Quality of Antenatal Care Service at Debre Berhan Referral Hospital IC01-IC05
Mr. Wassie Negash Mekonnen,
PO Box: 445, Debre Berhan, Addis Ababa, Ethiopia.
Introduction: Antenatal Care (ANC) has been proven to be effective in order to decrease maternal mortality. It helps to improve pregnancy outcome through quality of ANC services.
Aim: The general objective of this study was to assess the quality of ANC in Debre Berhan Referral Hospital, Debre Berhan, Ethiopia.
Materials and Methods: Descriptive cross-sectional study design was conducted from January 2015 to June 2015 to assess the quality of ANC by using Donabedianâ€™s framework for measurement of healthcare quality. A systematic sampling technique was used to select the study participants. EPI-Infoversion 3.1 and SPSS version 20.0 were used for data entry and analysis respectively. In addition, binary linear regression analysis was done to see the association between variables. Multivariable linear regression analysis was done to see the confounding effect at 95% confidence interval and p-value of <0.05 considered as statistically significant.
Results: A total of 356 ANC attendant women were interviewed which is 97.0% response rate. About 19.8% was below 24 years and the mean ages of respondents were 29.07 years. Mean satisfaction score was 2.5Â±0.84 in 4 likert scales which is equivalent to 63.9%. About 98.3% of mothers were satisfied with the overall care given. Only 78.7% of the study participants were satisfied with the waiting time. High percentages (96.3%) of women were satisfied with the attitude of Healthcare Provider (HCP). About (94.9%) were satisfied with the advice given by the HCP. Regarding the availability of resources 68% of patients agreed on increasing number of HCP, 51.4% and 67.4% agreed on improving laboratory service and shortening waiting time respectively. Waiting time, cleanliness of waiting area, HCPsâ€™ respect, advice given, availability of medications and overall care given, were independent predictors.
Conclusion: Quality of ANC with respect to process and structural component is high but with respect to outcome is sub-optimal. Waiting time, cleanliness of waiting area, advice given, privacy of examination room, time given by HCPs, HCPsâ€™ respect towards the patients and availability of medications were the independent predictor of patient satisfaction.