Nawab et al.[10] |
2019 |
Aligarh, Uttar Pradesh |
Community (Rural) |
Cross-sectional |
305 |
<20->30 |
Interviews |
Women at 4-6 weeks postpartum |
Physical abuse, non-consented care, non-confidential care, discrimination, non-dignified care, abandonment, detention |
84.3% |
System based drivers and perception of healthcare providers were not explored. |
Sharma et al.[6] |
2019 |
Kannauj, Kanpur Nagar, Kanpur Dehat, Uttar Pradesh |
26 Public and private Health facilities |
Mixed methods |
275 |
<20->35 |
open-ended questions and observation tool |
Women during labor and childbirth |
Physical abuse, companion not allowed, verbal abuse, lack of privacy, informal payments, non-consented care |
100% |
The study was not specifically looking at ill-treatment as a separate quality of care indicator. Observer bias. Limited sample from the private sector. |
Bhattacharya 2018 et al.[7] |
2018 |
Varanasi, Uttar Pradesh |
Community (Rural) |
Cross-sectional |
410 |
24.7+/-3.18 |
Interviews |
Women who delivered at the health facility |
Physical abuse, insults, threats, verbal abuse, neglect, non-confidential care, lack of cleanliness |
92.7% |
Findings cannot be generalized. Small sample size. |
Singh et al.[11] |
2018 |
New Delhi |
3 hospitals/ Health facilities |
Cross-sectional |
63 health professionals observed based on a checklist |
- |
Observation |
The second stage of labor to 2 hours post-delivery |
Physical, verbal abuse, non-consented care, con-confidential care, lack of privacy, lack of dignity and respect, discrimination, left without care, detainment, threats |
98% |
Small sample size. Presence of the researcher influences the practices performed. |
Dey et al.[8] |
2017 |
Uttar Pradesh |
81 public health facilities |
Cross-sectional |
875 |
17-49 |
Observations, Interviews |
Women delivering in public health facilities interviewed 2-4 weeks post-delivery |
Physical abuse, verbal abuse, threats, unavailability of provider, did not answer questions, incomplete information, non-consented care, discrimination, denial of treatment |
77.3% |
Findings cannot be generalized. The perception of healthcare providers were not explored. Inter-rater reliability not assessed. In the observational study, causality cannot be established. |
Raj et al.[9] |
2017 |
Uttar Pradesh |
68 public health facilities |
Cross-sectional |
2639 |
17-48 |
Interviews |
Women delivered at the health facility, interviews conducted an average of 4.5 weeks postpartum |
Physical abuse, verbal abuse, non-consented care, stigma and discrimination, non-supportive care, denial of treatment |
20.9% |
Findings cannot be generalized. Recall bias. It did not include all domains of ill-treatment. Causality cannot be established. |
Sudhinaraset et al.[12] |
2016 |
Lucknow, Uttar Pradesh |
Community (38 urban slums) |
Mixed methods |
392 quantitative sample, 26 qualitative sample |
18-30 |
Survey, focus group discussions |
Women with a child under the age of 5, delivered in a health facility |
Discrimination. Physical abuse, verbal abuse, threats, lack of information, abandonment, choice of position denied, companion not allowed, informal payment, separation from baby, delivered alone |
54.7% |
Not representative. The perception of healthcare providers were not explored. |