Obstetric Violence and Its Associated Factors Among HIV-Positive Women Receiving Birth Care at Public Health Facilities in Addis Ababa, Ethiopia

Anteneh Wondimagegn Assefa; Basha Ayele; Seteamlak Adane Masersha

doi:doi:10.11648/j.bsi.20251004.11

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Obstetric Violence and Its Associated Factors Among HIV-Positive Women Receiving Birth Care at Public Health Facilities in Addis Ababa, Ethiopia

Anteneh Wondimagegn Assefa^*

, Basha Ayele

, Seteamlak Adane Masersha

Published in Biomedical Statistics and Informatics (Volume 10, Issue 4)

Received: 22 August 2025 Accepted: 9 September 2025 Published: 30 October 2025

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Abstract

Background: Obstetric violence is an emerging health problem in the utilization of maternal health services. In the study context, there was limited evidence on obstetric violence. Hence, the aim of this study was to assess obstetric violence and its associated factors among HIV-positive women who received birth care at public health facilities, in Addis Ababa, Ethiopia. Results: A total of 318 HIV-positive women participated in this study, yielding a 100% response rate. In this study, 79% of the HIV-positive women reported that they had been subjected to at least one form of obstetric violence during birth care. The top three reported forms of obstetric violence were as follows: 249 (78.3%) failed to provide informed consent, 227 (71.4%) did not complete medical procedures and 140 (44%) did not suffer life-threatening complications. The multivariable logistic regression analysis revealed that female birth status (AOR= 2.85; 95% CI 1.57, 5.15), fewer than three ANC visits (AOR= 2.99; 95% CI 1.39, 6.45), age >35 years old (AOR= 2.47; 95% CI 1.25, 4.90) and primary school attendance (AOR= 2.13; 95% CI 1.08, 4.17) were significantly associated with obstetric violence. This study revealed a high prevalence of obstetric violence among HIV -positive women. Hence, mitigation needs to be undertaken by taking the reported forms of obstetrics obstetric violence, and socio-demographic and obstetric variables by ensuring a systematic and strategic intervention for quality birth care utilization through the involvement of families, communities, the government and stakeholders.

Published in	Biomedical Statistics and Informatics (Volume 10, Issue 4)
DOI	10.11648/j.bsi.20251004.11
Page(s)	84-92
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2025. Published by Science Publishing Group

Keywords

Birth Care, HIV-positive Women, Obstetric Violence, Public Health Facilities

References

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[23]	Elkhateeb et al. Impact of domestic violence against pregnant women in Minia governorate, Egypt: a cross sectional study. 2021: 5.
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Assefa, A. W., Ayele, B., Masersha, S. A. (2025). Obstetric Violence and Its Associated Factors Among HIV-Positive Women Receiving Birth Care at Public Health Facilities in Addis Ababa, Ethiopia. Biomedical Statistics and Informatics, 10(4), 84-92. https://doi.org/10.11648/j.bsi.20251004.11

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ACS Style

Assefa, A. W.; Ayele, B.; Masersha, S. A. Obstetric Violence and Its Associated Factors Among HIV-Positive Women Receiving Birth Care at Public Health Facilities in Addis Ababa, Ethiopia. Biomed. Stat. Inform. 2025, 10(4), 84-92. doi: 10.11648/j.bsi.20251004.11

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AMA Style

Assefa AW, Ayele B, Masersha SA. Obstetric Violence and Its Associated Factors Among HIV-Positive Women Receiving Birth Care at Public Health Facilities in Addis Ababa, Ethiopia. Biomed Stat Inform. 2025;10(4):84-92. doi: 10.11648/j.bsi.20251004.11

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@article{10.11648/j.bsi.20251004.11,
  author = {Anteneh Wondimagegn Assefa and Basha Ayele and Seteamlak Adane Masersha},
  title = {Obstetric Violence and Its Associated Factors Among HIV-Positive Women Receiving Birth Care at Public Health Facilities in Addis Ababa, Ethiopia
},
  journal = {Biomedical Statistics and Informatics},
  volume = {10},
  number = {4},
  pages = {84-92},
  doi = {10.11648/j.bsi.20251004.11},
  url = {https://doi.org/10.11648/j.bsi.20251004.11},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.bsi.20251004.11},
  abstract = {Background: Obstetric violence is an emerging health problem in the utilization of maternal health services. In the study context, there was limited evidence on obstetric violence. Hence, the aim of this study was to assess obstetric violence and its associated factors among HIV-positive women who received birth care at public health facilities, in Addis Ababa, Ethiopia. Results: A total of 318 HIV-positive women participated in this study, yielding a 100% response rate. In this study, 79% of the HIV-positive women reported that they had been subjected to at least one form of obstetric violence during birth care. The top three reported forms of obstetric violence were as follows: 249 (78.3%) failed to provide informed consent, 227 (71.4%) did not complete medical procedures and 140 (44%) did not suffer life-threatening complications. The multivariable logistic regression analysis revealed that female birth status (AOR= 2.85; 95% CI 1.57, 5.15), fewer than three ANC visits (AOR= 2.99; 95% CI 1.39, 6.45), age >35 years old (AOR= 2.47; 95% CI 1.25, 4.90) and primary school attendance (AOR= 2.13; 95% CI 1.08, 4.17) were significantly associated with obstetric violence. This study revealed a high prevalence of obstetric violence among HIV -positive women. Hence, mitigation needs to be undertaken by taking the reported forms of obstetrics obstetric violence, and socio-demographic and obstetric variables by ensuring a systematic and strategic intervention for quality birth care utilization through the involvement of families, communities, the government and stakeholders.
},
 year = {2025}
}

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TY  - JOUR
T1  - Obstetric Violence and Its Associated Factors Among HIV-Positive Women Receiving Birth Care at Public Health Facilities in Addis Ababa, Ethiopia

AU  - Anteneh Wondimagegn Assefa
AU  - Basha Ayele
AU  - Seteamlak Adane Masersha
Y1  - 2025/10/30
PY  - 2025
N1  - https://doi.org/10.11648/j.bsi.20251004.11
DO  - 10.11648/j.bsi.20251004.11
T2  - Biomedical Statistics and Informatics
JF  - Biomedical Statistics and Informatics
JO  - Biomedical Statistics and Informatics
SP  - 84
EP  - 92
PB  - Science Publishing Group
SN  - 2578-8728
UR  - https://doi.org/10.11648/j.bsi.20251004.11
AB  - Background: Obstetric violence is an emerging health problem in the utilization of maternal health services. In the study context, there was limited evidence on obstetric violence. Hence, the aim of this study was to assess obstetric violence and its associated factors among HIV-positive women who received birth care at public health facilities, in Addis Ababa, Ethiopia. Results: A total of 318 HIV-positive women participated in this study, yielding a 100% response rate. In this study, 79% of the HIV-positive women reported that they had been subjected to at least one form of obstetric violence during birth care. The top three reported forms of obstetric violence were as follows: 249 (78.3%) failed to provide informed consent, 227 (71.4%) did not complete medical procedures and 140 (44%) did not suffer life-threatening complications. The multivariable logistic regression analysis revealed that female birth status (AOR= 2.85; 95% CI 1.57, 5.15), fewer than three ANC visits (AOR= 2.99; 95% CI 1.39, 6.45), age >35 years old (AOR= 2.47; 95% CI 1.25, 4.90) and primary school attendance (AOR= 2.13; 95% CI 1.08, 4.17) were significantly associated with obstetric violence. This study revealed a high prevalence of obstetric violence among HIV -positive women. Hence, mitigation needs to be undertaken by taking the reported forms of obstetrics obstetric violence, and socio-demographic and obstetric variables by ensuring a systematic and strategic intervention for quality birth care utilization through the involvement of families, communities, the government and stakeholders.

VL  - 10
IS  - 4
ER  -

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Author Information

Anteneh Wondimagegn Assefa

Department of Public Health, Welidiya University, North Wollo Welidiya City, Ethiopia

Contact Email

http://orcid.org/0009-0002-0451-110X
Basha Ayele

Department of Public Health, Welidiya University, North Wollo Welidiya City, Ethiopia

Contact Email

http://orcid.org/0000-0003-2281-7858
Seteamlak Adane Masersha

Department of Public Health, Welidiya University, North Wollo Welidiya City, Ethiopia

Contact Email

http://orcid.org/0000-0002-0028-8943

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APA Style

Assefa, A. W., Ayele, B., Masersha, S. A. (2025). Obstetric Violence and Its Associated Factors Among HIV-Positive Women Receiving Birth Care at Public Health Facilities in Addis Ababa, Ethiopia. Biomedical Statistics and Informatics, 10(4), 84-92. https://doi.org/10.11648/j.bsi.20251004.11

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ACS Style

Assefa, A. W.; Ayele, B.; Masersha, S. A. Obstetric Violence and Its Associated Factors Among HIV-Positive Women Receiving Birth Care at Public Health Facilities in Addis Ababa, Ethiopia. Biomed. Stat. Inform. 2025, 10(4), 84-92. doi: 10.11648/j.bsi.20251004.11

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AMA Style

Assefa AW, Ayele B, Masersha SA. Obstetric Violence and Its Associated Factors Among HIV-Positive Women Receiving Birth Care at Public Health Facilities in Addis Ababa, Ethiopia. Biomed Stat Inform. 2025;10(4):84-92. doi: 10.11648/j.bsi.20251004.11

Copy | Download

@article{10.11648/j.bsi.20251004.11,
  author = {Anteneh Wondimagegn Assefa and Basha Ayele and Seteamlak Adane Masersha},
  title = {Obstetric Violence and Its Associated Factors Among HIV-Positive Women Receiving Birth Care at Public Health Facilities in Addis Ababa, Ethiopia
},
  journal = {Biomedical Statistics and Informatics},
  volume = {10},
  number = {4},
  pages = {84-92},
  doi = {10.11648/j.bsi.20251004.11},
  url = {https://doi.org/10.11648/j.bsi.20251004.11},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.bsi.20251004.11},
  abstract = {Background: Obstetric violence is an emerging health problem in the utilization of maternal health services. In the study context, there was limited evidence on obstetric violence. Hence, the aim of this study was to assess obstetric violence and its associated factors among HIV-positive women who received birth care at public health facilities, in Addis Ababa, Ethiopia. Results: A total of 318 HIV-positive women participated in this study, yielding a 100% response rate. In this study, 79% of the HIV-positive women reported that they had been subjected to at least one form of obstetric violence during birth care. The top three reported forms of obstetric violence were as follows: 249 (78.3%) failed to provide informed consent, 227 (71.4%) did not complete medical procedures and 140 (44%) did not suffer life-threatening complications. The multivariable logistic regression analysis revealed that female birth status (AOR= 2.85; 95% CI 1.57, 5.15), fewer than three ANC visits (AOR= 2.99; 95% CI 1.39, 6.45), age >35 years old (AOR= 2.47; 95% CI 1.25, 4.90) and primary school attendance (AOR= 2.13; 95% CI 1.08, 4.17) were significantly associated with obstetric violence. This study revealed a high prevalence of obstetric violence among HIV -positive women. Hence, mitigation needs to be undertaken by taking the reported forms of obstetrics obstetric violence, and socio-demographic and obstetric variables by ensuring a systematic and strategic intervention for quality birth care utilization through the involvement of families, communities, the government and stakeholders.
},
 year = {2025}
}

Copy | Download

TY  - JOUR
T1  - Obstetric Violence and Its Associated Factors Among HIV-Positive Women Receiving Birth Care at Public Health Facilities in Addis Ababa, Ethiopia

AU  - Anteneh Wondimagegn Assefa
AU  - Basha Ayele
AU  - Seteamlak Adane Masersha
Y1  - 2025/10/30
PY  - 2025
N1  - https://doi.org/10.11648/j.bsi.20251004.11
DO  - 10.11648/j.bsi.20251004.11
T2  - Biomedical Statistics and Informatics
JF  - Biomedical Statistics and Informatics
JO  - Biomedical Statistics and Informatics
SP  - 84
EP  - 92
PB  - Science Publishing Group
SN  - 2578-8728
UR  - https://doi.org/10.11648/j.bsi.20251004.11
AB  - Background: Obstetric violence is an emerging health problem in the utilization of maternal health services. In the study context, there was limited evidence on obstetric violence. Hence, the aim of this study was to assess obstetric violence and its associated factors among HIV-positive women who received birth care at public health facilities, in Addis Ababa, Ethiopia. Results: A total of 318 HIV-positive women participated in this study, yielding a 100% response rate. In this study, 79% of the HIV-positive women reported that they had been subjected to at least one form of obstetric violence during birth care. The top three reported forms of obstetric violence were as follows: 249 (78.3%) failed to provide informed consent, 227 (71.4%) did not complete medical procedures and 140 (44%) did not suffer life-threatening complications. The multivariable logistic regression analysis revealed that female birth status (AOR= 2.85; 95% CI 1.57, 5.15), fewer than three ANC visits (AOR= 2.99; 95% CI 1.39, 6.45), age >35 years old (AOR= 2.47; 95% CI 1.25, 4.90) and primary school attendance (AOR= 2.13; 95% CI 1.08, 4.17) were significantly associated with obstetric violence. This study revealed a high prevalence of obstetric violence among HIV -positive women. Hence, mitigation needs to be undertaken by taking the reported forms of obstetrics obstetric violence, and socio-demographic and obstetric variables by ensuring a systematic and strategic intervention for quality birth care utilization through the involvement of families, communities, the government and stakeholders.

VL  - 10
IS  - 4
ER  -

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