Disrespect and Abuse Experienced by Mothers While Accessing Delivery Healthcare Services in Bangladesh

Disrespect and Abuse Experienced by Mothers While Accessing Delivery Healthcare Services in Bangladesh | Research Square window.SnipcartSettings = { analytics: { enabled: false } }; (function() { var accessVector = localStorage.getItem('access_vector') || ''; window.dataLayer = window.dataLayer || []; if (accessVector) { window.dataLayer.push({ user: { profile: { profileInfo: { snid: accessVector } } } }); } })(); (function(w,d,s,l,i){w[l]=w[l]||[];w[l].push({'gtm.start':new Date().getTime(),event:'gtm.js'});var f=d.getElementsByTagName(s)[0],j=d.createElement(s),dl=l!='dataLayer'?'&l='+l:'';j.async=true;j.src='https://www.googletagmanager.com/gtm.js?id='+i+dl;f.parentNode.insertBefore(j,f);})(window,document,'script','dataLayer','GTM-K279D39R'); Browse Preprints In Review Journals COVID-19 Preprints AJE Video Bytes Research Tools Research Promotion AJE Professional Editing AJE Rubriq About Preprint Platform In Review Editorial Policies Our Team Advisory Board Help Center Sign In Submit a Preprint Cite Share Download PDF Research Article Disrespect and Abuse Experienced by Mothers While Accessing Delivery Healthcare Services in Bangladesh Md Nuruzzaman Khan, Shimlin Jahan Khanam, M Mofizul Islam This is a preprint; it has not been peer reviewed by a journal. https://doi.org/ 10.21203/rs.3.rs-4439968/v2 This work is licensed under a CC BY 4.0 License Status: Posted Version 2 posted You are reading this latest preprint version Show more versions Abstract Background Disrespect and abuse (D&A) during childbirth pose significant barriers to accessing maternal healthcare services, especially in low- and middle-income countries like Bangladesh. This study aimed to assess the prevalence and determinants of D&A among mothers accessing delivery healthcare services in Bangladesh. Methods This study analyzed data collected from 891 mothers through a cross-sectional survey conducted in 12 healthcare facilities across three randomly selected districts in Bangladesh: Rajshahi, Mymensingh, and Rangpur. Disrespect and abuse (D&A) was categorized into three groups: no D&A, moderate D&A, and severe D&A and considered as the outcome variable. Explanatory variables included mothers' socio-demographic characteristics, use of antenatal healthcare services, and the types of healthcare facilities (public or private) from which delivery healthcare services were accessed. Multivariate multinomial logistic regressions were conducted to explore the association between the outcome variable and explanatory variables. Results Over half of the mothers (53%) reported experiencing moderate (33%) and severe (20%) levels of D&A. The prevalence of D&A was higher among mothers accessing services from government healthcare facilities compared to private facilities (73% vs 40%). Lower likelihoods of D&A were found among mothers with higher education levels, no formal employment, mothers residing in households in comparatively high wealth quintiles, mothers who reported a higher number of antenatal healthcare visits, mothers with rural residency, and those accessing healthcare services from private facilities. Conclusion The study underscores a high prevalence of D&A among mothers accessing delivery healthcare services in Bangladesh, especially in government healthcare facilities. Addressing structural challenges within healthcare facilities and implementing training programs for healthcare personnel focused on effective communication and the provision of dignified services for mothers during delivery healthcare services are recommended. Maternal health services uptake disrespect and abuse maternal and child adverse outcomes Bangladesh Full Text Additional Declarations The authors declare no competing interests. Cite Share Download PDF Status: Posted Version 2 posted You are reading this latest preprint version Show more versions Research Square lets you share your work early, gain feedback from the community, and start making changes to your manuscript prior to peer review in a journal. As a division of Research Square Company, we’re committed to making research communication faster, fairer, and more useful. We do this by developing innovative software and high quality services for the global research community. Our growing team is made up of researchers and industry professionals working together to solve the most critical problems facing scientific publishing. Also discoverable on Platform About Our Team In Review Editorial Policies Advisory Board Help Center Resources Author Services Accessibility API Access RSS feed Manage Cookie Preferences © Research Square 2026 | ISSN 2693-5015 (online) Privacy Policy Terms of Service Do Not Sell My Personal Information {"props":{"pageProps":{"initialData":{"identity":"rs-4439968","acceptedTermsAndConditions":true,"allowDirectSubmit":true,"archivedVersions":[],"articleType":"Research Article","associatedPublications":[],"authors":[{"id":308243356,"identity":"a53900d3-e2f4-40e2-93e5-3a105ff51f5e","order_by":0,"name":"Md Nuruzzaman Khan","email":"data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAZAAAAAyAQMAAABI0h/eAAAABlBMVEX///8AAABVwtN+AAAACXBIWXMAAA7EAAAOxAGVKw4bAAAA0ElEQVRIiWNgGAWjYHAD5gNAQkKGFC1sCSAtPKRo4TEAkwTVyc/ITnxcuOdwHr90z+dXN2oseBjYDx/dgE+LwY3czcYznh0ulpxzdpt1zjGgw3jS0m7g1SKRu02a58DhxA03crcZ57ABtUjwmOHVIj8DriXnmXHOPyK0MNxAaGF+nNtGhBaDM283G/McSAf65ZgZc26fBA8bIb/It+dufMxzwBoYYs2PP+d8q5PjZz98DL/DoCCBQYKBTQLEYiNGOUwL8wdiVY+CUTAKRsHIAgAyCkiQd4V6mgAAAABJRU5ErkJggg==","orcid":"","institution":"Jatiya Kabi Kazi Nazrul Islam University","correspondingAuthor":true,"prefix":"","firstName":"Md","middleName":"Nuruzzaman","lastName":"Khan","suffix":""},{"id":308243357,"identity":"8df94d26-77c5-4dff-9778-93658a2eed88","order_by":1,"name":"Shimlin Jahan Khanam","email":"","orcid":"","institution":"Jatiya Kabi Kazi Nazrul Islam University","correspondingAuthor":false,"prefix":"","firstName":"Shimlin","middleName":"Jahan","lastName":"Khanam","suffix":""},{"id":308243358,"identity":"6f56609d-eab6-4855-ac62-8f368de7bd98","order_by":2,"name":"M Mofizul Islam","email":"","orcid":"","institution":"La Trobe University","correspondingAuthor":false,"prefix":"","firstName":"M","middleName":"Mofizul","lastName":"Islam","suffix":""}],"badges":[],"createdAt":"2024-05-18 07:38:18","currentVersionCode":2,"declarations":{"humanSubjects":false,"vertebrateSubjects":false,"conflictsOfInterestStatement":false,"humanSubjectEthicalGuidelines":false,"humanSubjectConsent":false,"humanSubjectClinicalTrial":false,"humanSubjectCaseReport":false,"vertebrateSubjectEthicalGuidelines":false},"doi":"10.21203/rs.3.rs-4439968/v2","doiUrl":"https://doi.org/10.21203/rs.3.rs-4439968/v2","draftVersion":[],"editorialEvents":[],"editorialNote":"","failedWorkflow":false,"files":[{"id":79303116,"identity":"5581effe-349c-4611-bdd0-04104ed68868","added_by":"auto","created_at":"2025-03-26 19:58:13","extension":"pdf","order_by":1,"title":"","display":"","copyAsset":false,"role":"manuscript-pdf","size":414750,"visible":true,"origin":"","legend":"","description":"","filename":"Manuscriptcleanversion.pdf","url":"https://assets-eu.researchsquare.com/files/rs-4439968/v2_covered_611b9add-14f0-43f0-bf05-dd2ac49d0e62.pdf"}],"financialInterests":"The authors declare no competing interests.","formattedTitle":"Disrespect and Abuse Experienced by Mothers While Accessing Delivery Healthcare Services in Bangladesh","fulltext":[],"fulltextSource":"","fullText":"","funders":[],"hasAdminPriorityOnWorkflow":false,"hasManuscriptDocX":false,"hasOptedInToPreprint":true,"hasPassedJournalQc":"","hasAnyPriority":true,"hideJournal":true,"highlight":"","institution":"","isAcceptedByJournal":false,"isAuthorSuppliedPdf":true,"isDeskRejected":"","isHiddenFromSearch":false,"isInQc":false,"isInWorkflow":false,"isPdf":true,"isPdfUpToDate":true,"isWithdrawnOrRetracted":false,"journal":{"display":true,"email":"[email protected]","identity":"researchsquare","isNatureJournal":false,"hasQc":true,"allowDirectSubmit":true,"externalIdentity":"","sideBox":"","snPcode":"","submissionUrl":"/submission","title":"Research Square","twitterHandle":"researchsquare","acdcEnabled":true,"dfaEnabled":false,"editorialSystem":"","reportingPortfolio":"","inReviewEnabled":false,"inReviewRevisionsEnabled":true},"keywords":"Maternal health services uptake, disrespect and abuse, maternal and child adverse outcomes, Bangladesh","lastPublishedDoi":"10.21203/rs.3.rs-4439968/v2","lastPublishedDoiUrl":"https://doi.org/10.21203/rs.3.rs-4439968/v2","license":{"name":"CC BY 4.0","url":"https://creativecommons.org/licenses/by/4.0/"},"manuscriptAbstract":"\u003ch2\u003eBackground\u003c/h2\u003e \u003cp\u003eDisrespect and abuse (D\u0026amp;A) during childbirth pose significant barriers to accessing maternal healthcare services, especially in low- and middle-income countries like Bangladesh. This study aimed to assess the prevalence and determinants of D\u0026amp;A among mothers accessing delivery healthcare services in Bangladesh.\u003c/p\u003e\u003ch2\u003eMethods\u003c/h2\u003e \u003cp\u003eThis study analyzed data collected from 891 mothers through a cross-sectional survey conducted in 12 healthcare facilities across three randomly selected districts in Bangladesh: Rajshahi, Mymensingh, and Rangpur. Disrespect and abuse (D\u0026amp;A) was categorized into three groups: no D\u0026amp;A, moderate D\u0026amp;A, and severe D\u0026amp;A and considered as the outcome variable. Explanatory variables included mothers' socio-demographic characteristics, use of antenatal healthcare services, and the types of healthcare facilities (public or private) from which delivery healthcare services were accessed. Multivariate multinomial logistic regressions were conducted to explore the association between the outcome variable and explanatory variables.\u003c/p\u003e\u003ch2\u003eResults\u003c/h2\u003e \u003cp\u003eOver half of the mothers (53%) reported experiencing moderate (33%) and severe (20%) levels of D\u0026amp;A. The prevalence of D\u0026amp;A was higher among mothers accessing services from government healthcare facilities compared to private facilities (73% vs 40%). Lower likelihoods of D\u0026amp;A were found among mothers with higher education levels, no formal employment, mothers residing in households in comparatively high wealth quintiles, mothers who reported a higher number of antenatal healthcare visits, mothers with rural residency, and those accessing healthcare services from private facilities.\u003c/p\u003e\u003ch2\u003eConclusion\u003c/h2\u003e \u003cp\u003eThe study underscores a high prevalence of D\u0026amp;A among mothers accessing delivery healthcare services in Bangladesh, especially in government healthcare facilities. Addressing structural challenges within healthcare facilities and implementing training programs for healthcare personnel focused on effective communication and the provision of dignified services for mothers during delivery healthcare services are recommended.\u003c/p\u003e","manuscriptTitle":"Disrespect and Abuse Experienced by Mothers While Accessing Delivery Healthcare Services in Bangladesh","msid":"","msnumber":"","nonDraftVersions":[{"code":2,"date":"2025-03-26 19:42:08","doi":"10.21203/rs.3.rs-4439968/v2","editorialEvents":[{"type":"communityComments","content":0}],"status":"published","journal":{"display":true,"email":"[email protected]","identity":"researchsquare","isNatureJournal":false,"hasQc":true,"allowDirectSubmit":true,"externalIdentity":"","sideBox":"","snPcode":"","submissionUrl":"/submission","title":"Research Square","twitterHandle":"researchsquare","acdcEnabled":true,"dfaEnabled":false,"editorialSystem":"","reportingPortfolio":"","inReviewEnabled":false,"inReviewRevisionsEnabled":true}},{"code":1,"date":"2024-05-30 05:01:13","doi":"10.21203/rs.3.rs-4439968/v1","editorialEvents":[{"type":"communityComments","content":0}],"status":"published","journal":{"display":true,"email":"[email protected]","identity":"researchsquare","isNatureJournal":false,"hasQc":true,"allowDirectSubmit":true,"externalIdentity":"","sideBox":"","snPcode":"","submissionUrl":"/submission","title":"Research Square","twitterHandle":"researchsquare","acdcEnabled":true,"dfaEnabled":false,"editorialSystem":"","reportingPortfolio":"","inReviewEnabled":false,"inReviewRevisionsEnabled":true}}],"origin":"","ownerIdentity":"6d5b7a97-fb57-4ab7-897c-75af2bfdb969","owner":[],"postedDate":"March 26th, 2025","published":true,"recentEditorialEvents":[],"rejectedJournal":[],"revision":"","amendment":"","status":"posted","subjectAreas":[],"tags":[],"updatedAt":"2025-03-19T23:01:31+00:00","versionOfRecord":[],"versionCreatedAt":"2025-03-26 19:42:08","video":"","vorDoi":"","vorDoiUrl":"","workflowStages":[]},"version":"v2","identity":"rs-4439968","journalConfig":"researchsquare"},"__N_SSP":true},"page":"/article/[identity]/[[...version]]","query":{"redirect":"/article/rs-4439968","identity":"rs-4439968","version":["v2"]},"buildId":"8U1c8b4HqxoKbykW_rLl7","isFallback":false,"isExperimentalCompile":false,"dynamicIds":[84888],"gssp":true,"scriptLoader":[]}