Rethinking trust in the context of mistreatment of women during childbirth: a neglected focus

Govender, Veloshnee, Topp, Steph, and Tuncalp, Ozge (2022) Rethinking trust in the context of mistreatment of women during childbirth: a neglected focus. BMJ Global Health, 7 (5). e009490.

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[Extract] The mistreatment of women during childbirth is a global phenomenon.1 Mistreatment includes physical and verbal abuse, violations of privacy, stigma and discrimination, and neglect and abandonment. To date, much of the focus has been on measuring this phenomenon and the interpersonal relationships between women and health workers and the role of and abuse of power by these workers.2 However, more recently, there have been increasing calls for widening the lens on underlying drivers of mistreatment of women during childbirth to include the considerations of social, gender and economic inequalities,3 and systemic failures both at health facility and the health system levels.1 4 5

This recognition and renewed attention on the wider social, economic and political systems in which health systems are embedded is important for two reasons. First, while much of the mistreatment is often carried out by health workers and especially those at the frontline, it is important to recognise that many of these health workers are located lower in the organisational hierarchy, themselves overworked and abused in under-resourced and poorly supervised environments and overall dysfunctional health systems.6–9 This recognition has underpinned nascent investigation of the role of workplace and institutional trust in some settings.10–13

Item ID: 74282
Item Type: Article (Editorial)
ISSN: 2059-7908
Copyright Information: © Author(s) (or their employer(s)) 2022. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See:
Date Deposited: 26 May 2022 22:58
FoR Codes: 42 HEALTH SCIENCES > 4203 Health services and systems > 420311 Health systems @ 50%
42 HEALTH SCIENCES > 4204 Midwifery > 420499 Midwifery not elsewhere classified @ 25%
44 HUMAN SOCIETY > 4410 Sociology > 441011 Sociology of health @ 25%
SEO Codes: 20 HEALTH > 2005 Specific population health (excl. Indigenous health) > 200509 Women's and maternal health @ 50%
20 HEALTH > 2002 Evaluation of health and support services > 200206 Health system performance (incl. effectiveness of programs) @ 50%
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