2023-09-28 14:46:10 +00:00
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abstract: 'Background: This paper responds to the global call to action for
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respectful maternity care (RMC) by examining whether and how gender
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inequalities and unequal power dynamics in the health system undermine
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quality of care or obstruct women''s capacities to exercise their rights
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as both users and providers of maternity care.
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Methods: We conducted a mapping review of peer-reviewed and gray
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literature to examine whether gender inequality is a determinant of
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mistreatment during childbirth. A search for peer-reviewed articles
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published between January 1995 and September 2017 in PubMed, Embase,
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SCOPUS, and Web of Science databases, supplemented by an appeal to
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experts in the field, yielded 127 unique articles. We reviewed these
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articles using a gender analysis framework that categorizes gender
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inequalities into four key domains: access to assets, beliefs and
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perceptions, practices and participation, and institutions, laws, and
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policies. A total of 37 articles referred to gender inequalities in the
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four domains and were included in the analysis.
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Results: The mapping indicates that there have been important advances
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in documenting mistreatment at the health facility, but less attention
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has been paid to addressing the associated structural gender
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inequalities. The limited evidence available shows that pregnant and
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laboring women lack information and financial assets, voice, and agency
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to exercise their rights to RMC. Women who defy traditional feminine
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stereotypes of chastity and serenity often experience mistreatment by
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providers as a result. At the same time, mistreatment of women inside
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and outside of the health facility is normalized and accepted, including
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by women themselves. As for health care providers, gender discrimination
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is manifested through degrading working conditions, lack of respect for
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their abilities, violence and harassment,, lack of mobility in the
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community, lack of voice within their work setting, and limited training
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opportunities and professionalization. All of these inequalities erode
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their ability to deliver high quality care.
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Conclusion: While the evidence base is limited, the literature clearly
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shows that gender inequality-for both clients and providers-contributes
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to mistreatment and abuse in maternity care. Researchers, advocates, and
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practitioners need to further investigate and build upon lessons from
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the broader gender equality, violence prevention, and rights-based
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health movements to expand the agenda on mistreatment in childbirth and
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develop effective interventions.'
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affiliation: 'Betron, ML (Corresponding Author), USAIDs Maternal \& Child Survival
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Program Jhpiego, 1776 Massachusetts Ave NW, Washington, DC 20036 USA.
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Betron, Myra L.; Currie, Sheena; Banerjee, Joya, USAIDs Maternal \& Child Survival
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Program Jhpiego, 1776 Massachusetts Ave NW, Washington, DC 20036 USA.
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McClair, Tracy L., Jhpiego, 1776 Massachusetts Ave NW, Washington, DC 20036 USA.'
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article-number: '143'
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author: Betron, Myra L. and McClair, Tracy L. and Currie, Sheena and Banerjee, Joya
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author-email: Myra.Betron@jhpiego.org
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author_list:
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- family: Betron
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given: Myra L.
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- family: McClair
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given: Tracy L.
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- family: Currie
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given: Sheena
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- family: Banerjee
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given: Joya
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da: '2023-09-28'
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doi: 10.1186/s12978-018-0584-6
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files: []
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issn: 1742-4755
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journal: REPRODUCTIVE HEALTH
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keywords: 'Disrespect and abuse; Mistreatment; Gender; Maternal health; Quality of
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care; Respectful maternity care (RMC); Gender-based violence'
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keywords-plus: 'HEALTH-CARE; CHILDBIRTH; ABUSE; DISRESPECT; WOMEN; CHALLENGES; VIOLENCE;
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INTERVENTIONS; EXPERIENCES; FRAMEWORK'
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language: English
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month: AUG 28
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number-of-cited-references: '61'
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orcid-numbers: 'Banerjee, Joya/0000-0002-9076-2011
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Betron, Myra/0000-0002-1307-2949
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McClair, Tracy/0000-0002-5045-7514'
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papis_id: e5201a56889f5a615257810137040aec
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ref: Betron2018expandingagenda
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researcherid-numbers: 'Banerjee, Joya/C-7949-2015
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'
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tags:
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- review
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times-cited: '46'
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title: 'Expanding the agenda for addressing mistreatment in maternity care: a mapping
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review and gender analysis'
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2023-10-01 08:15:07 +00:00
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type: article
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2023-09-28 14:46:10 +00:00
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unique-id: WOS:000443348900001
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usage-count-last-180-days: '0'
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usage-count-since-2013: '7'
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volume: '15'
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web-of-science-categories: Public, Environmental \& Occupational Health
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year: '2018'
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