Muzemil, Abdulkerim (2014) Assessment of Quality of Antenatal Care in Selected Hospitals in Addis Ababa, 2014. Masters thesis, Addis Ababa University.
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Abstract
Background Antenatal care, ANC, is an entry point to give care for pregnant women, to prevent problems that potentially endanger the life of a pregnant woman and her fetus, to advise family and community on how to prepare for birth and potential complications and to promote the benefit of skilled attendance at birth. Its effectiveness depends on the quality of care provided to the pregnant woman. Hence, assessment of the quality of antenatal care in selected hospitals in Addis Ababa is prudent. Objectives The main objective of this study was to assess the quality of ANC at selected hospitals in Addis Ababa. Methods A cross sectional descriptive study was conducted on assessment of quality of ANC at TASH, GMH, ZMH between June and July 2014. Quality of care was measured as a proportion of patients receiving recommended components of care. A total of 422 pregnant women during the study period were interviewed through exit interview. Observation of health care providers was performed during 290 consultations. Clinical record of the clients was also reviewed for data completeness. Result Ninety percent of the study subjects were satisfied with the antenatal care they were rendered. Eighteen percent of pregnant ladies were dissatisfied with waiting time to complete ANC. More than 90 percent have got general examination, 10.7 percent of mothers did not get hemoglobin measurement and other routine laboratory investigations. Around 10 percent did not get iron supplementation and TT vaccine. Only 52.1 percent of clients received information on danger signs of pregnancy. A third of the clients were informed about nutrition, family planning or delivery place. Conclusion Overall satisfaction of antenatal care clients in the study facilities was high although a significant number of clients did not get the required component of ANC. Quality of ANC in the study hospitals was not optimal. Recommendation Regular performance of quality of antenatal care and implementing clients suggested points on improvement and in service training of health care provider working in ANC clinic is essential.
| Item Type: | Thesis (Masters) |
|---|---|
| Subjects: | R Medicine > R Medicine (General) R Medicine > RG Gynecology and obstetrics |
| Divisions: | Africana |
| Depositing User: | Vincent Mpoza |
| Date Deposited: | 02 Oct 2018 08:38 |
| Last Modified: | 02 Oct 2018 08:38 |
| URI: | http://thesisbank.jhia.ac.ke/id/eprint/5753 |
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