Melese, Daniel (2015) Assessment of Focused Antenatal Care Laboratory Services Status using Availability, Functional Status and Clients Satisfaction at Public Health Facilities Addis Ababa, Ethiopia. Masters thesis, Addis Ababa University.
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Abstract
Back ground: Laboratory service is a key component of Focused Antenatal Care (FANC) to identify life threatening conditions of maternal and child health. Limited capacity of health facilities to provide adequate laboratory services remains a major problem for the quality of FANC service delivery. Objective: To assess the status of focused antenatal care laboratory services using availability, functional status and client satisfaction at public health facilities in Addis Ababa, Ethiopia. Methods: Institution based, descriptive cross-sectional study was conducted from April to May 2015. Both quantitative and qualitative designs were used. Four hundred and twenty two study participants interviewed on satisfaction towards FANC laboratory services by using structured questionnaire. A qualitative data was collected by In-depth interview of providers. To assess availability and functionality of the FANC laboratory, observation check list was used. Data were coded and analysed by using SPSS Version 20 software. Logistic regression model was also used to examine the effect of selected variables on clients’ satisfaction with laboratory services. P-Value less than 0.05 were taken as statistically significant. Result: Only 5(38.5%) out of 13 visited health facilities reported the availability of all types of basic FANC laboratory investigations. Comparing the availability of individual tests in the study facilities, urine dipstick, urine miscopy and stool examination were available in all institutions. However, only 7 (53.8%) of the facilities reported the availability of Hepatitis B virus screening test. Rapid syphilis/RPR test was found in 10 (76.9%) facilities. All laboratory facilities had at least one or more basic FANC laboratory tests interruption more than a day within the last one year due to shortage of reagent and electric power disruption. Additional analysis of pregnant women's satisfaction toward FANC laboratory service showed, only 56.9 % (240/422) of pregnant mothers were satisfied with FANC laboratory services. Those clients who waited less than one hour to get laboratory results were six times more likely to be satisfied than those who waited more than one hours [AOR = 6.03; CI (2.86-12.67)]. Conclusion: Majority of the health facilities reported incomplete FANC laboratory investigations. Hepatitis B screening test was the lowest available test in the study facilities. Furthermore a slightly higher maternal dissatisfaction toward FANC laboratory service was observed compared with other institutional based study in similar settings.
| Item Type: | Thesis (Masters) |
|---|---|
| Subjects: | R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine R Medicine > RA Public aspects of medicine > RA1001 Forensic Medicine. Medical jurisprudence. Legal medicine |
| Divisions: | Africana |
| Depositing User: | Vincent Mpoza |
| Date Deposited: | 12 Oct 2018 12:54 |
| Last Modified: | 12 Oct 2018 12:54 |
| URI: | http://thesisbank.jhia.ac.ke/id/eprint/6812 |
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