Workneh, Redeat (2015) Assessment of Quality of Care in Tikur Anbesa Specialized Teaching Hospital Neonatal Intensive Care Unit, Addis Ababa, Ethiopia. Masters thesis, Addis Ababa University.
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Abstract
Background: Despite the increasing population and unsatisfactory decline of neonatal mortality rate (NMR) less attention was given to Neonatal Intensive Care Unit (NICU) until recent years where a little effort is being made to improve the services provided. Currently there are 27governmental NICUs; Tikur Anbessa Specialized Teaching Hospital (TASTH) is one of these hospitals which serve as the main referral center. Regardless of the few number of NICUs there is complaints on the quality of care provided which might be due to a variety of reasons that are crucial for the survival of the neonates. Objectives: To assess the quality of care in TASTH, NICU in Addis Ababa, Ethiopia. Methods: Hospital based cross sectional study was used. The study has two categories of participants; primarily mother of the neonates who were available in the NICU during the data collection period and health professionals (n=35) working in the NICU. Sample size of the study on mothers was calculated using single population formula considering 50% prevalence which gives a total 384 participants. The unit was observed using inventory checklist from WHO Hospital Care for Mothers and Newborns: Quality Assessment and Improvement Tool. For the qualitative portion head of the unit (neonatologist), practicing neonatologist and the head nurse were included. Structured questionnaire was adopted from WHO Hospital care for mothers and new-born babies: quality assessment and improvement tool, and they were filled by the date collectors after obtaining an informed consent. Data was analyzed using SPSS version 20. P value of 0.05 was the cut off point for the level of significance. Adjusted odds ratio was used to show strength of association. Result: The study found that the quality of care that is provided in the neonatal intensive care unit in TASTH is inadequate. Overall service satisfaction was found to be 96.4% and 47.1% for the clients and health professionals respectively. Clients whom their neonates shared bed with others were 6.6 times not satisfied than those clients whom didn’t, AOR (95%CI) 6.612[3.604, 10.109] Health professionals who don’t think that there are a sufficient number of staffs were dissatisfied 3.15 times compared to those who think the number of staff is sufficient. AOR (95%CI) 150[0.050, 5.611] Conclusion and recommendation: Quality administration demands several strategies thus, it is fundamental to identify the problems, aiming at implementing effective actions, and monitoring the processes. The findings from this assessment would assist in scaling up of such units. More over the presence of national guideline which is specific to NICU would be a key to solve the problems associated with quality of care in NICUs.
| Item Type: | Thesis (Masters) |
|---|---|
| Subjects: | R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine |
| Divisions: | Africana |
| Depositing User: | Emmanuel Ndorimana |
| Date Deposited: | 19 Jul 2018 14:17 |
| Last Modified: | 19 Jul 2018 14:17 |
| URI: | http://thesisbank.jhia.ac.ke/id/eprint/7834 |
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