Quality of basic emergency obstetric and newborn care (BEmONC) services from patients\u2019 perspective in Adigrat town, Eastern zone of Tigray, Ethiopia. 2017: a cross sectional study

Betell Berhane,Samson Kahsay,Alem Gebremariam,Berhane Fisseha,Haftom Gebrehiwot,Solomon Weldemariam

doi:10.1186/s12884-019-2307-6

Betell Berhane, Samson Kahsay + Show 4 more

Open Access

https://doi.org/10.1186/s12884-019-2307-6

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Abstract

BackgroundMost of the maternal and newborn deaths occur at birth or within 24 h of birth. Provision of quality Basic Emergency Obstetric and Neonatal Care (BEmONC) is very crucial and the current recommended intervention to prevent maternal and newborn morbidity and mortality.MethodsAn institution based cross-sectional study was conducted among mothers receiving at least one of the signal functions of BEmONC services. A total of 398 women were included in the study. The study participants were selected using a systematic random sampling method. Data was collected using structured interviewer-administered Tigrigna version questionnaire. Data were analyzed using SPSS version 20. Multi-variable logistic regression was used to control the effect of confounders.ResultsThe perceived quality of BEmONC was 66.7%, which is poor. Clients scored lower quality rates on aspects such as the availability of necessary equipment, lack of clean and functional shower and toilet and administration of anti-pain during delivery and manual vacuum aspiration (MVA). Quality of BEmONC was lower among rural residents (AOR = 0.273, 95% CI: (0.151–0.830). Whereas, Presence of companion (AOR = 2.259; 95% CI: (3.563–13.452) were found with a higher score of quality of BEmONC compared to their counterparts.ConclusionThe overall perception of quality of BEmONC services received was poor. Residence, ANC follow-up, and presence of companion during labor or delivery were found to have a significant association with the perceived quality of BEmONC services.

Highlights

Most of the maternal and newborn deaths occur at birth or within 24 h of birth
Study area and design The study was conducted in Ganta-Afeshum district, Eastern zone of Tigray which is located around 903 Kilometers to the North of Addis Ababa, the capital city of Ethiopia
This study revealed that the overall quality of Basic Emergency Obstetric and Neonatal Care (BEmONC) services from patients’ perspective was poor

Summary

Introduction

Provision of quality Basic Emergency Obstetric and Neonatal Care (BEmONC) is very crucial and the current recommended intervention to prevent maternal and newborn morbidity and mortality. World Health Organization (WHO) designed and introduced Emergency Obstetric and Newborn Care (EmONC) to reduce maternal and infant mortality [2]. A set of seven key obstetric services, or “signal functions,” has been identified as critical to basic emergency obstetric and newborn care (BEmONC): administration of parenteral antibiotics, administration of parenteral anticonvulsant, administration of parenteral uterotonic agents, removal of retained products (MVA), assisted vaginal delivery; manual removal of placenta and resuscitation of the newborn [4]. Provision of quality EmONC service is mandatory to achieve the stipulated goals in the sustainable development goals at reducing the maternal and new-born mortality in Ethiopia and worldwide. It is time to pay great attention to the quality and equity of health service at all levels of the system and a lot remains to be done toward improving quality of care at each level of health system [5]

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