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dc.contributor.authorBohren, MA
dc.contributor.authorVogel, JP
dc.contributor.authorHunter, EC
dc.contributor.authorLutsiv, O
dc.contributor.authorMakh, SK
dc.contributor.authorSouza, JP
dc.contributor.authorAguiar, C
dc.contributor.authorConeglian, FS
dc.contributor.authorLuiz, A
dc.contributor.authorDiniz, A
dc.contributor.authorTuncalp, O
dc.contributor.authorJavadi, D
dc.contributor.authorOladapo, OT
dc.contributor.authorKhosla, R
dc.contributor.authorHindin, MJ
dc.contributor.authorGuelmezoglu, AM
dc.date.accessioned2020-12-09T23:49:58Z
dc.date.available2020-12-09T23:49:58Z
dc.date.issued2015-06-01
dc.identifierpii: PMEDICINE-D-14-03586
dc.identifier.citationBohren, M. A., Vogel, J. P., Hunter, E. C., Lutsiv, O., Makh, S. K., Souza, J. P., Aguiar, C., Coneglian, F. S., Luiz, A., Diniz, A., Tuncalp, O., Javadi, D., Oladapo, O. T., Khosla, R., Hindin, M. J. & Guelmezoglu, A. M. (2015). The Mistreatment of Women during Childbirth in Health Facilities Globally: A Mixed-Methods Systematic Review. PLOS MEDICINE, 12 (6), https://doi.org/10.1371/journal.pmed.1001847.
dc.identifier.issn1549-1277
dc.identifier.urihttp://hdl.handle.net/11343/253336
dc.description.abstractBACKGROUND: Despite growing recognition of neglectful, abusive, and disrespectful treatment of women during childbirth in health facilities, there is no consensus at a global level on how these occurrences are defined and measured. This mixed-methods systematic review aims to synthesize qualitative and quantitative evidence on the mistreatment of women during childbirth in health facilities to inform the development of an evidence-based typology of the phenomenon. METHODS AND FINDINGS: We searched PubMed, CINAHL, and Embase databases and grey literature using a predetermined search strategy to identify qualitative, quantitative, and mixed-methods studies on the mistreatment of women during childbirth across all geographical and income-level settings. We used a thematic synthesis approach to synthesize the qualitative evidence and assessed the confidence in the qualitative review findings using the CERQual approach. In total, 65 studies were included from 34 countries. Qualitative findings were organized under seven domains: (1) physical abuse, (2) sexual abuse, (3) verbal abuse, (4) stigma and discrimination, (5) failure to meet professional standards of care, (6) poor rapport between women and providers, and (7) health system conditions and constraints. Due to high heterogeneity of the quantitative data, we were unable to conduct a meta-analysis; instead, we present descriptions of study characteristics, outcome measures, and results. Additional themes identified in the quantitative studies are integrated into the typology. CONCLUSIONS: This systematic review presents a comprehensive, evidence-based typology of the mistreatment of women during childbirth in health facilities, and demonstrates that mistreatment can occur at the level of interaction between the woman and provider, as well as through systemic failures at the health facility and health system levels. We propose this typology be adopted to describe the phenomenon and be used to develop measurement tools and inform future research, programs, and interventions.
dc.languageEnglish
dc.publisherPUBLIC LIBRARY SCIENCE
dc.rights.urihttps://creativecommons.org/licenses/by/4.0
dc.titleThe Mistreatment of Women during Childbirth in Health Facilities Globally: A Mixed-Methods Systematic Review
dc.typeJournal Article
dc.identifier.doi10.1371/journal.pmed.1001847
melbourne.affiliation.departmentMelbourne School of Population and Global Health
melbourne.source.titlePLoS Medicine
melbourne.source.volume12
melbourne.source.issue6
dc.rights.licenseCC BY
melbourne.elementsid1310836
melbourne.contributor.authorBohren, Meghan
melbourne.contributor.authorVogel, Joshua
dc.identifier.eissn1549-1676
melbourne.accessrightsOpen Access


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