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