1 / 17

Measuring Prevalence of Disrespect and Abuse during Childbirth in Tanzania and Ethiopia:

Measuring Prevalence of Disrespect and Abuse during Childbirth in Tanzania and Ethiopia: The Hansen Project . Hannah Ratcliffe June 24, 2014. Partnerships. Study Areas. Dar es Salaam, Tanzania. Amhara & SNNP Regions, Ethiopia. Photo credit : Brenda D’mello , CCBRT.

vivian
Download Presentation

Measuring Prevalence of Disrespect and Abuse during Childbirth in Tanzania and Ethiopia:

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Measuring Prevalence of Disrespect and Abuse during Childbirth in Tanzania and Ethiopia: The Hansen Project Hannah Ratcliffe June 24, 2014

  2. Partnerships

  3. Study Areas Dar es Salaam, Tanzania Amhara & SNNP Regions, Ethiopia Photo credit: Brenda D’mello, CCBRT Photo credit: Kelly Ramundo/USAID

  4. Study Design • Baseline study • TZ: April – August, 2013; ET: July – September, 2013 • What are types and prevalence of disrespect and abuse among women delivering in public health facilities? • What are factors associated with disrespect and abuse? • Intervention Phase (ongoing) • Which locally acceptable, effective, and sustainable intervention(s) can reduce disrespect and abuse during childbirth? • Evaluation

  5. Research Methods

  6. Seven Categories of Disrespect and Abuse Bowser and Hill 2010

  7. Operationalizing the 7 Categories

  8. Calculating Prevalence • Cross-country and cross-regional comparisons using a variety of methods have yielded several lessons learned: • Context matters • Timing and setting matter • Question phrasing matters • And several outstanding questions: • Whose opinion counts? • How is reporting influenced by normalization and biases?

  9. Calculating Prevalence—Context Matters Differences between countries at exit interview:

  10. Calculating Prevalence—Context Matters Differences by region within countries:

  11. Calculating Prevalence—Timing & Setting Matter Differences between reporting at Exit and CFU interviews:

  12. Calculating Prevalence—Phrasing Matters

  13. Calculating Prevalence: Whose opinion matters? Comparing prevalence from interviews and observations:

  14. Reporting: Normalization and Bias • “Prevalence” from exit interview/CFU is actually reported prevalence • Reporting is as complicated and personal as the experiencing of the event • Evidence of possible normalization—comparing observation and exit interviews • Bias in reporting caused by: • Post-delivery factors: exhaustion, relief, etc. • Fear of retribution

  15. Conclusions and Next Steps • Will report “prevalence” primarily as experienced D&A from exit interviews and community follow-up • Working to determine an appropriate way to calculate observed prevalence • Evaluation in Tanzania will be based on community follow-up • Evaluation design in Ethiopia still pending

  16. Acknowledgements • John and Katie Hansen Family Foundation • Tanzania Ministry of Health and Social Welfare • Ethiopia Federal Ministry of Health

  17. Thank You! Hannah Ratcliffe hratclif@hsph.harvard.edu www.maternalhealthtaskforce.org www.womenandhealthinitiative.org

More Related