Browsing by Author "Getachew Wako"

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    Quality of Reproductive Health Services With Emphasis on Structural Aspects in South Central Ethiopia.
    (Addis Abeba University, 1998-12) Getachew Wako; Yemane Berhane
    Health care services in developing countries are reported to suffer from low quality. A descriptive cross-sectional study was conducted lO assess the quality of reproductive health care, with emphases on the structural as aspects in two administrative zones in south central Ethiopia. Of the 79 health institutions in tile study area, 74 were visited for a response rate of 94 %. Data were collected using a questionnaire adopted from the WHO Safe Motherhood Need Assessment and dl~ WHO training modules for EPI and STDs. Multiple structural deficiencies were identified in all components of reproductive healtl1 care. Absolute minimum equipment for maternity and neonatal care were found to be complete and adequate in 20(27 %) and 3(4.1 %) of the institutions, respectively. Consumable supplies were available adequately in 13( 17.6%), sterilizer in 13(17.6%). essential drugs in 16 (2 1.6 %), ergometrine injection in 49 (66.2 %). and alcohol in 22 (29.7 %) of the institutions. In the EPI section, steam sterilizer was available in 45(60.8 %), and adequate vaccines in 57 (77 .0%) ohhe institutions. Only 1(1.4%) health institution had a complete mix of compacities. Important laboratory tes ts(syphilis test, hemoglobinometer, urine analys is) were available fully in on1)' one (1.4%) health institution. Only 9(11. 1 %) health it15tito tions had adequate IEC materials ,on Ali reproductive health components. More dIanhal f [44(59.4 % ) 1 of dIe health institutions had no water source in their compound . Only 8( I 0.8 %) were found to Itave a telephone or two-way radio. A third, 25(33.8%), of the health institutions had no means of transport It is concluded liar the .5tructurai setting for reproductive health servies is very poor iu the majority of the health i:asti i.i.HioIlS. Recommendations include that besides cOllsuucting new beaJdl institutions, !'tl"Ong emphasis .sbould be given 011 revitalizing tbe ex isting health ilL')titutioilS by ronecting structural defidencies \I,ri rl!oul delay .
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    Quality of Reproductive Health Services, with Emphasis on Structural Aspects, in South Central Ethiopia
    (Addis Ababa University, 1998-12) Getachew Wako; Yemane Berhane
    Health care services in developing countries are reported to suffer from low quality. A descriptive cross-sectional stud y was conducted to assess the quality of reproductive health care, with emphasis all the structural as aspects in two administrative zones in so mh central Ethiopia. Of the 79 health institutions in the stud y area, 74 were visited for a response rate of 94 %. Data were collected using a questiowlllire adopted from die WHO Safe Motherhood Need Assessment and die WHO training modules for EP[ and STDs. Multiple structural deficiencies were identified in all components of reproductive l1ea1th care. Absolute minimlUll equipment for maternity and neonatal care were found 10 be complete and adequate in 20(27 %) and 3(4. 1 %) of the ins titutions, respectively. Consumable supplies were available adequately in 13(17.6%), sterilizer in 13(17 .6%), essential drugs in 16 (21.6%), ergometrine injection i0 49 (66.2%), and alcohol in 22 (29. 7%) oftlle institutions. [n the EP[ section, steam sterilizer was available in 45(60.8 %), and adequate vaccines in 57 (77 .0%) of the institutions . Only 1( 1.4%) health institution had a complete mix of contraceptives. Important laboral Ory tests(syphilis test, hemoglobi nometer. urine atllllysis) were available fu lly in only one ( 1.4%) health ins ti tution. Only 9(12. 1 %) health insti tutions had adequate [EC materials on all reproductive health components. More than haH [44(59.4% )[ of tlle health institution silad no water source in tlle ircompound. Only 8(10.8 %) were found 10 have a telephone or two-way radio. A third. 25(33.8%), of the heal III institutions had no means of transport. ft is concluded that the Structural searing for reproductive health services is very poor in [he majority of [he health institutions. Recommendations include that besides constructing new health institutions, strong emphasis should be given Oll revitalizing the existing health institutions by correcting stnlcrural deficiencies without delay.