Assessment of Project Monitoring Practice in Health Care Service Quality Improvement Projects in Regional Hospitals in Addis Ababa, Ethiopia

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Addis Ababa University


Improving health care service quality is a major concern around the world, including in Ethiopia. Regional hospitals in Addis Ababa are particularly important as they provide medical services to millions of citizens. However, there is minimal understanding of the project monitoring practice employed in health care improvement projects in these regional hospitals. This lack of insight into how health care service quality is being managed hinders the achievement of measurable and sustainable outcomes for both the communities served by these hospitals and their respective healthcare providers. Objective: To assess the Project Monitoring Practice In health care service quality improvement Projects in Regional hospitals in Addis Ababa, Ethiopia Methods and Material: Institution based cross-sectional study was conducted among 70 participants who fulfilled the inclusion criteria Participants was selected using purposive sampling technique. A pretested, structured and standard questionnaire was used to collect data. The data was entered SPSS versions 25 for analysis. Mean, standard deviation, frequency, percentage, and independent sample t test was done present the result. Result: The process monitoring practice, structural monitoring practice, outcome monitoring practice and overall health care quality improvement practice in regional hospitals is 76.44%, 78.24%, 73.68% and 76.12%.And there is no statistically significant difference between the highest and the lowest result among the regional hospitals. Conclusion and recommendation: The monitoring practice level for healthcare quality improvement projects in regional hospitals in Addis Ababa is 76.12%. There are no statistically significant differences between the highest and lowest performing hospitals. Project monitoring activities are conducted irregularly, and although moderately effective, they do not fully comply with healthcare quality standards and guidelines in regional public hospitals. The overall effectiveness of project monitoring practices for healthcare quality improvement is unsatisfactory. Challenges include inadequate communication and dissemination of monitoring findings, insufficient coordination with other hospital initiatives, lack of support and commitment from hospital management, and limited awareness among healthcare professionals about the importance of project monitoring. External partners, stakeholders, the Addis Ababa Regional Health Bureau, Hospital Board, Senior Management team, Clinical Governance and Quality Management Directorates, IT and Data Management, HMIS Departments, and healthcare professionals have a responsibility to address these challenges