Zeleke, Azeb Admassu (2016) Assessment of Quality of Midwifery Care in Teaching and Non- Teaching Hospitals in Addis Ababa, Ethiopia. Masters thesis, Addis Ababa University.
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Abstract
Background: Quality of midwifery care improves health outcomes by providing technically sound care for clients (1). This quality may affected by teaching and learning process. some literature says that teaching learning process has positive influence on quality of midwifery care (14) but others studies done in Iran says that quality of maternity care is poor in teaching hospital than non teaching hospital (20) . In our country Ethiopia no study is done on hospital teaching status affects quality of midwifery care. As this study is new and fill the evidence gap on issue. Objective: To assess the quality of midwifery care in teaching and non-teaching hospital by comparing the two types of hospitals and measuring satisfaction, Addis Ababa, Ethiopia. Methodology: Facility based cross-sectional comparative study was conducted on 416 mothers who had received labor and delivery service in St. Paul Hospital Millennium Medical College and All Africa Leprosy, Tuberculosis and Rehabilitation Training Hospital which are teaching and non- teaching hospitals respectively. A systematic random sampling technique was employed to select mothers who were admitted for delivery and gave birth in the study ward. Data collection was done by administrating structured questionnaire and using standard observation checklist. In the analysis, descriptive statistics was used and multivariate and bi variate analysis for significance and association were carried out. Ethical approval for the study was obtained from Addis Ababa University School of Public Health and St Paul Hospital millennium Medical Collage Ethical Review Committee and permission litter obtained from All Africa Leprosy, Tuberculosis and Rehabilitation Training Hospital. Results: It was found that mothers in the non-teaching hospital were 5.4 times more likely to be satisfied than in the teaching hospital (COR (C l) (5.46 (3.39, .8.31) p value 0.001)) and quality of midwifery care was 1.49 times more likely good in non-teaching hospital than in teaching; (COR (CI) (1.49 (1.018, 2.206) P value 0.040). Conclusion: In conclusion the quality of midwifery care is affected by teaching learning process which is quality carries higher in the non-teaching hospital compared with the teaching hospital. From bi variant logistic regression finding, mothers in the non-teaching hospital were 5.4 times more likely to be satisfied than in the teaching hospital.
| Item Type: | Thesis (Masters) |
|---|---|
| Subjects: | R Medicine > R Medicine (General) R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine |
| Divisions: | Africana |
| Depositing User: | Vincent Mpoza |
| Date Deposited: | 03 Jul 2018 09:07 |
| Last Modified: | 03 Jul 2018 09:07 |
| URI: | http://thesisbank.jhia.ac.ke/id/eprint/6503 |
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