TITLE

Quality of Antenatal Care Services in Demba Gofa Woreda, Gamo Gofa Zone, Rural Ethiopia

AUTHOR(S)
Mekonnen, Niguse; Berheto, Tezera Moshago; Ololo, Shimeles; Tafese, Fikru
PUB. DATE
May 2017
SOURCE
Health Science Journal;2017, Vol. 11 Issue 3, p1
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
Background: Antenatal care is one of the evidence based interventions to decrease the probability of negative health outcomes for mothers and their newborns. This depends on the quality of care provided during each antenatal care visit. However little is known about factors contributing to quality of antenatal care service in public health center of Demba Gofa woreda. Objectives: To assess quality of antenatal care services in public health centers of Demba Gofa woreda. Methods: A facility-based cross sectional study design using quantitative and qualitative data conducted from March 25 to April 16‚ 2014. Using systematic random sampling method from 423 study subjects a sample of 418 pregnant women were sampled. The quantitative data was entered in to EpiData version 3.1 and was exported to SPSS version 20.0 for analysis. Bivariate and multiple variables analysis were carried out to identify factors associated with client satisfaction of antenatal care services. Variables with p value <0.05 were considered as statistically significant. Adjusted odds ratios were used to see the strength of association with 95% CI. Qualitative data was analyzed thematically by manually. The results were triangulated with quantitative data. Result: The proportion of mothers who were satisfied with antenatal care in this study was 21.5%. Women's satisfaction with antenatal care was associated with frequency of ANC visit (AOR=1.9‚ 95% CI: (1.1, 3.3)), advise on nutrition (AOR=3.3‚ 95% CI: 1.3‚ 8.5), advise on birth preparedness (AOR=3.3‚ 95% CI: 1.1‚ 9.3)), closeness of the health center to mothers home (AOR=2.3‚ 95% CI 1.3‚ 3.9)). Provision of iron (AOR=0.14 (95% CI: 0.05‚ 0.3). Charge for service (AOR=3.4‚ (95% CI: 1.2‚ 9.5). Moreover 373 (89.2%) of the women received tetanus toxoid vaccine‚ 324 (77.5) mothers started antenatal care visit after first trimester. The recommended care component such as Venereal Disease Research Laboratory (VDRL) test, blood group and Rhesus factor tests were not done for most of the women. There was 67.18% over all skilled human resource gaps and none of the health professionals had taken training on focused antenatal care. Conclusion: The overall satisfaction of antenatal care services in this study was found to be low. First ANC visit‚ lack of advice on nutrition‚ lack of advice on birth preparedness‚ farness of the health center to mother's home‚ provision of iron and Charge for service were independently associated with mothers satisfaction of antenatal care. As well lack of skilled health personal and not under taking recommended laboratory tests were revealed.
ACCESSION #
124182571

 

Related Articles

  • Medical tourism in Thailand: a cross-sectional study. Noree, Thinakorn; Hanefeld, Johanna; Smith, Richard // Bulletin of the World Health Organization;Jan2016, Vol. 94 Issue 1, p30 

    Objective To investigate the magnitude and characteristics of medical tourism in Thailand and the impact of such tourism on the Thai health system and economy. Methods In 2010, we checked the records of all visits to five private hospitals that are estimated to cover 63% of all foreign patients....

  • Post abortion care quality status in health facilities of Guraghe zone, Ethiopia. Tesfaye, Gezahegn; Oljira, Lemessa // Reproductive Health;2013, Vol. 10 Issue 1, p35 

    Background: Unsafe abortion in the developing world accounts for 13% of all maternal deaths. Ethiopia is one of the developing countries with the highest maternal mortality ratio (673 per 100,000 live births) in the world. Unsafe abortion was estimated to account for 32% of all maternal deaths...

  • Birth preparedness among women in Tharaka Nithi County, Kenya. Gitonga, Eliphas; Keraka, Margaret; Mwaniki, Peter // African Journal of Midwifery & Women's Health;Oct-Dec2015, Vol. 9 Issue 4, p153 

    No abstract available.

  • Access to institutional delivery care and reasons for home delivery in three districts of Tanzania. Exavery, Amon; Kanté, Almamy Malick; Njozi, Mustafa; Tani, Kassimu; Doctor, Henry V.; Hingora, Ahmed; Phillips, James F. // International Journal for Equity in Health;2014, Vol. 13 Issue 1, p1 

    Introduction Globally, health facility delivery is encouraged as a single most important strategy in preventing maternal and neonatal morbidity and mortality. However, access to facility-based delivery care remains low in many less developed countries. This study assesses facilitators and...

  • Factors Affecting Exclusive Breastfeeding among Women in Muheza District Tanga Northeastern Tanzania: A Mixed Method Community Based Study. Maonga, Aubrey; Mahande, Michael; Damian, Damian; Msuya, Sia // Maternal & Child Health Journal;Jan2016, Vol. 20 Issue 1, p77 

    Objectives: Estimates shows exclusive breastfeeding (EBF) has the potential to prevent 11.6 % of all under-five deaths in developing countries. Prevalence of EBF is low globally (35 %), and in sub Saharan Africa ranges between 22 and 33 %. Like other developing countries the prevalence of EBF is...

  • CONHECIMENTO DAS MÃES SOBRE OS BENEFÍCIOS DO ALEITAMENTO MATERNO À SAÚDE DA MULHER. Ferreira Pinheiro Coutinho, Ana Cláudia; de Oliveira Soares, Ana Carla; da Silva Fernandes, Priscilla // Journal of Nursing UFPE / Revista de Enfermagem UFPE;mai2014, Vol. 8 Issue 5, p1213 

    Objective: to verify the knowledge of mothers about the benefits of breastfeeding to women's health. Method: cross-sectional, quantitative, descriptive study. Sample consisted of 47 women enrolled in the Human Milk Bank of a public maternity hospital. Data collection was conducted during home...

  • Out-of-pocket payments for health care services in Bulgaria: financial burden and barrier to access. Atanasova, Elka; Pavlova, Milena; Moutafova, Emanuela; Rechel, Bernd; Groot, Wim // European Journal of Public Health;Dec2013, Vol. 23 Issue 6, p916 

    Background: In recent years, Bulgaria has increasingly relied on out-of-pocket payments as one of the main sources of health care financing. However, it is largely unknown whether the official patient charges, combined with informal payments, are affordable for the population. Our study aimed to...

  • Tuberculosis patients in the Dominican Republic face severe direct and indirect costs and need social protection. Mauch, Verena; Melgen, Ricardo; Marcelino, Belkys; Acosta, Ivelisse; Klinkenberg, Eveline; Suarez, Pedro // Revista Panamericana de Salud Publica;May2013, Vol. 33 Issue 5, p332 

    Objective. To examine direct and indirect costs incurred by new, retreatment, and multidrug-resistant (MDR) tuberculosis (TB) patients in the Dominican Republic before and during diagnosis, and during treatment, to generate an evidence base and formulate recommendations. Methods. The "Tool to...

  • Maternal Satisfaction on Delivery Service and Its Associated Factors among Mothers Who Gave Birth in Public Health Facilities of Debre Markos Town, Northwest Ethiopia. Bitew, Kurabachew; Ayichiluhm, Mekonnen; Yimam, Kedir // BioMed Research International;8/10/2015, Vol. 2015, p1 

    Introduction. The existence of maternal health service does not guarantee its use by women; neither does the use of maternal health service guarantee optimal outcomes for women. The World Health Organization recommends monitoring and evaluation of maternal satisfaction to improve the quality and...

  • Determinants of utilisation of antenatal care and skilled birth attendant at delivery in South West Shoa Zone, Ethiopia: a cross sectional study. Wilunda, Calistus; Quaglio, Gianluca; Putoto, Giovanni; Takahashi, Risa; Calia, Federico; Abebe, Desalegn; Manenti, Fabio; Riva, Donata Dalla; Betrán, Ana Pilar; Atzori, Andrea // Reproductive Health;10/3/2015, Vol. 12 Issue 1, p1 

    Background: Ethiopia has high maternal mortality ratio and poor access to maternal health services. Attendance of at least four antenatal care (ANC) visits and delivery by a skilled birth attendant (SBA) are important in preventing maternal deaths. Understanding the reasons behind the poor use...

Share

Read the Article

Courtesy of VIRGINIA BEACH PUBLIC LIBRARY AND SYSTEM

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics