 2.18) | 0.65 (0.40 – 1.07) | 0.89 (0.53 – 1.50) | 1.14 (0.83 – 1.56) |
3+ | 1.22 (0.67 – 2.23) | 1.00 (0.49 – 2.02) | 1.15 (0.61 – 2.16) | 0.57 (0.09 – 3.57) | 0.48 (0.18 – 1.27) | 1.16 (0.51 – 2.65) | 1.44 (0.81 – 2.58) |
Time of delivery | |||||||
Day | Reff | Ref | Refe | Ref | Ref | Refe | Ref |
Night | 0.74 (0.53 – 1.02) | 1.15 (0.81 – 1.64) | 1.39 (1.01 – 1.92) | 0.59 (0.23 – 1.50) | 0.94 (0.60 – 1.49) | 1.96 (1.21 – 3.18) | 1.15 (0.87 – 1.52) |
Facility sector | |||||||
Government | Ref | Ref | Ref | Ref | Ref | Ref | Ref |
Private/Faith based | 0.27 (0.04 – 2.02) | 0.69 (0.12 – 3.98) | 1.60 (0.28 – 9.20) | 1.10 (0.12 – 10.19) | 1.02 (0.24 – 4.44) | 0.34 (0.01 – 8.51) | 0.36 (0.03 – 4.81) |
Voucher status | |||||||
No vouchers | Refe | Ref | Ref | Reff | Reff | Ref | Refe |
Vouchers | 7.15 (1.08 – 47.34) | 2.64 (0.52 – 13.31) | 1.31 (0.13 – 13.03) | 4.19 (0.81 – 21.74) | 3.19 (0.91 – 11.19) | 2.78 (0.15 – 53.26) | 13.70 (1.32 – 141.96) |
*Missing values < 11 %
aNot obtaining permission or consent before vaginal exam
bUse of harsh tones, shouting, or non-dignified language
cNo partitions or partitions not closed
dNot covered while being moved from per-labor ward to delivery room; not covered (excluding perineal area) during delivery; partitions not closed
eStatistically significant at p < 0.05
fStatistically significant at p < 0.10