scholarly journals Do the quality of health care services provided at personal health care institutions of Kaunas city and access to it meet expectations of pregnant women

Medicina ◽  
2009 ◽  
Vol 45 (8) ◽  
pp. 652 ◽  
Author(s):  
Virginija Vanagienė ◽  
Birutė Žilaitienė ◽  
Tadas Vanagas
Keyword(s):  
Health Care ◽  
Antenatal Care ◽  
Pregnant Women ◽  
Quality Of Health Care ◽  
Response Rate ◽  
Care Facility ◽  
Family Physicians ◽  
Personal Health ◽  
Health Care Institutions

Objectives. To evaluate if the quality of services provided by family physicians and obstetricians/gynecologists at primary personal health care institutions of Kaunas city and access to it meet the needs and expectations of pregnant women. Material and methods. Pregnant women visiting the selected health care institutions at their third trimester of pregnancy were asked to fill in the anonymous questionnaire. The study was conducted at two randomly selected maternity centers of Kaunas city and two family practices of Kaunas city where antenatal care was provided by family physicians. The questionnaires were given to 106 patients visiting family physicians (response rate was 88.7%) and to 202 patients visiting obstetricians/ gynecologists (response rate was 81.7%). Results. Health services provided by family physicians and obstetricians/gynecologists met the expectations of pregnant women in respect of providing with information and communication. The patients of obstetricians/gynecologists significantly more often stated that they were very satisfied with patient-physician communication (P<0.05), they significantly more often understood explanations given by the physician (P<0.001) and claimed having sufficient knowledge about pregnancy (P<0.05), while the patients of family physicians significantly more often asserted that the physician helped them in preparation for childbirth (P<0.05). The patients of obstetricians/gynecologists significantly more often did not face any problems with access to services as compared to the patients of family physicians (z=3.0). Most of pregnant women stated that they were satisfied or very satisfied with the quality of health care at the health care facility providing them with antenatal care irrespective of the physician’s specialty. Conclusions. The quality of antenatal health care provided by both family physicians and obstetricians/gynecologists and access to it satisfied the needs and expectations of the surveyed women. Correction of the limitations noticed, e.g., closer communication, more understandable explanations, more attention to preparation for childbirth, better work planning, could improve the quality of antenatal care provided by the family physicians.

scholarly journals Individual Motivation for Completion of Antenatal Care Consultations In The Community Health Center: A Mixed Methods Study

2021 ◽  
Author(s):  
Juliani Ibrahim ◽  
Saori Kashima
Keyword(s):  
Health Care ◽  
Mixed Methods ◽  
Physical Examination ◽  
Antenatal Care ◽  
Quantitative Study ◽  
Quality Of Health Care ◽  
Community Health Center ◽  
Individual Motivation ◽  
Health Care Centers

Abstract Background: Antenatal care is an intensive program for mother and child, predominantly received from healthcare professionals during pregnancy. Recent studies have shown a high rate of incomplete consultations, while several qualitative and quantitative assessments highlighted the influencing risks and motivational factors. These were performed in an attempt to gain a more comprehensive understanding hence data were collected and consequently evaluated on the basis of competition, using a convergent mixed-methods design.Methods: The data were collected in Makassar, Indonesia, using a sequential explanatory designed that was initially conducted as a quantitative study in the form of a questionnaire for pregnant/reproductive women (n=326), followed by a focus group discussion (FGD), as a qualitative study targeted at people, which includes pregnant/reproductive women and health workers (n=60). To quantitatively evaluate the relationship between each factor and the completion of antenatal care consultations, odds ratios (ORs) were calculated using the logistic regression model. Similarly, in order to validate the results from the quantitative study and explore the real background in each motivation factor, qualitative analysis was conducted by FGD.Results: In the qualitative analysis, the level of education of the husband and the time allocated to examination were linked with the completion status of antenatal care consultations. Particularly, the women that received accurate and prompt services were more likely to complete the antenatal care consultations [Adjusted OR for additional physical examination:1.90 (95% CI: 1.03–3.48); and OR for additional obstetric physical examination: 9.10 (95% CI: 3.42–24.23)] compared to the women that did not receive. According to the FGD, the quality of health care centers was an important factor for the completion of antenatal care performance, and pregnant women frequently visited Posyandu which is a health post in the community instead of going to the community health center.Conclusions: The main challenges for individual motivation to complete their consultations remain the socio-economic status, lack of knowledge on pregnancy experiences, and the quality of health care centers. These factors need to be considered in order to improve the health policy for adequate services for pregnant women.

scholarly journals Disrupted Service Delivery? The Impact of Conflict on Antenatal Care Quality in Kenya

2021 ◽  
Vol 2 ◽  
Author(s):  
Adanna Chukwuma ◽  
Kerry L. M. Wong ◽  
Uche Eseosa Ekhator-Mobayode
Keyword(s):  
Health Care ◽  
Maternal Health ◽  
Antenatal Care ◽  
Quality Of Health Care ◽  
Process Quality ◽  
Percentage Points ◽  
Maternal Survival ◽  
Significant Difference ◽  
The Impact

Introduction: African countries facing conflict have higher levels of maternal mortality. Understanding the gaps in the utilization of high-quality maternal health care is essential to improving maternal survival in these states. Few studies have estimated the impact of conflict on the quality of health care. In this study, we estimated the impact of conflict on the quality of health care in Kenya, a country with multiple overlapping conflicts and significant disparities in maternal survival.Materials and Methods: We drew on data on the observed quality of 553 antenatal care (ANC) visits between January and April 2010. Process quality was measured as the percentage of elements of client–provider interactions performed in these visits. For structural quality, we measured the percentage of required components of equipment and infrastructure and the management and supervision in the facility on the day of the visit. We spatially linked the analytical sample to conflict events from January to April 2010. We modeled the quality of ANC as a function of exposure to conflict using spatial difference-in-difference models.Results: ANC visits that occurred in facilities within 10,000 m of any conflict event in a high-conflict month received 18–21 percentage points fewer components of process quality on average and had a mean management and supervision score that was 12.8–13.5 percentage points higher. There was no significant difference in the mean equipment and infrastructure score at the 5% level. The positive impact of conflict exposure on the quality of management and supervision was driven by rural facilities. The quality of management and supervision and equipment and infrastructure did not modify the impact of conflict on process quality.Discussion: Our study demonstrates the importance of designing maternal health policy based on the context-specific evidence on the mechanisms through which conflict affects health care. In Kenya, deterioration of equipment and infrastructure does not appear to be the main mechanism through which conflict has affected ANC quality. Further research should focus on better understanding the determinants of the gaps in process quality in conflict-affected settings, including provider motivation, competence, and incentives.

scholarly journals Control Logistics in a Modern Medical Institution: the Main Organization Mechanisms

2020 ◽  
Vol 5 (5) ◽  
pp. 204-211
Author(s):  
A. V. Kolomoets ◽  
◽  
V. M. Mikhalchuk ◽  
O. K. Tolstanov ◽  
Z. V. Gbur ◽  
...  
Keyword(s):  
Health Care ◽  
Financial Stability ◽  
Health Care Organization ◽  
Care Facility ◽  
Medical Institution ◽  
Medical Services ◽  
Care Organization ◽  
Health Care Institutions ◽  
Medical Institutions

In the logistics approach, the health care organization is seen as a system that incorporates many interconnected processes, the ultimate goal of which is to provide quality health services. Modern system and process approaches to management have also undergone significant changes in the management of medical institutions, applying new methods and technologies of resource management, which are based on the concept of logistics. The positive aspects of logistics technologies in health care institutions are the following: the ability to influence the strategy and tactics of health care institutions, the formation of new competitive market advantages in this market segment. The use of logistics methods and technologies optimizes the processes of information input on the amount of resources consumed, its receipt and transmission of information, thus improving the quality of medical care. The main idea of the logistics process is to create a certain result from the resources available in medical institutions. It should be noted that today companies in various sectors of the economy are interested in the transition to logistics management. The advantage of the logistical approach in health care is the ability to influence the strategy and tactics of the medical organization, to create new competitive advantages in the market of medical services. The use of logistics accelerates the process of obtaining and transmitting information about the necessary resources as a result, improving the quality of medical services. In this way, logistics coordinates the resource provision of the health care organization as a whole. Conclusion. Implementation and use of the world best practices of the logistics concept "just in time" to optimize the needs and time of supply of medical devices of each structural unit of the medical institution will ensure continuity of processes in the health care facility as medical supplies and property arrive on time, and , at the same time do not accumulate in warehouses unclaimed (which, in turn, reduces the turnover of working capital and as a result negatively affects the financial stability of the organization), which contributes to the rapid restructuring of the supply system to the needs of health care

scholarly journals Determinan Perilaku Kunjungan Antenatal Care di Puskesmas Bojongsari Kota Depok Tahun 2021

2021 ◽  
Vol 1 (2) ◽  
pp. 87-95
Author(s):  
Aurelia Indah Qurota A'yun ◽  
Astrid Novita ◽  
Ernita Prima Noviyani
Keyword(s):  
Health Care ◽  
Health Promotion ◽  
Health Services ◽  
Antenatal Care ◽  
Pregnant Women ◽  
Third Trimester ◽  
The Third ◽  
Quality Of Health Services ◽  
Care Support

Introduction: The behavior of antenatal care visits is the action of pregnant women who carry out pregnancy checks from the first trimester to the third trimester. Objective: To determine the relationship between health service facilities, health promotion, health care support, and the quality of health services on the behavior of antenatal care visits at the Bojongsari Health Center, Depok City in 2021. Methods: This type of research used a quantitative analytic survey using a cross-sectional approach. The population in this study was 141 pregnant women in the third trimester. The sampling technique used was the Lemeshow formula with purposive sampling. The number of respondents was 103 third-trimester pregnant women. The types of data used are primary and secondary data with univariate and bivariate analysis. Results: Pregnant women with poor antenatal care visits were 58 pregnant women (56.3%). Conclusion: There is a relationship between the variables of service facilities (OR = 27.773), health promotion (OR = 19.213), health care support (OR = 22.519), and the quality of health services (OR = 26.057) on the behavior of antenatal care visits at the Bojongsari Health Center, Depok City. 2021.

scholarly journals Study of utilization of antenatal care services and its determinants among pregnant women admitted in a tertiary care hospital in Mangaluru, Karnataka, India

2020 ◽  
Vol 7 (5) ◽  
pp. 1960
Author(s):  
Hemant Kumar ◽  
Iybu V. Chacko ◽  
Seema Mane ◽  
Narayanan N. Govindan ◽  
Sneha Prasanth
Keyword(s):  
Health Care ◽  
Antenatal Care ◽  
Pregnant Women ◽  
Tertiary Care ◽  
Care Facility ◽  
Health Care Facility ◽  
Care Hospital ◽  
Quality Health Care ◽  
Care Services ◽  
Pregnant Mothers

Background: Globally only 64% of women receive antenatal (prenatal) care four or more times throughout their pregnancy. National family health survey (NFHS) -4, brings out that in India, 21% of pregnant women utilized full ANC, ranging from 2.3-65.9% across the states. Quality health care during pregnancy and childbirth can prevent many pregnancy related deaths. The objective of the present study was to examine utilization of antenatal care services among the study subjects and find out its determinants, including out of pocket expenditure incurred on management of the pregnancies.Methods: The study was conducted in a tertiary care teaching hospital among full term pregnant mothers and those who had recently delivered. Purposive sampling method was used and sample size of 368 was calculated.Results: The study brought out that 100% women had their registration, 75.5% of them within 12 weeks of pregnancy. Majority of the women (69.5%) preferred private health care facility clinic for antenatal check-up. However, the utilization of various government schemes in place for the benefit of pregnant mothers were underutilized (26.6%).The study also revealed that 16.0% of the families suffered catastrophic expenditure as the cost of treatment on antenatal care and treatment went beyond household budget and they had to borrow money for the treatment.Conclusions: A significant association was found between number of antenatal visits and increasing age, higher socio-economic status, higher educational status, Hindu religion, place of residence (urban), nuclear type of family and early registration.

scholarly journals Health Problems & Barriers to Healthcare Services for the Transgender Community in Lahore, Pakistan

2021 ◽  
Vol 38 (1) ◽  
Author(s):  
Iram Manzoor ◽  
Zartasha Hanan Khan ◽  
Rafia Tariq ◽  
Rijah Shahzad
Keyword(s):  
Health Care ◽  
Quality Of Health Care ◽  
Care Facility ◽  
Healthcare Services ◽  
Health Problems ◽  
Poor Quality ◽  
P Value ◽  
Government Hospitals ◽  
Barriers To Healthcare

Objectives: To find out the major health problems and barriers in getting health care by transgender community in Lahore, Pakistan. Methods: An analytical cross-sectional study was conducted in transgender community of Lahore from January to October 2020. The study included 214 participants from different areas of Lahore by targeting their “gurus”. Non-probability, snow-ball sampling technique was used to collect required sample size. Data was collected by using a structured questionnaire. Data were analyzed using SPSS version 23. Results were generated in form of tables and graphs. Chi square test and Fischer’s exact test were used to find out associations between health seeking behavior with their transgender status and p value was fixed as ≤ 0.05 as significant. Results: Among total 214, 78.5% were transgender females and 21.5% were transgender male. Among the common health problems were depression (56%), anxiety (59%) and genital tract ulcers (45%). About 70% transgender seek health care from government hospitals. Among total 214 participants, 70% reported that they receive poor quality of health care. The main reasons of not getting proper care is non acceptance (20.7%), feeling ashamed (28.7%), non-availability of CNIC (44.5%) and un-affordability (6.1%). Significant association of transgender female with consultation with doctors (p=0.013), seeking care at government hospitals (p =0.038) poor experience at health care facility (0.050), neglect during medical treatment (p=0.015) and feeling of discrimination during treatment (p= 0.042). Conclusion: Transgender community face physical, mental, social and reproductive health issues. About 70% trans-genders receive poor quality of health care services. Non acceptance, feeling ashamed, non-availability of CNIC and non-affordability have been reported as major barriers in getting desired health care. doi: https://doi.org/10.12669/pjms.38.1.4375 How to cite this:Manzoor I, Khan ZH, Tariq R, Shahzad R. Health Problems & Barriers to Healthcare Services for the Transgender Community in Lahore, Pakistan. Pak J Med Sci. 2022;38(1):---------. doi: https://doi.org/10.12669/pjms.38.1.4375 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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