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Effect of an Educational Intervention on Reducing Mistreatment in Gynecology and Obstetrics Services in Guinea: A
Mamadou Dioulde Balde1, Kaba Saran Keita1, Sadan Camara1
1Centre for Research in Reproductive Health in Guinea (CERREGUI), Conakry, Guinea.
Objective:
To evaluate the effects of the intervention on the prevention of mistreatment of women in gynecology and obstetrics units in Guinea.
Material And Methods:
A pre-post intervention study was conducted to assess the effects of the intervention. The study was carried out on a sample of clients were interviewed before and after the training. The impact of provider training was analyzed using robust Poisson regression models for binary variables.
Results:
Multivariate analyses showed an association between the intervention and overall reduction in the risk of experiencing violence or mistreatment of 43% in gynecology (adjusted RR = 0.57; 95% CI: 0.53-0.62) and 44% in obstetrics (adjusted RR = 0.56; 95% CI: 0.53-0.59). In gynecology, physical violence decreased by 30% and verbal violence by 22%. In obstetrics, decreases were similar, with a 31% reduction in physical violence and a 27% reduction in verbal violence. All estimates were statistically significant (p < 0.001) after adjustment for confounders.
Conclusion:
The intervention contributed to a significant reduced mistreatment in gynecology and obstetrics services. Continued professional training and community awareness are effective strategies for preventing obstetric and gynecological violence.
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