Obstetric Violence and its Associated Factors Among Women Attending Intrapartum Care at Public Health Facilities of Addis Ababa, 2023.

BACKGROUND: - Intrapartum violence and abuse create psychological distance between women and care providers and then drive women away from formal health care systems in fear of being subjected to such violence; these violence and abuses are sometimes more prominent hindrances than geographical or financial barriers to maternal health service utilization. OBJECTIVE: This study aimed to assess the prevalence of obstetric violence and its associated factors among women receiving intrapartum care at public hospitals in Addis Ababa, Ethiopia,2023. METHODS: An institution-based cross-sectional study was conducted at six hospitals in Addis Ababa, Ethiopia. A total of 423 postpartum mothers were included in this study. Study participants selected using systematic random sampling. An interviewer-administered questionnaire was used to obtain necessary information on the sociodemographic characteristics of the participants, health system-related factors, obstetric-related factors and intrapartum obstetric violence-related questions. To maintain data quality, a pretest was administered at another site, and the data were checked for completeness, cleaned and entered into Epi-Data version 3.1 and exported into SPSS version 25 for analysis. The descriptive part was presented in tables and figures. A bivariable binary logistic regression was used to identify potential candidate variables (p<0.25) for multivariable binary logistic regression analysis. Basic assumptions for binary logistic regression were made, and model fitness was checked before running multiple binary logistic regression analyses. To control for potential confounding variables, multiple binary logistic regression analyses were performed, and the regression results are presented as the mean odds ratio (COR) and AOR with 95% CI, with a p value less than 0.05 indicating statistical significance. RESULTS: The magnitude of intrapartum obstetric violence was 56.5%. The findings of the study showed that age (AOR: 6.4, 95% CI (2.76, 14.89), occupation (AOR: .15895% CI (.072, 346), number of ANC visits (AOR: 7.2095% CI (2.66, 19.52), duration of hospitalization at HFs (AOR: 6.57, 95% CI (2.95, 14.64), duration of assisted delivery (AOR: .424, .227, .791), and sex of health professionals who attended (AOR: 2.14, 95% CI (1.07, 1.28)) were factors associated with intrapartum obstetric violence. CONCLUSION AND RECOMMENDATION: The magnitude of intrapartum violence was high. Any responsible body should intervene in these factors.