Skip to main content

19% rural UP women taking maternal care 'shouted upon, insulted, threatened': Survey

By Our Representative
A recent study funded, among others, by the Bill & Melinda Gates Foundation, seeking to analyse what it calls person-centred maternity care or PCMC, has found that 57% of the 1,475 women surveyed taking maternity care in India reported that health service providers, including hospital managers, doctors and nurses, “never asked permission before performing medical procedures”, while 69% of women “reported that providers did not explain the purpose of examinations or procedures”.
Regretting that 58% of the women reported that they did not receive explanations on medications they were given, the study, published in the prestigious health journal “Lancet”, and carried out by Patience A Afulani, Beth Phillips, Raymond A Aborigo and Cheryl A Moyer, further found that in 18% of cases of doctors, nurses, or other health-care providers generally “shouted, scolded, insulted, threatened, or talked rudely” on women who had come for maternity care.
Carried out among women in Ghana, Kenya and India, the survey involved women in the age group 15–49 (average age 25) in 20 “predominantly rural” districts or Uttar Pradesh, with the University of California and the Community Empowerment Lab (India) working as collaborative partners. The “cross-sectional study” was carried out to find out the quality of maternity care in rural Uttar Pradesh.
The study revealed that in 23% of cases doctors, nurses, or other staff did not generally treat women for with respect, and in about 19% of cases they were shouted upon, scolded, insulted, or threatened. However, in 97% of cases, the women agreed, they were not “treated roughly” – by being pushed, beaten, slapped, pinched, physically restrained, or gagged.
The survey found that during examinations in the labour room, 32% of those surveyed complained they were “not covered up”; 38% said they felt that their “health information was or will be kept confidential”; and in 98% of cases the healthcare providers never introduced themselves when they first came to see the women.
Further, in 50% of cases the healthcare providers didn’t call the women by their name; and in 71% cases doctors, nurses or other staff at the facility did not involve women in the decisions about their care. Further, during delivery, in 87% of cases, the doctors, nurses, or other staff at the facility did not seek permission or consent before doing procedures on women. 
In a cross-sectional study in rural Uttar Pradesh, 23% of women under maternal healthcare felt that most doctors, nurses, or other staff did not treat women for with respect
According to the survey, in 69% of cases the doctors and nurses never explained why they were doing examinations or procedures; in 78% of cases most of the time the health service providers did not explain what medicines were being given; in 35% of cases they generally did not feel like any questions which they had; in 78% of cases the doctors and nurses did not talk to them about how they were feeling; and in 55% of cases they did not try to understand the women’s anxieties.
Coming to infrastructure of the health facilities, the survey found that 39% of those surveyed felt that the labour and postnatal wards were crowded; 37% said the wards, washrooms, and the general environment of the health facility were dirty or very dirty; and 15% said most of the time there was no water facility.
Pointing out that in a scale in which 0 is the worst score and 90 is the best, the healthcare facilities in India had PCMC score of 40, the study, however, said, “In India, employed and wealthier women reported a higher PCMC score than did unemployed and poorer women, as did women who delivered in the health centres when compared with those who delivered in hospitals.”

Comments

TRENDING

Congress 'promises' cancellation of Adani power project: Jharkhand elections

Counterview Desk
Pointing out that people's issues take a backseat in Jharkhand's 2019 assembly elections, the state's civil rights organization, the Jharkhand Janadhikar Mahasabha, a coalition of activists and people’s organisations, has said that political parties have largely ignored in their electoral manifestos the need to implement the fifth schedule of the Constitution in a predominantly tribal district.

Ex-World Bank chief economist doubts spurt in India's ease of doing business rank

By Rajiv Shah
This is in continuation of my previous blog where I had quoted from a commentary which top economist Prof Kaushik Basu had written in the New York Times (NYT) a little less than a month ago, on November 6, to be exact. He recalled this article through a tweet on November 29, soon after it was made known that India's growth rate had slumped (officially!) to 4.5%.

Worrying signs in BJP: Modi, Shah begin 'cold-shouldering' Gujarat CM, party chief

By RK Misra*
The political developments in neighbouring Maharashtra where a Shiv Sena-NCP-Congress government assumed office has had a trickle down effect in Gujarat with both the ruling BJP and the Congress opposition going into revamp mode.

History 'will remember' 2019 for silencing dissent, democracy, human rights

By V Suresh*
In the annals of contemporary Indian human rights history 2019 will be marked as the year when the Indian state – the Government of India – exhibited its near total disdain for human rights and rule of law by committing, not by individual or localized acts of human rights abuse alone; in a dramatic manner, the Government exhibited its might in a colossal, huge, collective and fearsome manner its utter disrespect for constitutional values and ethics and that it considered fundamental freedoms and human rights as mere scraps of paper.

Food security? Tribals rendered 'niraadhaar' without aadhaar in Gujarat's Adivasi belt

By Pankti Jog*
Government data on Universal Identity (UID) or aadhaar website may show a coverage of up to 95% till March 2019. But ground realities are not so glorious. In fact, villages of Devgadh Baria block of Dahod, a predominantly Adivasi district in Gujarat's eastern tribal belt, are facing the bitter truth: That you are virtually a niraadhar (orphan) without an aadhaar number.

'Favouring' tribals and ignoring Adivasis? Behind coercion of India's aborigines

By Mohan Guruswamy*
Tribal people account for 8.2% of India’s population. They are spread over all of India’s States and Union Territories. Even so they can be broadly classified into three groupings. The first grouping consists of populations who predate the Indo-Aryan migrations. These are termed by many anthropologists as the Austro-Asiatic-speaking Australoid people.

Assam Foreigners Tribunals: How procedures, laws failed to consider gender discrimination

Counterview Desk
Even as criticising India's courts, especially the Supreme Court and the Guwahati High Court, for complicitity towards exclusion and abuse perpetuated through the Foreigners Tribunals set up across Assam to identify who all are "genuine citizens", well-known NGO Amnesty International in its recent  report, "Designed to Exclude: How India's Courts are Allowing Foreigners Tribunals to Render People Stateless in Assam" says,  the whole system has had harsh impact on the lives of women.