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Background Accountability for mistreatment during facility-based childbirth requires valid tools to measure and compare birth experiences. We analyse the WHO ‘How women are treated during facility-based childbirth’ community survey to test whether items mapping the typology of mistreatment function as scales and to create brief item sets to capture mistreatment by domain.

Methods The cross-sectional community survey was conducted at up to 8 weeks post partum among women giving birth at hospitals in Ghana, Guinea, Myanmar and Nigeria. The survey contained items assessing physical abuse, verbal abuse, stigma, failure to meet professional standards, poor rapport with healthcare workers, and health system conditions and constraints. For all domains except stigma, we applied item-response theory to assess item fit and correlation within domain. We tested shortened sets of survey items for sensitivity in detecting mistreatment by domain. Where items show concordance and scale reliability ≥0.60, we assessed convergent validity with dissatisfaction with care and agreement of scale scores between brief and full versions.

Introduction Mistreatment of women during childbirth is increasingly recognised as a significant issue globally. Research and programmatic efforts targeting this phenomenon have been limited by a lack of validated measurement tools. This study aimed to develop a set of concise, valid and reliable multidimensional measures for mistreatment using labour observations applicable across multiple settings.

Methods Data from continuous labour observations of 1974 women in Nigeria (n=407), Ghana (n=912) and Guinea (n=655) were used from the cross-sectional WHO’s multicountry study ‘How women are treated during facility-based childbirth’ (2016–2018). Exploratory factor analysis was conducted to develop a scale measuring interpersonal abuse. Two indexes were developed through a modified Organisation for Economic Co-operation and Development approach for generating composite indexes. Measures were evaluated for performance, validity and internal reliability.

Background Evidence has shown the benefits of labour companions during childbirth. Few studies have documented the relationship between the absence of labour companions and mistreatment of women during childbirth in low-income and middle-income countries using a standardised tool.

Methods We conducted a secondary analysis of the WHO multi-country study on how women are treated during childbirth, where a cross-sectional community survey was conducted with women up to 8 weeks after childbirth in Ghana, Guinea, Nigeria and Myanmar. Descriptive analysis and multivariable logistic regression were used to examine whether labour companionship was associated with various types of mistreatment.

Midwives and nurses play a vital role in protecting, promoting and supporting breastfeeding worldwide. Skilled breastfeeding support from midwives and nurses helps prevent childhood infections and mortality, while boosting cognitive development and decreasing rates of obesity, diabetes and maternal and child cancers. Bonding and attachment are intrinsic to the breastfeeding relationship and foster mental and emotional health and development for both mother and child. Universal breastfeeding could prevent 823,000 child deaths and 20,000 maternal deaths each year and spur significant economic savings.

Since the beginning of the COVID-19 pandemic, WHO has engaged with countries to ensure the continuity of essential health services. Through a special initiative, the Department of Maternal, Newborn, Child, and Adolescent Health and Ageing has supported 19 countries: Bangladesh, Bolivia, Brazil, Cameroon, Democratic Republic of the Congo (DRC), Ethiopia, India, Kazakhstan, Myanmar, Nepal, Nigeria, Pakistan, Romania, South Africa, Sudan, Tajikistan, Timor-Leste, Uganda and Yemen in their efforts to mitigate the impact of COVID-19 on essential MNCH services.

This global event shared and discussed countries’ experiences and lessons learned during the implementation, including establishing structures and systems to coordinate the response and ensure continuity of services,  proactive use of data to inform decision-making, adaptation of service delivery and innovation.

This event offered health policymakers, health systems, programme managers, emergency officers, MNCH programme implementers, health professionals, researchers, development and funding partners with an opportunity to interact with Ministries of Health and implementers from the 19 countries and discuss strategies to strengthen the health systems able to rapidly respond and build back better.

Since the beginning of the COVID-19 pandemic, WHO has engaged with countries to ensure the continuity of essential health services. Through a special initiative, the Department of Maternal, Newborn, Child, and Adolescent Health and Ageing has supported 19 countries: Bangladesh, Bolivia, Brazil, Cameroon, Democratic Republic of the Congo (DRC), Ethiopia, India, Kazakhstan, Myanmar, Nepal, Nigeria, Pakistan, Romania, South Africa, Sudan, Tajikistan, Timor-Leste, Uganda and Yemen in their efforts to mitigate the impact of COVID-19 on essential MNCH services.

This global event shared and discussed countries’ experiences and lessons learned during the implementation, including establishing structures and systems to coordinate the response and ensure continuity of services,  proactive use of data to inform decision-making, adaptation of service delivery and innovation.

This event offered health policymakers, health systems, programme managers, emergency officers, MNCH programme implementers, health professionals, researchers, development and funding partners with an opportunity to interact with Ministries of Health and implementers from the 19 countries and discuss strategies to strengthen the health systems able to rapidly respond and build back better.