ORIGINAL RESEARCH article
Front. Public Health
Sec. Public Health Education and Promotion
Volume 13 - 2025 | doi: 10.3389/fpubh.2025.1510430
This article is part of the Research TopicPrioritizing Pleasure in Reproductive and Maternal Health to Address Obstetric ViolenceView all 4 articles
Effectiveness of Person-centred Intervention on Obstetric violence during facility childbirth among women who delivered in public hospitals in southwest Ethiopia
Provisionally accepted
- Institute of Health, Jimma University, Jimma, Oromia Region, Ethiopia
Select one of your emails
You have multiple emails registered with Frontiers:
Notify me on publication
Please enter your email address:
If you already have an account, please login
You don't have a Frontiers account ? You can register here
Background: Obstetric violence is a significant public health issue affecting reproductive health services and maternal outcomes. Despite studies documenting its prevalence in Ethiopia, no experimental study has assessed intervention effects. This study evaluates person-centered interventions for obstetric violence in southwest Ethiopia's public hospitals using an experimental design.A quasi-experimental study in southwest Ethiopia involved 396 women, divided into control (198) and intervention (198) groups. The intervention group received person-centered interventions, including respectful maternity care workshops and maternal recognition certificates, while the control group received standard care. Statistical analyses included t-tests and regression to assess the intervention's impact on obstetric violence.The proportion of women who utilized companions during facility childbirth was greater in the intervention group (25.8%; 95% CI 19.6%, 31.9%) than in the control group (12.1%; 95% CI 7.5%, 16.7%). The proportion of women who experienced obstetric violence decreased significantly in the intervention group compared with the control group (IG 42.05+6.97; CG 66.45+12.12; p < 0.000), with a 26.00-point decrease in the experimental group. The multivariable general linear model revealed that the mean difference (MD) of nonconfidential care (MD= -3.28; 95% CI -3.66, -2.90), non-dignified care (MD= -7.03; 95% CI -7.76, -6.31), non-consented care ) and detention (MD= -0.28; 95% CI -0.51, -0.05) were significantly reduced in the intervention group, with effect sizes of 0.421, 0.480, 0.380, 0.479, 0.382 and 0.014, respectively. Women in the intervention group had obstetric violence score that are, on average, 23 points lower ) than those in the control group. women in the intervention group who had frequent contact with healthcare providers experienced, on average, seven lower points of obstetric violence (β = -7.47; 95% CI -4.055, 18.37) compared to those in the control group. Conclusions: This study revealed that implementing person-centered interventions through respectful maternity care workshops, maternity open days and maternal certificates of recognition significantly decreases the incidence of Obstetric violence and ultimately promotes respectful maternal care and improves maternal healthcare service.
Keywords: Obstetric violence, Person-centered intervention, Childbirth, Hospitals, Ethiopia Conceptualization, Data curation, Funding acquisition, methodology
Received: 12 Oct 2024; Accepted: 24 Jun 2025.
Copyright: © 2025 Taye and Belachew. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
* Correspondence: Ayanos Taye, Institute of Health, Jimma University, Jimma, Oromia Region, Ethiopia
Disclaimer: All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.