Quality of Delivery Service at Public Health Facilities in Arba Minch District, Gamo Gofa Zone, Southern Ethiopia

Dewana, Zeritu; Gebremariam, Abebe; Abdulahi, Misra; Fikadu, Teshale; Facha, Wolde

doi:10.11648/j.jgo.20170502.12

Cited by 8 publications

(10 citation statements)

References 4 publications

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“…a sample size calculation for the quantitative study component among recently delivered mothers was determined by a single population proportion with 95% confidence interval, margin of error (d) of 5% and taking 54.06% prevalence (P) of overall quality of delivery care in Arbaminch, south Ethiopia public health facilities [27]; design effect of 2 and adding 10% for non-response rate. A total of 881 mothers received routine intra-partum and immediate postpartum care signal functions from 40 primary level care facilities.…”

Section: Quantitative Phasementioning

confidence: 99%

Quality of and barriers to routine childbirth care signal functions in primary level facilities of Tigray, Northern Ethiopia: Mixed method study

et al. 2020

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Background Efforts to expand access to institutional delivery alone without quality of care do not guarantee better survival. However, little evidence documents the quality of childbirth care in Ethiopia, which limits our ability to improve quality. Therefore, this study assessed the quality of and barriers to routine childbirth care signal functions during intra-partum and immediate postpartum period. Methods A sequential explanatory mixed method study was conducted among 225 skilled birth attendants who attended 876 recently delivered women in primary level facilities. A multi stage sampling procedure was used for the quantitative phase whilst purposive sampling was used for the qualitative phase. The quantitative survey recruitment occurred in July to August 2018 and in April 2019 for the qualitative key informant interview and Focus Group Discussions (FGD). A validated quantitative tool from a previous validated measurement study was used to collect quantitative data, whereas an interview guide, informed by the literature and quantitative findings, was used to collect the qualitative data. Principal component analysis and a series of univariate and multivariate linear regression analysis were used to analyze the quantitative data. For the qualitative data, verbatim review of the data was iteratively followed by content analysis and triangulation with the quantitative results. Results This study showed that one out of five (20.7%, n = 181) mothers received high quality of care in primary level facilities. Primary hospitals (β = 1.27, 95% CI:0.80,1.84, p = 0.001), facilities which had staff rotation policies (β = 2.19, 95% CI:0.01,4.31, p = 0.019), maternal involvement in care decisions (β = 0.92, 95% CI:0.38,1.47, p = 0.001), facilities with

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Section: Quantitative Phasementioning

confidence: 99%

Quality of and barriers to routine childbirth care signal functions in primary level facilities of Tigray, Northern Ethiopia: Mixed method study

et al. 2020

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“…We developed structured questionnaire and interview guides based on framework developed to investigate the quality of institutional maternal delivery services as experienced by mothers [15], considering previous literature reporting measurement of delivery service quality perceptions in the country [8,24], and national standard developed to transform the quality of health care in Ethiopia [25]. The questions comprised of 20 items in four dimensions: 8 items on physical and human resources; 5 items on cognition; 3 items on respect, dignity, and equity; and 4 items on emotional support.…”

Section: Data Collectionmentioning

confidence: 99%

“…Using a facility audit checklist and clinical records, a few authors [7][8][9] assessed the quality of delivery service provisions in health facilities in different parts of the country and reported that the qualities are suboptimal. As the focuses of these studies were on the status of institutions providing the services and the expertise of the service providers, the quality of services from the clients' perspectives was not investigated.…”

Section: Introductionmentioning

confidence: 99%

“…Previous attempts for evaluating the quality of maternal health services in the country [7][8][9] used the Donabedian model [14]. In this study, we used Hulton and colleague's [15] framework to assess the quality of the maternity care from the points of views of mothers who had received intrapartum care services at health centers in Jabi -Tehinan woreda, North West Ethiopia.…”

Section: Introductionmentioning

confidence: 99%

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Quality of intrapartum care at health centers in Jabi Tehinan district, North West Ethiopia: clients’ perspective

Asrese

2020

BMC Health Serv Res

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Background: Despite progress recently, Ethiopia remains one of the largest contributors to the global burden of maternal deaths. As facility-based childbirth and skilled-birth attendant at birth reduces maternal morbidity and mortality, the country has been implementing expansions in infrastructure during the past decades. Whether this phenomenal expansion in infrastructure and improvement in coverage of healthcare services matched with quality of maternal health service is not well investigated. This study assessed the quality of intrapartum care experienced by mothers at health centers in Jabi Tehinan district, North West Ethiopia. Method: An institution-linked community-based cross-sectional study was carried out from August to September 2018 to assess the quality of intrapartum care experienced by mothers during facility deliveries. Quantitative data were collected from 378 women who had uncomplicated births at health centers within 6 months preceding the survey and interviews were held with 25 women. The quantitative data were entered into SPSS for Windows versions 23 for analyses. Qualitative data were transcribed verbatim and data were used to substantiate the quantitative data. Result: The results indicated that 13% of mothers experienced good quality of intrapartum care services. About 49, 45, 31, and 25% of mothers respectively experienced good quality of human and physical resources; respect, dignity, and equity; emotional support; and cognition. Only 2% of mothers experienced good quality of services on the four dimensions and 15% did not experience good quality of services on neither of the dimensions. Mothers from rural areas and mothers who did not use ANC services for recent born children were found more likely to experience good quality of intrapartum care. Informants discussed poor quality of labor environment, lack of privacy, and poor client-provider communications at health facilities. Conclusion: The results indicated that the quality of intrapartum care experienced by mothers were minimal. The findings highlighted that efforts exerted to increase infrastructure and improve maternal health service coverage did not ensure quality maternal health services. Therefore, to increase the uptake of facility births and improved maternal health outcomes, stakeholders should make the health system humane, respectful, equitable, and responsive to mothers' concerns.

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“…This is lower than studies conducted in Mid-Western Nepal (89.88%), Felege Hiwot Referral Hospital Northwest Ethiopia (74.9 %), Wolayita zone, Ethiopia (82.9%), Jimma (77%) and Assela Hospital (80.7%), Debre Markos town, Ethiopia (81.7%), Mekelle, Ethiopia (79.7%), Abrade Swede Memorial Primary Hospital, Ethiopia (88%) and Arbaminch District Southern Ethiopia (90.2%). (11)(12)(13)(14)(15)(16)(17)(18)(19). However, this finding is higher than the study conduct in Amhara Referral Hospitals, Ethiopia (61.9%), in Ethiopia and South Africa (51.9%) and Nairobi Kenya (56%) (20-22).…”

Section: Discussionmentioning

confidence: 85%

Assessment of service satisfaction and associated status among women who have given birth in Adigrat general hospital, Ethiopia, 2018.

Gebremeskel¹,

Tukue²,

Gebremariam³

et al. 2020

Preprint

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Background: The study aimed to assess the satisfaction of service delivery and the associated status among women who gave birth to Adigrat general hospital, Ethiopia, 2018. Methods: Institutional based cross-sectional study design was conducted in Adigrat hospital from February to March 2018. Interviews with interviewed using structured questionnaires of 302 systematic women who were born at general hospital. The information is submitted to EPI-info version 7.2 and exported to SPSS version 20 for analysis. Summary statistics and logistic regression analyses were performed. OR with two-sided 95% CI and P-value<0.05 were used to identify the factors associated with the service satisfaction. Result: Maternal satisfaction in labor and delivery was70.2%. Women living in rural areas were 98.8% times less likely to be satisfied with service delivery than those living in urban area (AOR: 0.012, 95%CI (0.002, 0.065). women who plan to give birth at the hospital have more than forty times more than their referrals for maternity service (AOR: 40.43, 95%CI (2.75, 595.23)).Conclusion: The overall share of mothers who were satisfied with the service they provided was appropriate. As a city resident and the reason for delivering in the hospital are related to service satisfaction. Therefore the staff of the hospital has a continuing education and personal relationship. The care giver must fully understand the value of their care and provided care that is in line with those expectations.

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Quality of Delivery Service at Public Health Facilities in Arba Minch District, Gamo Gofa Zone, Southern Ethiopia

Cited by 8 publications

References 4 publications

Quality of and barriers to routine childbirth care signal functions in primary level facilities of Tigray, Northern Ethiopia: Mixed method study

Quality of and barriers to routine childbirth care signal functions in primary level facilities of Tigray, Northern Ethiopia: Mixed method study

Quality of intrapartum care at health centers in Jabi Tehinan district, North West Ethiopia: clients’ perspective

Assessment of service satisfaction and associated status among women who have given birth in Adigrat general hospital, Ethiopia, 2018.

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