Yousuf, Seid (2009) Quality of Care in Antenatal Services in Adama Special Zone of Oromia Region, Ethiopia. Masters thesis, Addis Ababa University.
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PDF (Assessment ofQuality of Care in Antenatal Services in Adama Special Zone of Oromia Region, Ethiopia)
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Abstract
Back ground: In Ethiopia as in most developing countries, quality improvement efforts in reproductive health are slow and scattered as indicated in HSDP-II reports. The capacity in terms of the human resource and facilities are limited to support these kinds of interventions. In addition there is limited attempt to measure the quality of RH services in Ethiopia. Although, the coverage of ANC services has improved in the last few years, the quality of the services has remained comparatively low. Objective: The aim of this research is to assess the status of quality of antenatal care services in public and private health facilities of Adama town Oromia region. Methodology: A cross-sectional facility based study was conducted in Adama town, Oromia region. It involved both quantitative and qualitative method of data exploration. Data were collected using a pre-tested and structured questionnaire from 422 women at selected facilities by using random Sampling technique. The collected data was entered & analyzed using SPSS 11.0 software. Results: Overall 91.7% of clients reported satisfaction with services they had received. Regarding client-provider relationship, about 74.2% of women reported that the provider asked them their feeling and majority of clients (95.7%) also reported that the providers were attentively listening to their problems but 39.6% of clients believe that there was a problem of privacy.About 59.7% of clients received information on their own health while less than a third had information on how to recognize serious problems occurred during pregnancy. In multivariate analysis satisfaction of clients were more in those clients who perceived the distance from home to health facility as an average than those who perceived the distance as too far (Adj. OR=3.6, 95% CI= 1.24-10.45). Those clients who did not mention waiting time as a problem were more likely to be satisfied than who mentioned it as a problem. [AOR=3.76, 95% CI=1.47-9.6]. Conclusion and recommendation: In conclusion, the study revealed that majority of women was satisfied with the services they had received, while about forty percent of women were dissatisfied with privacy. Strengthening system of delivering information and securing privacy of clients in order to improve quality of care was recommended.
| Item Type: | Thesis (Masters) |
|---|---|
| Uncontrolled Keywords: | quality of care, client satisfaction, provider perception |
| Subjects: | R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine |
| Divisions: | Africana |
| Depositing User: | Emmanuel Ndorimana |
| Date Deposited: | 20 Jul 2018 13:23 |
| Last Modified: | 20 Jul 2018 13:23 |
| URI: | http://thesisbank.jhia.ac.ke/id/eprint/7941 |
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