Abstract
Background
Respectful maternity care promotes dignity, privacy, informed choice, and equitable treatment during childbirth. However, disrespect and abuse remain common, particularly in low- and middle-income countries such as Nepal, where evidence on sustainable interventions is limited. Forum Play is a participatory theatre-based approach using role-play, reflection, and dialogue.Aim
To assess changes over one year in hospital staff's perceptions and self-reported behaviour regarding disrespect and abuse following participation in a pilot Forum Play intervention and to explore its contribution to respectful maternity care.Methods
A mixed-methods follow-up study was conducted in November 2024 among tertiary hospital staff in Kathmandu, one-year post-intervention. Quantitative data were collected through a self-administered questionnaire (n = 30) and analysed across pretest, two-month posttest, and one-year follow-up using descriptive and inferential statistics. Qualitative data were obtained through focus group discussions (n = 22) and in-depth interviews (n = 6) and analysed using inductive qualitative content analysis.Findings
Recognition of disrespect and abuse increased significantly, with greater identification of incidents and regret for not intervening (p = Conclusions
Forum Play showed promise in promoting respectful maternity care by encouraging reflection and strengthening empathy and communication among hospital staff. Sustaining these changes, however, requires broader institutional and health system support.