Quality of Intrapartum and New Born Care in Public Health Care Facilities of Wolkite Town, Southern Ethiopia
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Date
2023-06-17
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Addis Ababa University
Abstract
Even though, the world has made significant progress in reducing maternal and newborn mortality today, there are still far too many preventable and treatable maternal and newborn deaths globally. It is estimated that about six out of ten newborn problems and fifty percent of maternal mortality in developing countries are due to poor quality of care. However,in Ethiopia study on quality of intrapartum and newborn care is limited. Thus, the purpose of this study was to assess the quality of intrapartum and newborn care in public health facilities of Wolkite town in terms of three quality dimensions.
Objectives: To assess the level of quality of intrapartum and newborn care in public health facilities of Welkite town, Southern Ethiopia, 2023.
Methods: A facility-based cross-sectional study design was employed from March to April 2023 in 5 public health facilities for facility audit, among 342 mothers for exit interview and 185 mothers for observation. Consecutive random sampling method was applied. Data were collected by using document review, observation, and exit interview. Data was entered, coded and cleaned using Epidata version 4 and exported to Stata version 14 and SPSS version 25 for analysis.
Descriptive and summary statistics were computed. Binary logistic regression was performed and variables which had p-values of ≤0.25 were selected and included in multivariable logistic regression analysis. Finally adjusted odds ratios with 95% confidence intervals and p-values < 0.05 were considered significant independent predictors of quality of intrapartum care.
Result: The study revealed that the quality of intrapartum care in input and process components were 60% and 35.1% respectively. While, the quality of output as measured by maternal satisfaction was 42%, and 69.7% of newborns received good quality of care. Maternal education (AOR: 9.97, 95%CI: 1.52, 25.56), ANC visit (AOR: 6.32, 95%CI: 2.86, 14.00), transportation (AOR: 0.26, 95%CI: 0.15, 0.48) and process quality (AOR: 2.32, 95%CI: 1.27, 4.24) were independent predictors of maternal satisfaction with quality of intrapartum care.
Conclusion and Recommendations: The quality of intrapartum and newborn care in the study area was minimal. Thus, efforts should be made by the government for improving facilities capacity and performance of health care providers in order to improve the quality of intrapartum and newborn care.
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Quality, Intrapartum and newborn care, public health facilities, Southern Ethiopia