Citation

Region & Location

Methodology & Year

Intervention Design

Community and health system intervention to reduce disrespect and abuse during childbirth in Tanga region: A comparative before-and-after study [44]

Tanga region

Hospitals

Comparative before-and-after evaluation design.

Baseline survey N = 1388 women.

Post-intervention survey N = 1680 women.

2011-2012, 2015.

Staha Intervention.

Adoption of a client service charter adapted by community and facility stakeholders.

Norms and guidelines laid down in the charter were activated through quality improvement processes in the maternity ward of the intervention facility.

A survey was performed at baseline and 10 months after the intervention was implemented.

D&A events reported

Results

Women in intervention facility were less likely to report neglect (OR: 0.36, 95% CI: 0.19 - 0.71).

Less likely to report physical abuse (OR: 0.22, 95% CI: 0.05 - 0.97).

Increased likelihood of rating the care received as excellent or very good.

and rating the respect providers showed them as excellent or very good.

3.39% decrease in percent of all women who experienced D&A between control and intervention health facility.

Staha Intervention was linked with 66% reduced odds of a woman experiencing D&A during childbirth.