scholarly journals Quality of antenatal care services at public health facilities of Bahir-Dar special zone, Northwest Ethiopia

2013 ◽  
Vol 13 (1) ◽  
Author(s):  
Tadese Ejigu ◽  
Mirkuzie Woldie ◽  
Yibeltal Kifle
Keyword(s):  
Public Health ◽  
Antenatal Care ◽  
Northwest Ethiopia ◽  
Health Facilities ◽  
Bahir Dar ◽  
Public Health Facilities ◽  
Care Services ◽  
Special Zone

scholarly journals Women’s satisfaction with the quality of antenatal care services rendered at public health facilities in Northwest Ethiopia: the application of partial proportional odds model

BMJ Open ◽  
2020 ◽  
Vol 10 (9) ◽  
pp. e037085
Author(s):  
Amanu Aragaw Emiru ◽  
GD Alene ◽  
Gurmesa Tura Debelew
Keyword(s):  
Public Health ◽  
Antenatal Care ◽  
Pregnant Women ◽  
Client Satisfaction ◽  
Northwest Ethiopia ◽  
Proportional Odds Model ◽  
Health Facilities ◽  
Public Health Facilities ◽  
Partial Proportional Odds Model

ObjectivesThe study was aimed: (1) to describe the quality of antenatal care (ANC) at public health facilities in Northwest Ethiopia, including dimensions of the structure, process and outcome; and (2) to assess the relationship between ANC satisfaction and structure and process dimension of ANC quality.DesignCross sectional.SettingHealthcare facilities providing ANC services in Northwest Ethiopia.Participants795 pregnant women attending the antenatal clinics at 15 public health facilities and 41 health workers working for the surveyed facilities.Outcome measuresThe outcome variable, women’s satisfaction with ANC, was constructed from multiple satisfaction items using principal component analysis on an ordered, categorical and three-point Likert scale. The key hypothesised factors considered were structural and process aspects of care. Data were analysed using the partial proportional odds model with 95% CI.ResultsThe result revealed that only 30.3% of the pregnant women were highly satisfied, whereas 31.7% had a lower satisfaction level. The findings showed that process quality indicators better predicted client satisfaction. In relation to this, better scores in history taking (aOR1=aOR2; 1.81 (95% CI 1.25 to 2.60)), counselling (aOR1 = aOR2; 1.89 (95% CI 1.33 to 2.69)) and screening (aOR1= aOR2; 18.10 (95% CI 11.52 to 28.39)) were associated with achieving higher satisfaction. We also observed a significant but lower satisfaction among women in the late trimester of pregnancy (aOR1 = aOR2; 0.87 (95% CI 0.78 to 0.97)). However, we did not see any significant relationship between structural variables and client satisfaction.ConclusionsThe study demonstrated that women’s satisfaction with ANC was low. The contents of ANC services covered during client–provider interaction were the main factors affecting client satisfaction. This suggests that efforts are required to improve the competencies of health professionals to make them more effective while dealing with clients.

scholarly journals Quality of Antenatal Care in Selected Public Health Facilities of West Ethiopia

2021 ◽  
Author(s):  
Markos Desalegn Beyene ◽  
Amanuel Nemomsa ◽  
Desalegn Wirtu ◽  
Motuma Getachew ◽  
Gemechu Kejela ◽  
...  
Keyword(s):  
Public Health ◽  
Antenatal Care ◽  
Pregnant Women ◽  
Urine Sample ◽  
Client Satisfaction ◽  
Health Facilities ◽  
Outcome Variable ◽  
P Value ◽  
Public Health Facilities

Abstract Background: Ante natal care is a key entry point for a pregnant woman to receive abroad range of promotion and preventive health services. Objective: was to assess the quality of antenatal care services at public health facilities of western Ethiopia. Methods: Facility-based cross-sectional study was conducted from May 30th to June 30th, 2016. All public health facilities in the zone were audited, 316 medical records were reviewed, and 316 pregnant women were interviewed. The data was entered using EPI Data version 3.1 and analyzed using SPSS version 20.0. Descriptive statistics, binary, and multiple logistic regressions were conducted. Variables with a P-value of <0.05 were considered as statistically significant predictors of the outcome variable.Results: A total of 316 pregnant women were enrolled in the study. All facilities were categorized as “good” by the possession of necessary equipment, 3/4 by basic amenities and 87.34% by general and gynecologic examination. The information was provided for 222(86.21%), which is categorized as poor.252 (79.7%) of the women were satisfied with ANC. A urine sample taken during ANC visit AOR 3.36(1.70, 6.61) and counseling on food eaten during pregnancy AOR 2.27(1.16, 4.45) were predictors of client satisfaction on ANC. Conclusions: The majority of pregnant women were satisfied with the ANC they received. A urine sample taken during the ANC visits and being counseled on the types of food eaten during pregnancy were predictors for client satisfaction on ANC. Concerned bodies need to improve laboratory tests and information provision.

scholarly journals Quality of maternal and newborn healthcare services in two public hospitals of Bangladesh: identifying gaps and provisions for improvement

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Taposh Kumar Biswas ◽  
Hasnat Sujon ◽  
M. Hafizur Rahman ◽  
Henry B. Perry ◽  
Mahbub Elahi Chowdhury
Keyword(s):  
Public Health ◽  
Service Delivery ◽  
Healthcare Service ◽  
Infection Prevention ◽  
Health Facilities ◽  
Quality Monitoring ◽  
Public Health Facilities ◽  
Care Services ◽  
Maternal And Newborn

Abstract Background Healthcare service delivery systems need to ensure standard quality of care (QoC) for achieving expected health outcomes. Although Bangladesh has a good healthcare service delivery system, there are major concerns about the quality of maternal and newborn health (MNH) care services, which is imperative for achievements in health. The study aimed to measure the QoC for different MNH services in two selected public health facilities of Bangladesh. This study also documented the specific areas of each care which needs intervention. Methods The study was conducted in two district-level public health facilities—a district hospital (DH) and a mother and child welfare centre (MCWC). A total of 228 cases of MNH services were observed by using contextualized checklist ‘Standards-based Management and Recognition (S-BMR)’ for 8 selected MNH care services. For scoring, performed activities were calculated as percentages of the total recommended activities and categorized as high (> 80%), moderate (50 to 80%), and low (< 50%). Results Overall QoC scores were moderate for each DH (54.8%), and MCWC (56.1%). In DH, the QoC score was high for blood transfusion (80.3%); moderate for maternal complications management (77.0%), caesarean section (CS) (65.6%), infection prevention (64.3%), sick newborn care (54.1%), and normal vaginal delivery (NVD) (52.6%); and low for antenatal care (ANC) (25.6%) and postnatal care (PNC) (19.0%). In MCWC, the QoC scores were high for infection prevention (83.0%); moderate for CS (76.5%) and NVD (59.8%); and low for ANC (36.9%) and PNC (24.5%). Conclusions In the study facilities, the QoC for MNH services is found to be unsatisfactory, particularly for ANC and PNC. Urgent initiative needs to be taken by introducing contextualized quality monitoring tools at health facilities, along with training of the care providers and introducing a quality monitoring system.

scholarly journals Assessment of Quality of Antenatal Care Services and Its Determinant Factors in Public Health Facilities of Hossana Town, Hadiya Zone, Southern Ethiopia: A Longitudinal Study

2020 ◽  
Vol 2020 ◽  
pp. 1-11
Author(s):  
Trhas Tadesse Berehe ◽  
Lebitsi Maud Modibia
Keyword(s):  
Public Health ◽  
Antenatal Care ◽  
Care Service ◽  
Health Facilities ◽  
Southern Ethiopia ◽  
Skilled Attendant ◽  
Her Family ◽  
Public Health Facilities ◽  
Hadiya Zone

Background. Antenatal care is a care that links the woman and her family with the formal health system, increases the chance of using a skilled attendant at birth, and contributes to good health through the life cycle. Inadequate care during this time breaks a critical link in the continuum of care and affects both women and babies. Therefore, the main aim of this study was to determine the quality of ANC in Hadiya Zone, Southern Ethiopia. Method. A longitudinal facility-based study design was conducted among 1123 mothers whose gestational age of less than 16 weeks was identified and followed until birth and 40 days after birth to detect whether they gained the acceptable standard of quality of ANC from July 2017 to June 2018. A structured, predefined, and pretested observation check list and Likert scales were employed to obtain the necessary information after getting both written and verbal consent from the concerned bodies and study participants. Data was entered into Epi Info version 3.5 and transferred to STATA Version 14 software and cleaned by reviewing frequency tables, logical errors, and checking outliers. Generalized estimating equation (GEE) analysis was applied to get the average response observation of each visit of quality of ANC in the health facilities. Result. This study showed that the overall magnitude of good quality of antenatal care service that was provided in the whole visit at Hosanna Town’s public health facilities was 1230 (31.38%). The most frequently identified problems were inability to take full history, lack of proper counseling, poor healthcare provider and client interaction, and improper registration and there was a variation in providing quality of care in each visit. Quality of antenatal care was significantly associated with residence, educational status gravidity, parity, and visit. In conclusion, the overall quality of antenatal care is low, so the health facilities need further modification on the identified problems.

scholarly journals Quality of care for tuberculosis patients in public health facilities of Debre Tabor town, Northwest Ethiopia

PLoS ONE ◽  
2020 ◽  
Vol 15 (6) ◽  
pp. e0234988
Author(s):  
Chalachew Genet ◽  
Tesfaye Andualem ◽  
Addisu Melese ◽  
Wondemagegn Mulu ◽  
Feleke Mekonnen ◽  
...  
Keyword(s):  
Public Health ◽  
Quality Of Care ◽  
Northwest Ethiopia ◽  
Health Facilities ◽  
Tuberculosis Patients ◽  
Public Health Facilities ◽  
Debre Tabor

scholarly journals Perinatal Asphyxia and Its Associated Factors among Live Births in the Public Health Facilities of Bahir Dar City, Northwest Ethiopia, 2021

2021 ◽  
Vol 2021 ◽  
pp. 1-9
Author(s):  
Magarsa Lami Dabalo ◽  
Simachew Animen Bante ◽  
Getahun Belay Gela ◽  
Selamawit Lake Fanta ◽  
Lemesa Abdisa Sori ◽  
...  
Keyword(s):  
Public Health ◽  
Perinatal Asphyxia ◽  
Birth Asphyxia ◽  
Northwest Ethiopia ◽  
Health Facilities ◽  
Bahir Dar ◽  
Night Time ◽  
The Public ◽  
Live Births ◽  
Public Health Facilities

Background. Birth asphyxia is a serious clinical problem of newborn babies, which occurs due to impaired blood-gas exchange and results in hypoxemia. Despite improvements in the diagnosis and management of perinatal asphyxia, it has become the leading cause of admission and neonatal mortality, especially in developing countries. Objective. This study was aimed at assessing factors associated with perinatal asphyxia among live births in the public health facilities of Bahir Dar city, Northwest Ethiopia, 2021. Method. Health facility-based cross-sectional study was employed from April 1-30/2021 in the public health facilities of Bahir Dar city among 517 mother-newborn pairs. The data were collected by systematic random sampling technique, entered by using Epi data 3.1, and analyzed using SPSS 25.0 version. Bivariate and multivariable logistic regression analyses were employed to estimate the crude and adjusted odds ratio with a confidence interval of 95% and a P value of less than 0.05 considered statistically significant. Frequency tables, figures, and descriptive summaries were used to describe the study variables. Result. In this study, 21.7% (95% CI: 18.2%–25.5%) of the newborns had perinatal asphyxia. Malpresentation ( AOR = 4.06 , 95 % CI = 2.08 -7.94), uterotonic drug administration ( AOR = 2.78 , 95 % CI = 1.67 -4.62), meconium-stained amniotic fluid ( AOR = 4.55 , 95 % CI = 2.66 , 7.80), night time delivery ( AOR = 1.91 , 95 % CI = 1.17 , 3.13), and preterm delivery ( AOR = 3.96 , 95 % CI = 1.98 , 7.89) were significantly associated with perinatal asphyxia. Conclusion and Recommendation. In the present study, the proportion of perinatal asphyxia was high. To mitigate this problem, there is a need to focus on early identification of the risk factors like fetal malpresentation, preterm labor/delivery, and managing them appropriately. Administering uterotonic drugs should be based on indication with close supervision.

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