Abstract
Quality of delivery care service is an important aspect of maternal healthcare which enhance delivery services utilization by mothers. Assessing quality of delivery services is a global priority particularly in developing countries; however reports on this aspect are scarce, which calls for further study. Therefore, the objective of this study was to assess quality of delivery care at public health facilities in Arba Minch district, Gamo Gofa zone, Southern Ethiopia. A cross sectional facility based study was conducted among women who gave birth at public health facilities in this area. A total of nine health facilities, 27 key informants and 256 women were included in the study. Data were analyzed using SPSS 20.0 statistical software. The overall quality of delivery care was 54.06% and mother’s satisfied on delivery care was 90.2%. Shortage of some medical equipment, drugs and supplies, trained man power, few proper partograph records, good client provider interaction, good client satisfaction and low infection prevention practice was observed in our study. As a conclusion poor quality delivery service was observed at public health facilities. Thus, efforts should be made by government for improving facilities capacity and performance of care providers in order to improve the quality of delivery care.
Highlights
Donabedian defined quality care as “A care which is expected to maximize an inclusive measure of client welfare, after one has taken account of the balance of expected gains and losses that attend the process of care’’ with the following three distinct factors: the structure, the process, and the outcomes [1,2,3]
Recent evaluation showed that progress in reduction of Zeritu Dewana et al.: Quality of Delivery Service at Public Health Facilities in Arba Minch District, Gamo Gofa Zone, Southern Ethiopia maternal mortality has been slow in Sub-Saharan Africa because of low quality of care, inadequate human resources, insufficient access to essential health technologies like essential equipments, drugs, supplies and financial barriers to care for the provision of safe delivery care [6, 10,11,12]
This study assessed the status of quality delivery service at public health facilities of Arba Minch districts using structural capacity, client provider interaction, use of partograph, infection prevention practice, client provider interaction and client satisfaction
Summary
Donabedian defined quality care as “A care which is expected to maximize an inclusive measure of client welfare, after one has taken account of the balance of expected gains and losses that attend the process of care’’ with the following three distinct factors: the structure, the process, and the outcomes [1,2,3]. Delivery of quality health services is central intervention to improve the health status of mothers and satisfy clients as a primary goal. It is provision of health services as per the standard at all levels of health facilities [5]. Recent evaluation showed that progress in reduction of Zeritu Dewana et al.: Quality of Delivery Service at Public Health Facilities in Arba Minch District, Gamo Gofa Zone, Southern Ethiopia maternal mortality has been slow in Sub-Saharan Africa because of low quality of care, inadequate human resources, insufficient access to essential health technologies like essential equipments, drugs, supplies and financial barriers to care for the provision of safe delivery care [6, 10,11,12]
Sign-in/Register to view highlights & summary Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
