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Table 8 Multivariate logistic GLMMs assessing risk factors for observed incidences of disrespect and abuse among maternity patients whose care was observed as part of the Heshima project at baseline (2011) and endline (2014) in 13 facilities in Kenya, n = 1,200*

From: The effect of a multi-component intervention on disrespect and abuse during childbirth in Kenya

 

During examination

During Delivery

Postpartum

 

Non-consented carea

Verbal abuseb

Lack of privacyc

Physical aggression

Verbal aggression

Lack of privacyd

Shared bed

 

AOR (95 % CI)

AOR (95 % CI)

AOR (95 % CI)

AOR (95 % CI)

AOR (95 % CI)

AOR (95 % CI)

AOR (95 % CI)

Group

 Baseline

Refe

Ref

Refe

Refe

Ref

Refe

Refe

 Endline

3.29 (2.38 – 4.55)

0.78 (0.55 – 1.10)

0.24 (0.17 – 0.34)

0.12 (0.03 – 0.49)

0.71 (0.45 – 1.12)

0.31 (0.20 – 0.50)

1.57 (1.18 – 2.08)

Age (for each additional year)

0.99 (0.95 – 1.02) f

1.00 (0.96 – 1.04)

0.97 (0.94 – 1.01)

1.01 (0.91 – 1.11)

1.03 (0.98 – 1.09)

0.98 (0.93 – 1.03)

0.97 (0.94 – 1.01)

Parity

 0

Ref

Ref

Ref

Ref

Ref

Ref

Ref

 1-2

0.88 (0.63 – 1.24)

1.15 (0.78 – 1.70)

0.91 (0.64 – 1.29)

0.89 (0.36 – 2.18)

0.65 (0.40 – 1.07)

0.89 (0.53 – 1.50)

1.14 (0.83 – 1.56)

 3+

1.22 (0.67 – 2.23)

1.00 (0.49 – 2.02)

1.15 (0.61 – 2.16)

0.57 (0.09 – 3.57)

0.48 (0.18 – 1.27)

1.16 (0.51 – 2.65)

1.44 (0.81 – 2.58)

Time of delivery

 Day

Reff

Ref

Refe

Ref

Ref

Refe

Ref

 Night

0.74 (0.53 – 1.02)

1.15 (0.81 – 1.64)

1.39 (1.01 – 1.92)

0.59 (0.23 – 1.50)

0.94 (0.60 – 1.49)

1.96 (1.21 – 3.18)

1.15 (0.87 – 1.52)

Facility sector

 Government

Ref

Ref

Ref

Ref

Ref

Ref

Ref

 Private/Faith based

0.27 (0.04 – 2.02)

0.69 (0.12 – 3.98)

1.60 (0.28 – 9.20)

1.10 (0.12 – 10.19)

1.02 (0.24 – 4.44)

0.34 (0.01 – 8.51)

0.36 (0.03 – 4.81)

Voucher status

 No vouchers

Refe

Ref

Ref

Reff

Reff

Ref

Refe

 Vouchers

7.15 (1.08 – 47.34)

2.64 (0.52 – 13.31)

1.31 (0.13 – 13.03)

4.19 (0.81 – 21.74)

3.19 (0.91 – 11.19)

2.78 (0.15 – 53.26)

13.70 (1.32 – 141.96)

  1. *Missing values < 11 %
  2. aNot obtaining permission or consent before vaginal exam
  3. bUse of harsh tones, shouting, or non-dignified language
  4. cNo partitions or partitions not closed
  5. dNot covered while being moved from per-labor ward to delivery room; not covered (excluding perineal area) during delivery; partitions not closed
  6. eStatistically significant at p < 0.05
  7. fStatistically significant at p < 0.10