Clients’ Satisfaction with Quality of Service Delivery at a Government Hospital in Ghana

2020 ◽  
Vol 7 (12) ◽  
pp. 210-254
Author(s):  
Perez Quartey ◽  
Emmanuel Ntekuni

Client satisfaction with health service delivery has been frequently used as an indirect measure of quality of service. Many healthcare delivery stakeholders and policy makers such as governments, health managers and clients alike are now attaching importance to healthcare quality. The main objective of the study was to examine the clients’ satisfaction with quality of healthcare at Atebubu Government Hospital. The mixed-method cross-sectional (both quantitative and qualitative) approach was adopted for the study. A structured questionnaire on five thematic areas (Infrastructure, Timeliness, Cost, Staff competence, Staff commitment and attitude) was used to interview exiting clients from the 7 units (Records, Consultancy, Pharmacy, Maternal and Child Health, X-ray, Laboratory and Ear, Nose and Throat). The study included a total of 1,470 clients. The overall mean perception level of the quality of service delivery and level of satisfaction were 69.8% and 70.8% respectively. The detailed breakdown of the responses showed that the mean scores for the Records (82.3%), Consultation (90.3%), X-ray (60.2%), Maternal and Child Health (80.1%), Ear, Nose and Throat (86.2%) were all satisfactory. However, the scores for the laboratory (48.3%) and pharmacy (48.1%) were both unsatisfactory mainly due to long waiting time and cost of accessing services. Clients’ satisfaction with quality of healthcare services at the Records, Consultancy, Maternal and Child Health, X-ray and the Ear, Nose and Throat departments were good. However, there was poor satisfaction with quality of services at the Laboratory and Pharmacy departments, with the main reasons for the dissatisfaction hinging on timeliness and cost.

Author(s):  
Briana Britton ◽  
Laura Pugliese ◽  
Stan Kachnowski

The incorporation of mobile devices into the delivery of healthcare, known as mHealth, is changing the way care is delivered in the 21st century. The impact of mHealth is particularly salient in low and middle income countries (LMICs), where mHealth poses the opportunity to increase access and quality of healthcare in systems where supportive infrastructure is otherwise lacking. This approach is well-suited to target issues of maternal and child health, permitting an increase in health education, communication, monitoring, and care to what are often vulnerable and hard-to-access populations. Employing mHealth tactics that target such populations can improve the overall access and quality of maternal and child health in the developing world - a priority for the United Nations as reflected in the Millennium Development Goals (MDGs). While the field of mHealth is new and still developing, many programs and thought-leaders have already successfully applied mHealth strategies in interventions to improve maternal and child health through health education, preventive care, emergency response, biometric data collection, and training healthcare workers.


Author(s):  
Briana Britton ◽  
Laura Pugliese ◽  
Stan Kachnowski

The incorporation of mobile devices into the delivery of healthcare, known as mHealth, is changing the way care is delivered in the 21st century. The impact of mHealth is particularly salient in low and middle income countries (LMICs), where mHealth poses the opportunity to increase access and quality of healthcare in systems where supportive infrastructure is otherwise lacking. This approach is well-suited to target issues of maternal and child health, permitting an increase in health education, communication, monitoring, and care to what are often vulnerable and hard-to-access populations. Employing mHealth tactics that target such populations can improve the overall access and quality of maternal and child health in the developing world - a priority for the United Nations as reflected in the Millennium Development Goals (MDGs). While the field of mHealth is new and still developing, many programs and thought-leaders have already successfully applied mHealth strategies in interventions to improve maternal and child health through health education, preventive care, emergency response, biometric data collection, and training healthcare workers.


2021 ◽  
Author(s):  
Britou Ndela ◽  
Philippe Ngwala ◽  
Adrien N’siala ◽  
Albert Kalonji ◽  
Felix Minuku ◽  
...  

Abstract Background: The Democratic Republic of the Congo (DRC) is classified among the 5 countries with the highest global maternal mortality ratio (MMR) and highest under-five mortality rate (U5MR) in the world. Kasai is one of 14 provinces of the DRC, which have a high U5MR and MMR. Despite this overriding concern, almost no studies have been conducted to assess maternal et child situation in this province. The aim of this study was to assess access, availability, and quality of maternal and child health services in Kasai Province in the DRC. Methods: A cross-sectional survey of 49 Health Facilities (HFs) integrating quantitative and qualitative data collection was conducted in 18 Health Zones in Kasai Province in the DRC. Documentary review, interviews and direct observation of HFs were performed to collect data. Pearson’s chi-squared test was performed to establish the relation between variables.Results: Nearly 54 % of visited HFs population had a geographical access to maternal and child health services and the majority of medical acts were unaffordable. Basic and comprehensive emergency obstetric care (EmOC) were offered respectively by only 11.8% and 7.6% of HF and none provided high quality basic or comprehensive EmOC. This low availability and quality of EmOC are due to the insufficiency of necessary inputs and personal for maternal and child health services in the majority of HFs. Conclusion: The situation of maternal and child health services is very precarious in Kasai Province. The improvement of EmOC coverage will require rehabilitation of infrastructure, dotation of equipment, regular supply of medicines and strengthening of human resource capacity.


2019 ◽  
Vol 2 (1) ◽  
pp. 73-76
Author(s):  
Saraswoti Kumari Gautam Bhattarai ◽  
Kanchan Gautam

Health service provided to pregnant women during antenatal, childbirth and postnatal period is essential for maternal and child health. Proper care during pregnancy, childbirth and postnatal period are important for the health of mother and baby. High maternal, infant and child morbidity and mortality demand improved healthcare which does not concern to coverage of health services alone. The health issues of pregnant women, mothers, infants and children need to be addressed with the attention to the quality of care (QoC).  The Nepal Health Sector Strategy (NHSS) also identifies equity and quality of care gaps as areas of concern for achieving the maternal health sustainable development goal (SDG) target. So this review aims to sensitize and draw attention to the quality of maternity care and client satisfaction to improve maternal and child health. For this article, different studies related to the quality of maternity care and satisfaction from care service received on maternity care are reviewed.


2020 ◽  
Vol 14 (1) ◽  
Author(s):  
Shafiq Mirzazada ◽  
Zahra Ali Padhani ◽  
Sultana Jabeen ◽  
Malika Fatima ◽  
Arjumand Rizvi ◽  
...  

PEDIATRICS ◽  
2003 ◽  
Vol 112 (Supplement_3) ◽  
pp. 727-730
Author(s):  
Peter C. van Dyck

The Issue. The mission of the Maternal and Child Health Bureau (MCHB) is comprehensive in scope and establishes the capacity, structure, and function for the MCHB to continually improve the health and well-being of pregnant women and children. The MCHB works in partnership with states and has broad authority to improve access to care and ensure the provision of quality preventive and primary care services. Specific provisions of legislation establish the framework for accomplishing this mission. With the increasing recognition of the social, economic, and environmental determinants of child health and the inequities that exist in access and quality of care for children, the Maternal and Child Health Bureau (MCHB) has set the following 3 goals for year 2003: 1) To eliminate disparities in health status outcomes through the removal of economic, social, and cultural barriers to receiving comprehensive, timely, and appropriate health care; 2) To ensure the highest quality of care through the development of practice guidance and data monitoring and evaluation tools; the use of evidence-based research; and the availability of a well-trained, culturally diverse workforce; and 3) To facilitate access to care through the development and improvement of the maternal and child health infrastructure and systems of care to enhance the provision of necessary, coordinated, quality health care. Priority MCHB strategies to accomplish these goals include improving and expanding 1) the cultural competence of providers (in particular to decrease sudden infant death syndrome [SIDS] among minorities), 2) emergency medical services for children, 3) health and safety in child care, 4) quality of primary pediatric care, and 5) the providing of every child with a medical home.


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