Item | Nigeria (n=407) % | Ghana (n=912) % | Guinea (n=655) % |
Interpersonal Abuse Scale (7 items) | |||
1.Shouted/screamed at | 52.6 | 20.7 | 21.2 |
2.Insulted | 20.2 | 2.9 | 2.8 |
3.Scolded | 26.5 | 8.1 | 11.9 |
4.Mocked | 21.4 | 2.4 | 7.9 |
5.Negative comments * | 11.6 | 5.4 | 2.3 |
6.Threatened † | 16.5 | 5.9 | 3.4 |
7.Physical abuse ‡ | 27.0 | 8.1 | 15.9 |
Mean Scale Score (±SD)
Maximum score: 7 points | 1.8 (1.8) (range: 0–7) | 0.5 (1.0) (range: 0–6) | 0.7 (1.0) (range: 0–7) |
% of women>country mean | 48.2 | 31.4 | 39.9 |
Exams & Procedures Index (3 items) (N=1538) | (N=350) | (N=797) | (N=391) |
1.No informed consent | 78.6 | 72.5 | 50.1 |
2.Exposed | 75.7 | 6.7 | 28.9 |
3.Confidential information | 47.4 | 4.1 | 9.7 |
Mean Index Score (±SD)
Maximum score: 3 points | 2.0 (0.97) (range: 0–3) | 0.8 (0.60) (range: 0–3) | 0.9 (0.76) (range: 0–3) |
% of women>country mean | 38.9 | 74.3 | 66.8 |
Unsupportive Birth Environment Index (12 items) | |||
1. No pain relief | 92.9 | 86.1 | 87.5 |
2. No interpreter | 0.7 | 1.3 | 0.3 |
3. No staff present at birth | 7.6 | 1.9 | 8.1 |
4. Not offered labour companion | 96.1 | 93.6 | 88.4 |
5. Neglected | 1.5 | 0.2 | 0.8 |
6. Bribe | 3.4 | 0.7 | 6.4 |
7.Clean up blood/fluids | 1.5 | -- | 0.2 |
8. Fluids | 43.0 | 43.6 | 30.8 |
9. Mobilise | 93.6 | 75.9 | 19.1 |
10. No curtains/partitions | 88.5 | 15.1 | 63.5 |
11. No bed | 1.2 | 0.9 | 4.6 |
12. Shared bed | 0.3 | 1.2 | 21.8 |
Mean Index Score (±SD)
Maximum score: 12 points | 4.3 (0.81) (range: 2–7) | 3.2 (1.0) (range: 1–6) | 3.3 (1.1) (range: 1–7) |
% of women>country mean | 40.1 | 42.0 | 39.5 |
*Assessed as: Did the woman receive negative comments about: (1) her physical appearance (including her weight, genitalia, cleanliness or other aspects of a woman’s body), (2) her sexual activity, (3) or her baby’s appearance (including his/her sex or other aspects of the baby)?.
†Assessed as: Was the woman threatened with: (1) physical violence, (2) a poor outcome for her or her baby, (3) withholding care from her or her baby or (4) with the use of a medical procedure (such as episiotomy, Caesarean or other procedure)?.
‡Assessed as: Did the woman experience at least one of the following?: pinched, kicked, slapped, punched or hit with instrument, gagged, physically tied to the bed, held down to the bed forcefully, given forceful downward pressure on abdomen, other use of physical force.