Assess Quality of Antenatal Care Services in Rural Health Centers in Bursa Woreda, Sidama Zone, Southern Nations Nationalities People’s Region, Ethiopia, 2014
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Date
2014-06
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Addis Ababa University
Abstract
BACKGROUND:-The maternal mortality ratio in Ethiopia is strikingly high. One of Keyinterventions to reduce maternal deaths is the promotion of ANC. ANC plays an importantrole in reducing maternal mortality and morbidity by detecting early risk factors in order to have an effective intervention in time and by linking the pregnant women to a planneddelivery with a skilled birth attendant. However, studies have shown that there are manymissed opportunities for care, both because of client and health system related factors.
OBJECTIVE:-To assess the quality of antenatal care services in rural health centers inBursa woreda from March-April, 2014.
METHOD:-The facility based cross- sectional study was conducted in rural health centers inBursa woreda. Antenatal follow up women’s was interviewed about perception onsatisfaction towards quality of antenatal services, by using structured questionnaires (n=290). Twenty-four antenatal care provider client sessions was observed by checklist. Simpleobservation using checklist was made for availability of resources necessary for antenatalcare. Finally data was coded, cleaned, entered using EPI-6 and was analyzed using SPSSstatistical software for windows.
RESULTS: - The study showed that overall satisfaction of client was low as 33%. Thelikelihood of satisfaction from ANC service was lower among women secondary and aboveof education level [AOR = 0.14, 95% CI = (0.03-0.78)]. The study also illustrated that higherproportion of health providers did not provide danger sign counseling, advice andinformation related to complication of pregnancy. Although all the health centers have basicstructural medical equipments, none of them has laboratory equipments and high-leveldisinfection process
Conclusions and Recommendation:-Overall satisfaction of ANC is low. However, for allof them ANC clients were not performed likes (hemoglobin, blood grouping and Rhesusfactor, VDRL for Syphilis and urine analysis) and harmful habits likes (smoking, drug abuse&alcoholism, side effects of medicines during pregnancy, breast-feeding, and babyvaccination). Satisfaction from the ANC service in the health centers is very low, and shouldbe stressed health providers and woreda health office to do better for client’s satisfaction.
Keywords: - Quality, Antenatal care, services, Bursa
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Quality Antenatal care Services Bursa