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The effect of a multi-component intervention on disrespect and abuse during childbirth in Kenya

Overview of attention for article published in BMC Pregnancy and Childbirth, September 2015
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About this Attention Score

  • In the top 25% of all research outputs scored by Altmetric
  • High Attention Score compared to outputs of the same age (91st percentile)

Mentioned by

1 policy source
24 tweeters
1 Facebook page


68 Dimensions

Readers on

249 Mendeley
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The effect of a multi-component intervention on disrespect and abuse during childbirth in Kenya
Published in
BMC Pregnancy and Childbirth, September 2015
DOI 10.1186/s12884-015-0645-6
Pubmed ID

Timothy Abuya, Charity Ndwiga, Julie Ritter, Lucy Kanya, Ben Bellows, Nancy Binkin, Charlotte E. Warren


Disrespect and abuse (D & A) during labor and delivery are important issues correlated with human rights, equity, and public health that also affect women's decisions to deliver in facilities, which provide appropriate management of maternal and neonatal complications. Little is known about interventions aimed at lowering the frequency of disrespectful and abusive behaviors. Between 2011 and 2014, a pre-and-post study measured D & A levels in a three-tiered intervention at 13 facilities in Kenya under the Heshima project. The intervention involved working with policymakers to encourage greater focus on D & A, training providers on respectful maternity care, and strengthening linkages between the facility and community for accountability and governance. At participating facilities, postpartum women were approached at discharge and asked to participate in the study; those who consented were administered a questionnaire on D & A in general as well as six typologies, including physical and verbal abuse, violations of confidentiality and privacy, detainment for non-payment, and abandonment. Observation of provider-patient interaction during labor was also conducted in the same facilities. In both exit interview and observational studies, multivariate analyses of risk factors for D & A controlled for differences in socio-demographic and facility characteristics between baseline and endline surveys. Overall D & A decreased from 20-13 % (p < 0.004) and among four of the six typologies D & A decreased from 40-50 %. Night shift deliveries were associated with greater verbal and physical abuse. Patient and infant detainment declined dramatically from 8.0-0.8 %, though this was partially attributable to the 2013 national free delivery care policy. Although a number of contextual factors may have influenced these findings, the magnitude and consistency of the observed decreases suggest that the multi-component intervention may have the potential to reduce the frequency of D & A. Greater efforts are needed to develop stronger evaluation methods for assessing D & A in other settings.

Twitter Demographics

The data shown below were collected from the profiles of 24 tweeters who shared this research output. Click here to find out more about how the information was compiled.

Mendeley readers

The data shown below were compiled from readership statistics for 249 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Colombia 1 <1%
Kenya 1 <1%
South Africa 1 <1%
United Kingdom 1 <1%
Congo, The Democratic Republic of the 1 <1%
Unknown 244 98%

Demographic breakdown

Readers by professional status Count As %
Student > Master 72 29%
Researcher 47 19%
Student > Ph. D. Student 32 13%
Student > Doctoral Student 18 7%
Student > Postgraduate 12 5%
Other 39 16%
Unknown 29 12%
Readers by discipline Count As %
Medicine and Dentistry 73 29%
Nursing and Health Professions 56 22%
Social Sciences 46 18%
Psychology 6 2%
Business, Management and Accounting 4 2%
Other 22 9%
Unknown 42 17%

Attention Score in Context

This research output has an Altmetric Attention Score of 20. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 01 August 2019.
All research outputs
of 15,555,703 outputs
Outputs from BMC Pregnancy and Childbirth
of 2,863 outputs
Outputs of similar age
of 250,410 outputs
Outputs of similar age from BMC Pregnancy and Childbirth
of 1 outputs
Altmetric has tracked 15,555,703 research outputs across all sources so far. Compared to these this one has done particularly well and is in the 93rd percentile: it's in the top 10% of all research outputs ever tracked by Altmetric.
So far Altmetric has tracked 2,863 research outputs from this source. They typically receive more attention than average, with a mean Attention Score of 8.3. This one has done particularly well, scoring higher than 91% of its peers.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 250,410 tracked outputs that were published within six weeks on either side of this one in any source. This one has done particularly well, scoring higher than 91% of its contemporaries.
We're also able to compare this research output to 1 others from the same source and published within six weeks on either side of this one. This one has scored higher than all of them