scholarly journals Structural Quality of Labour and Delivery Care in Government Hospitals of Ethiopia: A Descriptive Analysis

2021 ◽  
Author(s):  
Negalign B Bayou ◽  
Liz Grant ◽  
Simon C Riley ◽  
Elizabeth H Bradley
Keyword(s):  
Health Facilities ◽  
Public Hospitals ◽  
Sub Saharan Africa ◽  
Structural Quality ◽  
Delivery Care ◽  
Essential Drugs ◽  
Laboratory Services ◽  
Government Hospitals ◽  
Safe Blood

Abstract Background Ethiopia has low skilled birth attendance rates coupled with low quality of care within health facilities contributing to one of the highest maternal mortality rates in Sub-Saharan Africa, at 412 deaths per 100,000 live births. There is lack of evidence on the readiness of health facilities to deliver quality labour and delivery (L&D) care. This paper describes the structural quality of routine L&D care in government hospitals of Ethiopia. Methods A facility-based cross-sectional study design, involving census of all government hospitals in Southern Nations Nationalities and People’s Region (SNNPR) (N = 20) was conducted in November 2016 through facility audit using a structured checklist. Data collectors verified the availability and functioning of the required items through observation and interview with the heads of labour and delivery case team. An overall mean score of structural quality was calculated considering domain scores such as general infrastructure, human resource and essential drugs, supplies, equipment and laboratory services. Summary statistics such as proportion, mean and standard deviation were computed to describe the degree of adherence of the hospitals to the standards related to structural quality of routine labour and delivery care. Results One third of hospitals had low readiness to provide quality routine L&D care, with only two approaching near fulfilment of all the standards. Hospitals had fulfilled 68.5% of the standards for the structural aspects of quality of L&D care. Of the facility audit criteria, the availability of essential equipment and supplies for infection prevention scored the highest (88.8%), followed by safety, comfort and woman friendliness of the environment (78.9%). Availability skilled health professionals and quality management practices scored 72.5% each, while availability of the required items of general infrastructure was 64.6%. The two critical domains with the lowest score were availability of essential drugs, supplies and equipment (52.2%); and laboratory services and safe blood supply (50%). Conclusion Substantial capacity gaps were observed in the hospitals challenging the provision of quality routine L&D care services, with only two thirds of required resources available. The largest gaps were in laboratory services and safe blood, and essential drugs, supplies and equipment. The results suggest the need to ensure that all public hospitals in SNNPR meet the required structure to enable the provision of quality routine L&D care with emphases on the identified gaps.

Quality of Antenatal, Labour and Delivery Services in Selected Districts in Malawi, Zambia and Zimbabwe: A Descriptive Cross-Sectional Study

2021 ◽  
pp. 1-9
Author(s):  
Clara Opha Haruzivishe
Keyword(s):  
Perinatal Care ◽  
Neonatal Morbidity ◽  
Health Facilities ◽  
Sub Saharan Africa ◽  
Morbidity And Mortality ◽  
World Health ◽  
Performance Standard ◽  
Cross Sectional ◽  
Care Services

Background: High Maternal and Neonatal Mortality Ratios persist in Sub-Saharan Africa despite increasing perinatal care coverage. This suggests that coverage alone is not adequate to reduce maternal and neonatal morbidity and mortality. Quality of care should be the emphasis of maternal and child care services. Materials and Methods: A descriptive cross-sectional multicentre study was conducted in selected health facilities in Zambia, Malawi and Zimbabwe using purposive sampling. A World Health Organization-WHO 2016 Quality of Maternal and New-born assessment Framework and the WHO (2015) Service Availability and Readiness Assessment tool were used for data collection. Data was analyzed using Statistical Package for Social Scientist (SPSS) version 24.0. Results: Less than 43% of the health facilities satisfied at least three of the five Performance Standards of availability and adequacy of Antenatal infrastructure and supplies. Regarding Antenatal processes/care, an observation was the most common performance standard satisfied by 70.6% of all health facilities assessed while less than 30% fulfilled all other standards. Only 57.1% of the health facilities satisfied 5 of the 11 standards for labour and delivery infrastructure, while only 55.6% of the Health facilities satisfied only two of the 13 standards of Labour and delivery care. Conclusion: To achieve a significant and sustainable reduction in maternal and neonatal morbidity and mortality, there is a need for investment and improvement in maternity care services infrastructure and processes as opposed to focusing on mere attendance of Antenatal, and deliveries by trained birth attendants.

scholarly journals The Comprehensive Quality in Health Services by Using Six Sigma

2019 ◽  
Vol 7 (9) ◽  
pp. 83-103
Author(s):  
Amal Yassin
Keyword(s):  
Health Services ◽  
Six Sigma ◽  
Practical Importance ◽  
Hospital Management ◽  
Public Hospitals ◽  
Total Quality ◽  
Government Hospitals ◽  
Intermediate Degree ◽  
High Degree

Abstract The study aimed to know the overall quality of the concept and its importance in providing high-quality health services and the availability of the key factors in the application and services and to take administrative factors, technical and human and financial, which may contribute to the raise if directed properly and have an adult in improving the quality of health services impact. Based on the nature of the study and the objectives it seeks, the analytical descriptive approach was used. It was based on the study of the phenomenon as it exists in reality and it is treated as a precise description and expressed in qualitative and quantitative terms. To analyze the analytical aspects of the research subject and then collect the initial data through the questionnaire as a main tool for research, designed specifically for this purpose, and distributed to government hospitals in Khartoum State, and included the study community department managers and patients in government hospitals in Khartoum state. A random sample was collected (300) department managers and patients from the Khartoum government hospitals. Each individual has the opportunity to be a member of the study sample during the year 2016. The study concluded with a number of results, the most important of which is that the hospital management has the material potential (furniture, equipment, ...) to use the Six Sigma curriculum with an intermediate degree. The hospital management is ready to use the Six Sigma curriculum to a high degree. Six Sigma In the middle level, the hospital management is keen to train the heads of departments to form teams for the process of continuous improvement to a high degree, the hospital administration is continuously improving the purpose of reducing the deviations and errors that occur, the hospital management is ready to provide an information system Its data continuously At, there is the management of the hospital readiness to provide direct contact with an intermediate degree of quality coaches tuning software system. The study presented a number of recommendations, the most important of which is linking the promotion system in the public hospitals in Khartoum state with the quality control program, paying attention to the overall quality and stressing the possibility of using it in hospitals in Khartoum State because of its scientific and practical importance and improving the quality of the services and the operations provided. Keywords: total quality management, health services, competitiveness, sigma six

scholarly journals Perbedaan Komunikasi Terapeutik Perawat Di Ruang Rawat Inap RS Pemerintah Dan RS Swasta

2017 ◽  
Vol 12 (1) ◽  
pp. 43
Author(s):  
Nova Fitria ◽  
Zahroh Shaluhiyah
Keyword(s):  
Job Satisfaction ◽  
Private Hospital ◽  
Work Motivation ◽  
Work Climate ◽  
Public Hospitals ◽  
Therapeutic Communication ◽  
Cross Sectional ◽  
Private Hospitals ◽  
Government Hospitals

ABSTRAKDengan adanya kesetaraan peran rumah sakit pemerintah dan rumah sakit swasta dalam meningkatkan kualitas layanan kesehatan di Indonesia, maka setiap rumah sakit harus memberikan pelayanan yang baik dan berkualitas. Perawat merupakan bagian dari SDM Rumah Sakit yang memberikan pengaruh cukup besar terhadap kualitas pelayanan. Pelaksanaan asuhan keperawatan yang baik tidak dapat dipisahkan dari peran komunikasi terapeutik yang dilakukan oleh perawat yang juga merupakan salah satu upaya peningkatan pelayanan kepada pasien. Jenis penelitian ini adalah penelitian kuantitatif dengan desain penelitian menggunakan cross-sectional. Hasil penelitian menunjukkan ada perbedaan yang signifikan pada pelaksanaan komunikasi terapeutik perawat di RS Pemerintah dan di RS Swasta, dimana pelaksanaan komunikasi terapeutik perawat di RS swasta lebih baik. Faktor-faktor yang berhubungan secara signifikan dengan pelaksanaan komunikasi terapeutik perawat di RS Pemerintah dan di RS Swasta adalah sama, yaitu variabel kepuasan kerja, motivasi kerja, iklim kerja, dukungan teman kerja dan dukungan kepala ruang. Faktor yang paling dominan berpengaruh terhadap kepatuhan perawat di RS Pemerintah dalam melaksanakan komunikasi terapeutik adalah motivasi kerja (OR 36,866); sedangkan di RS Swasta adalah dukungan kepala ruang (OR 28,598). Perbedaan yang bermakna antara RS Pemerintah dengan RS Swasta nampak pada variabel: umur, masa kerja, sikap, kepuasan kerja, motivasi kerja, iklim kerja, dukungan teman kerja, dukungan kepala ruang, dan pelaksanaan komunikasi terapeutik itu sendiri. Kata Kunci: Pelaksanaan, Komunikasi Terapeutik, RS Pemerintah-RS Swasta Differences Therapeutic Communication Nurse In Inpatient Room Government Hospital And Private Hospital;quality role of government hospitals and private hospitals in improving the quality of health services in Indonesia, causing every hospital should provide a good service and quality. Nurses are part of hospital human resource that considerable influence on the quality of service, and the implementation of good nursing care can not be separated from therapeutic communication. the optimal implementation of therapeutic communication by nurse is one of the efforts to improve services to the patients. The type of this research was quantitative with cross-sectional study. The results showed a significant differences in the implementation of nurses therapeutic communication between public hospitals and private hospitals, where the implementation of nurses therapeutic communication in private hospital are better. Associated factors significantly with the implementation of nurses therapeutic communication in public hospitals and in private hospitals are the same, the variables are job satisfaction, work motivation, work climate, coworkers support and head of ward support. The most dominant factor that affects the compliance of nurses in government hospitals in implementing therapeutic communication is work motivation (OR 36.866), while in private hospitals is head of ward support (OR 28.598). Significant differences between the government hospitals and private hospitals appears on variables: age, period of work, attitude, job satisfaction, work motivation, work climate, coworker support, head of ward support, and the implementation of therapeutic communication itself. Keywords: Implementation, Therapeutic Communication, Government-Private Hospital

scholarly journals Technical quality of delivery care in private- and public-sector health facilities in Enugu and Lagos States, Nigeria

2018 ◽  
Vol 33 (5) ◽  
pp. 666-674 ◽  
Author(s):  
Atsumi Hirose ◽  
Ibrahim O Yisa ◽  
Amina Aminu ◽  
Nathanael Afolabi ◽  
Makinde Olasunmbo ◽  
...  
Keyword(s):  
Public Sector ◽  
Health Facilities ◽  
Delivery Care ◽  
Technical Quality ◽  
Quality Of Delivery ◽  
Private And Public ◽  
Public Sector Health

scholarly journals Patient Preference between Private and Government Hospital in Hyderabad Region

2020 ◽  
Vol 5 (8) ◽  
pp. 1400-1406
Author(s):  
Dr. B Lakshmi ◽  
Dr. BNV Parthasarathi ◽  
Shubham Jain ◽  
Monika Bhalerao ◽  
Devanshi Saini ◽  
...  
Keyword(s):  
Urban Population ◽  
Private Hospital ◽  
Public Hospitals ◽  
Government Hospital ◽  
Cost Of Treatment ◽  
Rural And Urban ◽  
Government Hospitals ◽  
Male Patients ◽  
Structured Questionnaire

Health is most primary factor than money, if people are focused for the treatment of various disorders. As per NSSO report, 72% and 79% of rural and urban population using private hospital than government hospital even though private hospital having more cost of treatment than government hospital. Most of people are not using public hospitals mainly due to hygienic condition and low quality of their services. This paper basically deals with the patient perception towards the private and government hospitals in Hyderabad Region. The survey was done using a structured questionnaire for a sample size of 299 outpatients, out of which 130 female and 169 male patients. On basis of this data, we will analyze factor such as demographic, social and economic that responsible for choosing private and government hospital.

scholarly journals Implementing a mobile diagnostic unit to increase access to imaging and laboratory services in western Kenya

2018 ◽  
Vol 3 (5) ◽  
pp. e000947 ◽  
Author(s):  
Roshni Dhoot ◽  
John M Humphrey ◽  
Patrick O'Meara ◽  
Adrian Gardner ◽  
Clement J McDonald ◽  
...  
Keyword(s):  
Healthcare Workers ◽  
Health Facilities ◽  
Sub Saharan Africa ◽  
Resource Limited Settings ◽  
Western Kenya ◽  
Remote Areas ◽  
Diagnostic Unit ◽  
Resource Limited ◽  
Laboratory Services ◽  
Sub Saharan

Access to basic imaging and laboratory services remains a major challenge in rural, resource-limited settings in sub-Saharan Africa. In 2016, the Academic Model Providing Access to Healthcare programme in western Kenya implemented a mobile diagnostic unit (MDU) outfitted with a generator-powered X-ray machine and basic laboratory tests to address the lack of these services at rural, low-resource, public health facilities. The objective of this paper is to describe the design, implementation, preliminary impact and operational challenges of the MDU in western Kenya. Since implementing the MDU at seven rural health facilities serving a catchment of over half a million people, over 4500 chest radiographs have been performed, with one or more abnormalities detected in approximately 30% of radiographs. We observed favorable feedback and uptake of MDU services by healthcare workers and patients. However, various operational challenges in the design and construction of the MDU and the transmission and reporting of radiographs in remote areas were encountered. Our experience supports the feasibility of deploying an MDU to increase access to basic radiology and laboratory services in rural, resource-limited settings.

scholarly journals Health system capacity for tuberculosis care in Ethiopia: evidence from national representative survey

2020 ◽  
Vol 32 (5) ◽  
pp. 306-312
Author(s):  
Amare Deribew ◽  
Tariku Dejene ◽  
Atkure Defar ◽  
Della Berhanu ◽  
Sibhatu Biadgilign ◽  
...  
Keyword(s):  
Quality Of Care ◽  
Health System ◽  
Health Facilities ◽  
Public Hospitals ◽  
Health Centers ◽  
System Capacity ◽  
Public And Private ◽  
Southwestern Ethiopia ◽  
Care Capacity

Abstract Objective The objective of this study was to evaluate the tuberculosis (TB) health system capacity and its variations by location and types of health facilities in Ethiopia. Design We used the Service Provision Assessment plus (SPA+) survey data that were collected in 2014 in all hospitals and randomly selected health centers and private facilities in all regions of Ethiopia. We assessed structural, process and overall health system capacity based on the Donabedian quality of care model. Multiple linear regression and spatial analysis were done to assess TB capacity score variation across regions. Setting The study included 873 public and private health facilities all over Ethiopia. Participants None. Intervention(s) None. Main outcome measure(s) None. Results A total of 873 health facilities were included in the analysis. The overall TB care capacity score was 76.7%, 55.9% and 37.8% in public hospitals, health centers and private facilities, respectively. The health system capacity score for TB was higher in the urban (60.4%) facilities compared to that of the rural (50.0%) facilities (β = 8.0, 95% CI: 4.4, 11.6). Health centers (β = −16.2, 95% CI: −20.0, −12.3) and private health facilities (β = −38.3, 95% CI: −42.4, −35.1) had lower TB care capacity score than hospitals. Overall TB care capacity score were lower in Western and Southwestern Ethiopia and in Benishangul-Gumuz and Gambella regions. Conclusions The health system capacity score for TB care in Ethiopia varied across regions. Health system capacity improvement interventions should focus on the private sectors and health facilities in the rural and remote areas to ensure equity and improve quality of care.

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