Obstetric violence and associated factors among HIV-infected women receiving birth care at Public Health Facilities in Addis Ababa, Ethiopia

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Abstract Background: Obstetrics violence is the adverse outcome of maternal and prenatal health. In the study context, there was limited data on obstetrics violence among HIV infected women. Therefore, the aim of this study to assess obstetric violence and its associated factors among HIV-infected women receiving birth at public health facilities in Addis Ababa Ethiopia. Methods: Institutional base cross-sectional study was conducted from Jan 1-30, 2021 at selected public health facilities in Addis Ababa Ethiopia. Thereafter, all covariates with p-value <0.2 is a cutoff points for bivariate analysis were considered for further multivariate logistic regression. Finally level of stastical significant were declared at p value <0.05. Result: A total of 318 HIV-infected women were participated in this study yielding 100% response rate. All type/form of obstetric violence were reported during the study period. Accordingly, Female birth attendant (AOR= 2.848; 95% CI 1.574, 5.153), women who had three times ANC-visitors (AOR= 2.994; 95% CI 1.390, 6.449), women age >35 years old (AOR= 2.471; 95% CI 1.245, 4.904) and women education primary school (AOR= 2.126; 95% CI 1.084, 4.170) were significantly associated with obstetric violence. Conclusion: This study indicated that the prevalence of obstetric violence among HIV infected women was high. Therefore, to reduce violence during birth care by ensuring clear policies and ethical standards of birth care will be develop and implement and also to rise quality of maternal birth care through an inclusive process by involving the participation all families and stakeholders.

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