Effect of an Educational Intervention on Reducing Mistreatment in Gynecology and Obstetrics Services in Guinea: A Client-Reported Before-After Study.

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.