scholarly journals Women's Satisfaction with Maternal care in Ghana : The Doctor's Behaviour as a Regulating Factor

2021 ◽  
pp. 332-344
Author(s):  
Fortune Afi Agbi ◽  
Professor Zhou Lvlin ◽  
Eric Owusu Asamoah
Keyword(s):  
Health Care ◽  
Maternal Health ◽  
Postnatal Care ◽  
Health Care Services ◽  
Positive Impact ◽  
Care Delivery ◽  
Maternal Health Care ◽  
Delivery Care ◽  
Care Services

<p>The key element of human rights and the road to equity and dignity of women and children is the quality of care received. The provision of maternal health care is based on quality during pregnancy, and distinctly forty-eight hours after delivery, is an important contribution to saving women’s lives and preventing disabilities (Quah, 2016). Thus, the understanding of women's experiences and expectations through the continuum of prenatal care, delivery care and postnatal care is important for assessing the quality of maternal health care and the determination of problem areas requiring improvement. Women's satisfaction reflects women's judgment of various aspects of maternal health care, including organizational and interpersonal aspects. Multiple linear regression was used (IBM SPSS v.25) to test the main hypotheses for the present study. The ordinal regression was used to predict the value of a result variable (dependent variable) based on the value of two or more prediction variables (independent variables). This study identifies the relationship between maternal health services (prenatal & diagnostic care, delivery care and postnatal care) and women's satisfaction with the moderating role of doctor's behavior. The study finally determined the positive impact of health care services on women's satisfaction. The results also show that the doctor's behavior in health care services affect women's satisfaction and so, the alternate hypotheses are accepted. In this study, physicians were encouraged to give pregnant women thorough inspection and examination, treat them with courtesy and respect. The study also showed that, the government should focus on hiring additional employees to overcome workload.</p>

scholarly journals Determinants of utilization of maternal health care services among mothers in Harare, Zimbabwe

2019 ◽  
Author(s):  
Eunice Nyarambi ◽  
Paddington Tinashe Mundagowa ◽  
Prosper Chonzi ◽  
Elizabeth Chadambuka
Keyword(s):  
Health Care ◽  
Maternal Health ◽  
Antenatal Care ◽  
Health Care Services ◽  
Care Delivery ◽  
Maternal Health Care ◽  
Health Facilities ◽  
Related Factors ◽  
Care Services ◽  
Maternal Health Care Services

Abstract Background: Provision of quality maternal health care services is an essential component in ensuring a healthy mother-baby dyad both pre- and post-delivery. In Africa, antenatal care, postnatal care, and skilled birth attendances are very low when compared to high-income countries. The continent has a high burden of maternal and infant morbidity as well as mortality rates. According to the Harare Annual Report of 2016, the number of women seeking maternal health care services was gradually declining from 2014 and pregnant women reported various challenges in accessing health care services. Methods: A 1 to 1 case-control study was conducted in Harare West South Western District using pretested interviewer-administered questionnaires. The study was carried out at all three clinics in the district and a total of 73 cases and 73 controls were selected using a systematic random sampling method. Quantitative data were analyzed using Epi Info statistical package and qualitative data was analyzed thematically. Results: The median ages for cases and controls were 29 and 24 years, respectively and the age-group 19 to 24 years constituted the majority of participants (41%). Predictors of utilization of services were young age ( < 24 years), birth order of < 2, maternal and paternal occupation, and religion. Enabling factors included: asking for permission to seek care, absence of transport challenges, a shorter distance to the health facility, affordability of health services, and a higher household income. Besides the shortage of skilled staff at the clinics, mothers endured long waiting hours to be served. The majority of the cases (78.1 %) and controls (72.6%) preferred to be attended by male nurses. Mothers were required to pay a $25 fee for booking and city medical staff rarely visited the clinics. Conclusion: The utilization of maternal health care services in Harare is dependent on the individual, household, and system-related factors. There was a need to articulate policies and design maternal health care programs that target socially and economically marginalized women. Creating women-friendly health facilities with extended hours for the antenatal care, delivery care and post-natal care services for mothers can help to decongest the health facilities.

scholarly journals Assessment of utilization of maternal health care services in rural field practice areas of VIMS, Ballari

2017 ◽  
Vol 5 (1) ◽  
pp. 170
Author(s):  
Neeta P. N. ◽  
Sameena A. R. B. ◽  
Suresh C. M. ◽  
Gangadhar Goud ◽  
Bharat . ◽  
...  
Keyword(s):  
Higher Education ◽  
Health Care ◽  
Maternal Health ◽  
Antenatal Care ◽  
Postnatal Care ◽  
Health Care Services ◽  
Maternal Health Care ◽  
Care Services ◽  
Field Practice ◽  
Maternal Health Care Services

Background: Maternal mortality and morbidity remains high even though national programs exist for improving maternal and child health in India. This could be related to several factors, an important one being non-utilization or delay in seeking care of maternal health-care services, especially amongst the rural poor and urban slum population due to either lack of awareness or access to health-care services. Our study was aimed to know the utilization of maternal health care services during antenatal and post natal period and factors affecting them.Methods: A Community based cross sectional study was carried in the rural field practice areas of VIMS, Ballari (three primary health centres (PHC) Kudithini, Koluru, Kurugodu) among all married women in the age group of 15-45 years who were in the post natal period (less than 2 months) at time of interview. A total 152 women were included in the study by door to door survey, among all the 3 PHC’s. The women absent during the survey were excluded.Results: Only 101 (66.44%) of women utilized antenatal care and 18 (11.8%) utilized post natal care (at least three postnatal visits) from the health care facility. Mothers who were of Muslim religion, <20 years of age, higher education of participant as well as husband, higher occupation status, high SES, less parity had higher odds of utilizing antenatal care. Health education by the health worker regarding post natal services to women ranged from 62.5-90.8%. Mothers of Muslim religion, higher education, higher occupation status, normal vaginal delivery and home delivery had higher odds of utilizing postnatal servicesConclusions: The study shows unacceptably low utilization of postnatal care services. It shows the coverage of postnatal care services is inadequate. This is an important message to health service providers and policy makers to strengthening not only antenatal health services and institutional deliveries but also postnatal care services to reduce maternal and neonatal morbidity and mortality. 

scholarly journals Determinants of utilization of maternal health care services among mothers in Harare, Zimbabwe

2019 ◽  
Author(s):  
Paddington Tinashe Mundagowa ◽  
Eunice Nyarambi ◽  
Elizabeth Chadambuka
Keyword(s):  
Health Care ◽  
Maternal Health ◽  
Antenatal Care ◽  
Health Care Services ◽  
Care Delivery ◽  
Maternal Health Care ◽  
Health Facilities ◽  
Related Factors ◽  
Care Services ◽  
Maternal Health Care Services

Abstract Background: Provision of quality maternal health care services is an essential component in ensuring a healthy mother-baby dyad both pre- and post-delivery. In Africa, antenatal care, postnatal care, and skilled birth attendances are very low when compared to high-income countries. The continent has a high burden of maternal and infant morbidity as well as mortality rates. According to the Harare Annual Report of 2016, the number of women seeking maternal health care services was gradually declining from 2014 and pregnant women reported various challenges in accessing health care services. Methods: A 1 to 1 case-control study was conducted in Harare West South Western District using pretested interviewer-administered questionnaires. The study was carried out at all three clinics in the district and a total of 73 cases and 73 controls were selected using a systematic random sampling method. Quantitative data were analyzed using Epi Info statistical package and qualitative data was analyzed thematically. Results: The median ages for cases and controls were 29 and 24 years, respectively and the age-group 19 to 24 years constituted the majority of participants (41%). Predictors of utilization of services were young age ( < 24 years), birth order of < 2, maternal and paternal occupation, and religion. Enabling factors included: asking for permission to seek care, absence of transport challenges, a shorter distance to the health facility, affordability of health services, and a higher household income. Besides the shortage of skilled staff at the clinics, mothers endured long waiting hours to be served. The majority of the cases (78.1 %) and controls (72.6%) preferred to be attended by male nurses. Mothers were required to pay a $25 fee for booking and city medical staff rarely visited the clinics. Conclusion: The utilization of maternal health care services in Harare is dependent on the individual, household, and system-related factors. There was a need to articulate policies and design maternal health care programs that target socially and economically marginalized women. Creating women-friendly health facilities with extended hours for the antenatal care, delivery care and post-natal care services for mothers can help to decongest the health facilities.

Gestational Pyelonephritis as an Indicator of the Quality of Ambulatory Maternal Health Care Services

2006 ◽  
Vol 107 (3) ◽  
pp. 632-640 ◽  
Author(s):  
Lisa M. Korst ◽  
Carolina Reyes ◽  
Moshe Fridman ◽  
Michael C. Lu ◽  
Calvin J. Hobel ◽  
...  
Keyword(s):  
Health Care ◽  
Maternal Health ◽  
Health Care Services ◽  
Maternal Health Care ◽  
Care Services ◽  
Maternal Health Care Services
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