An award was made in February 2011 to AMDD (Averting Maternal Death and Disability, Columbia University) to fund implementation research on disrespect and abuse during facility-based childbirth in Tanzania. The purpose of the research is to document the manifestations and prevalence of disrespect and abuse (D&A) in facilities, measure prevalence of D&A, and to design, test, and evaluate an approach for reducing the problem. The research aims to promote respectful maternal care (the converse of disrespectful and abusive care) so demand for skilled delivery care increases and the quality of services rendered improves.
Tanzania: Korogwe and Muheza Districts, in the Tanga Region
The objectives of the study are as follows:
Study design and methods:
At the start of the project, the team met in Dar es Salaam to harmonize the project’s objectives, core indicators and research methodologies along with developing common definitions of disrespect and abuse.
Various study methods were adopted for the objectives of the study.
Further information and resources can be found on the AMDD Respectful Maternal Care page here.
The emerging topic of disrespect and abuse during childbirth continues to grow as researchers develop new, more robust methods to measure the prevalence of disrespect and abuse, as well as plan, implement, monitor and evaluate interventions to reduce disrespect and abuse and promote respectful maternal care. Several of the TRAction Project’s implementation partners have recently published journal articles on this topic. Click on the links below to read more.
by Stepahnie Kujawski, Godfrey Mbaruku, Lynn P. Freedman, Kate Ramsey, Wema Moyo, Margaret E. Kruk. Published in Maternal and Child Health Journal, May 2015
by Margaret E Kruk, Stephanie Kujawski, Godfrey Mbaruku, Kate Ramsey, Wema Moyo and Lynn P Freedman. Published in Health Policy and Planning, October 2014
by Lynn P Freedman, Margaret E Kruk. Published in The Lancet, June 2014.
Principal Investigator: Lynn Freedman, Columbia AMDD