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Background: A high prevalence of disrespectful and abusive behaviour by health workers towards women during labour and delivery has been widely described in health facilities, particularly in Africa, and is a worldwide public health concern. Such behaviours are barriers to care-seeking, and are associated with adverse outcomes for mothers and newborns. This paper reports experiences of disrespectful care among informal working women in three public health facilities in Durban, South Africa. Methods: A qualitative longitudinal study was conducted among a cohort of informal working women recruited during pregnancy in two clinics in Durban. The study comprised a series of in-depth interviews conducted at different time points from pregnancy until mothers had returned to work, followed by focus group discussions (FGDs) with cohort participants. We present data from participatory FGDs, known as 'Journey with my Baby', conducted at the end of the study, during which women's experiences from pregnancy until returning to work were reviewed and explored. Thematic analysis was used with NVIVO v12.4. Results: Three 'Journey with my Baby' FGDs were conducted with a total of 15 participants between March and October 2019. Many participants narrated experiences of disrespectful behavior from nurses during labour and childbirth, with several women becoming very distressed as a result. Women described experiencing rudeness and verbal abuse from nurses, lack of privacy and confidentiality, nurses refusing to provide care, being denied companionship and being left unattended for long periods during labour. Women described feeling anxious and unsafe while in the labour ward because of the behaviour they experienced directly and observed other patients experiencing. Such experiences created bad reputations for health facilities, so that women in the local community were reluctant to attend some facilities. Conclusion: Disrespect and abuse continues to be a serious concern in public health facilities in South Africa. We challenge the health system to effectively address the underlying causes of disrespectful behavior among health workers, initiate robust monitoring to identify abusive behavior when it occurs, and take appropriate actions to ensure accountability so that women receive the high-quality maternity care they deserve. [ABSTRACT FROM AUTHOR]

in the field of risk management, there is growing recognition that traditional tools of analysis may be limited in their ability to arrive at a textured understanding of risk as it is actually experienced by communities. This paper begins with the premise that risk is socially constructed by lay people, as well as by scientists, and that this recognition has important implications for the development of risk management approaches. Technical risk assessments can be complemented b) qualitative methodologies that are designed to reveal lay or local knowledge of risk Such research tools were employed in working with respondents from residential communities in the highly industrialised South Durban Basin in KwaZulu-Natal. Here, as in other urban industrial contexts, risk is constructed by residents through their own experience and histories, their understanding of science, and their response to technical management tools. The qualitative approach adopted in this research provided new insight into residents' responses to chronic and acute risk, drew attention to a widening gap between people's actual experiences and the claims of science and risk management experts and exposed currently hidden, everyday risk narratives that are not directly related to the dominant environmental hazards connected with industry, but which significantly impact people's living environments. [ABSTRACT FROM AUTHOR]