{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,9]],"date-time":"2026-09-09T11:10:22Z","timestamp":1788952222803,"version":"build-2803163510"},"reference-count":21,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,9,9]],"date-time":"2026-09-09T00:00:00Z","timestamp":1788912000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Health Serv."],"abstract":"<jats:sec>\n                    <jats:title>Context<\/jats:title>\n                    <jats:p>The mistreatment of women in gynecology and obstetrics is practiced in all regions of the world. Studies conducted in Guinea have reported compelling evidence of this practice in gynecology and obstetrics services within health facilities. A prevention and response programme against this mistreatment was initiated and implemented in different regions of the country. The intervention for the prevention and struggle against this mistreatment in gynecology and obstetrics focused on raising awareness among women in the community through community health workers and community relays who received training for this purpose.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>This study aims to determine the changes adopted after the implementation of the intervention by comparing the perceptions of women in the community before and after the intervention.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This was a qualitative study conducted before and after the intervention to assess the changes perceived by women in the community. A purposive sample of 30 women before and 30 after the intervention was used. Community health workers and community relays, who also live and work within the community, identified and selected participants who met the criteria. Data were collected through in-depth individual interviews (IDIs) with 60 women of reproductive age in the community and analyzed using a thematic approach. Community awareness-raising for the prevention of mistreatment was carried out by community health workers and community relays.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The women in the community mostly reported a reduction in the frequency of mistreatment in gynecology and obstetrics, especially physical violence. However, according to some women, verbal violence and other forms of mistreatment persist.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>This intervention has shown signs of improvement in preventing and combating physical violence, but structural and relational forms of violence persist.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/frhs.2026.1860891","type":"journal-article","created":{"date-parts":[[2026,9,9]],"date-time":"2026-09-09T10:17:05Z","timestamp":1788949025000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Women's perceptions of changes following the intervention on the prevention of mistreatment in gynecology and obstetrics in Guinea"],"prefix":"10.3389","volume":"6","author":[{"given":"Alpha Oumar","family":"Sall","sequence":"first","affiliation":[{"name":"Centre for Reproductive Health Research of Guinea (CERREGUI)","place":["Conakry, Guinea"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mamadou Dioulde","family":"Balde","sequence":"additional","affiliation":[{"name":"Centre for Reproductive Health Research of Guinea (CERREGUI)","place":["Conakry, Guinea"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sadan","family":"Camara","sequence":"additional","affiliation":[{"name":"Centre for Reproductive Health Research of Guinea (CERREGUI)","place":["Conakry, Guinea"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kaba Saran","family":"Keita","sequence":"additional","affiliation":[{"name":"Centre for Reproductive Health Research of Guinea (CERREGUI)","place":["Conakry, Guinea"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Moussa","family":"Camara","sequence":"additional","affiliation":[{"name":"Centre for Reproductive Health Research of Guinea (CERREGUI)","place":["Conakry, Guinea"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Boubacar Alpha","family":"Diallo","sequence":"additional","affiliation":[{"name":"Chair of Gynecology and Obstetrics, Gamal Abdel Nasser University","place":["Conakry, Guinea"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Madeleine","family":"Toure","sequence":"additional","affiliation":[{"name":"Centre for Reproductive Health Research of Guinea (CERREGUI)","place":["Conakry, Guinea"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aissatou","family":"Diallo","sequence":"additional","affiliation":[{"name":"Centre for Reproductive Health Research of Guinea (CERREGUI)","place":["Conakry, Guinea"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fanta","family":"Barry","sequence":"additional","affiliation":[{"name":"Centre for Reproductive Health Research of Guinea (CERREGUI)","place":["Conakry, Guinea"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tiany","family":"Sidibe","sequence":"additional","affiliation":[{"name":"Centre for Reproductive Health Research of Guinea (CERREGUI)","place":["Conakry, Guinea"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2026,9,9]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","first-page":"e1001847","DOI":"10.1371\/journal.pmed.1001847","article-title":"The mistreatment of women during childbirth in health facilities globally: a mixed-methods systematic review","volume":"12","author":"Bohren","year":"2015","journal-title":"PLoS Med"},{"key":"B2","doi-asserted-by":"publisher","first-page":"13","DOI":"10.1111\/aogs.14962","article-title":"Prevalence of obstetric violence in high-income countries: a systematic review of mixed studies and meta-analysis of quantitative studies","volume":"104","author":"Fraser","year":"2025","journal-title":"Acta Obstet Gynecol Scand"},{"key":"B3","doi-asserted-by":"publisher","first-page":"e0311346","DOI":"10.1371\/journal.pone.0311346","article-title":"Knowledge, attitude and practice of healthcare providers on mistreatment of women during labour and childbirth: a cross-sectional study in Tehran, Iran, 2021","volume":"19","author":"Mirzania","year":"2024","journal-title":"PLoS One"},{"key":"B4","doi-asserted-by":"publisher","first-page":"e3069","DOI":"10.1590\/1518-8345.2450.3069","article-title":"Obstetric violence in the daily routine of care and its characteristics","volume":"26","author":"Jardim","year":"2018","journal-title":"Rev Latino Am Enfermagem. Escola de Enfermagem da Universidade de S\u00e3o Paulo"},{"key":"B5","year":""},{"key":"B6","doi-asserted-by":"publisher","first-page":"102","DOI":"10.1186\/s12884-017-1288-6","article-title":"Manifestations and drivers of mistreatment of women during childbirth in Kenya: implications for measurement and developing interventions","volume":"17","author":"Warren","year":"2017","journal-title":"BMC Pregnancy Childbirth"},{"key":"B7","doi-asserted-by":"publisher","first-page":"2526890","DOI":"10.1080\/16549716.2025.2526890","article-title":"How health system failures and prevailing social norms drive mistreatment of women in maternity care in Ethiopia: a qualitative study","volume":"18","author":"Kasaye","year":"2025","journal-title":"Glob Health Action"},{"key":"B8","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1186\/s12978-016-0266-1","article-title":"Perceptions and experiences of the mistreatment of women during childbirth in health facilities in Guinea: a qualitative study with women and service providers","volume":"14","author":"Balde","year":"2017","journal-title":"Reprod Health"},{"key":"B9","doi-asserted-by":"publisher","first-page":"1111","DOI":"10.18203\/2320-1770.ijrcog20241051","article-title":"Mistreatment in the gynaecology and obstetrics units of health facilities: community women\u2019s experiences in Guinea","volume":"13","author":"Sall","year":"2024","journal-title":"Int J Reprod Contracept Obstet Gynecol"},{"key":"B10","doi-asserted-by":"publisher","first-page":"5","DOI":"10.18203\/2320-1770.ijrcog20243919","article-title":"Mistreatment of women during gynecological care in health facilities in Guinea","volume":"14","author":"Diallo","year":"2024","journal-title":"Int J Reprod Contracept Obstet Gynecol"},{"key":"B11","doi-asserted-by":"publisher","first-page":"37","DOI":"10.18203\/2320-1770.ijrcog20243924","article-title":"Frequency and factors associated with women\u2019s mistreatment in obstetric units in Guinea","volume":"14","author":"Balde","year":"2024","journal-title":"Int J Reprod Contracept Obstet Gynecol"},{"key":"B12","article-title":"WHO recommendations. Intrapartum care for a positive childbirth experience. Transforming care of women and babies for improved health and well-being","year":"2018"},{"key":"B13","volume-title":"Ministry of Planning, International Cooperation, and Development. Preliminary Results of Guinea\u2019s Fourth General Population and Habitat Census (RGPH-4)","year":"2026"},{"key":"B14","volume-title":"Ministry of Planning and Economic Development Conakry, Guinea. Demographic and Health Survey 2018","year":"2019"},{"key":"B15","volume-title":"Health Statistical Yearbook 2017","year":"2028"},{"key":"B16","doi-asserted-by":"publisher","first-page":"77","DOI":"10.1191\/1478088706qp063oa","article-title":"Using thematic analysis in psychology","volume":"3","author":"Braun","year":"2006","journal-title":"Qual Res Psychol"},{"key":"B17","doi-asserted-by":"publisher","first-page":"1973","DOI":"10.1186\/s12889-021-12042-7","article-title":"Knowledge, attitudes and practices of health care providers trained in responding to violence against women: a pre- and post-intervention study","volume":"21","author":"Arora","year":"2021","journal-title":"BMC Public Health"},{"key":"B18","author":"Mathonnet","year":""},{"key":"B19","doi-asserted-by":"publisher","first-page":"194","DOI":"10.1186\/s12978-021-01241-5","article-title":"Operationalizing respectful maternity care at the healthcare provider level: a systematic scoping review","volume":"18","author":"Jolivet","year":"2021","journal-title":"Reprod Health"},{"key":"B20","author":"Onyango-Ouma","year":"2001"},{"key":"B21","doi-asserted-by":"publisher","first-page":"7657","DOI":"10.4103\/jfmpc.jfmpc_1032_22","article-title":"Intrapartum respectful maternity care practices and its barriers in eastern India","volume":"11","author":"Yadav","year":"2022","journal-title":"J Family Med Prim Care"}],"container-title":["Frontiers in Health Services"],"original-title":[],"link":[{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/frhs.2026.1860891\/full","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,9]],"date-time":"2026-09-09T10:17:06Z","timestamp":1788949026000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/frhs.2026.1860891\/full"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,9,9]]},"references-count":21,"alternative-id":["10.3389\/frhs.2026.1860891"],"URL":"https:\/\/doi.org\/10.3389\/frhs.2026.1860891","relation":{},"ISSN":["2813-0146"],"issn-type":[{"value":"2813-0146","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,9,9]]},"article-number":"1860891"}}