Child Birth Service Quality in Public Hospitals of Shashemane Town, Shashemene, Qualitative Study, 2023.
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Date
2023
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Addis Ababa University
Abstract
Background: Medical care accessibility and availability are both essential but insufficient for
enhancing mother and neonatal health outcomes. In fact, they are not guarantees of more service
utilization or higher satisfaction among clients. The quality of care a woman receives during
pregnancy, childbirth, and postpartum affects her health, the health of her baby, and her
likelihood of being cared for in the future. The study was aimed to explore childbirth service
quality in public hospitals of Shashemene town, Shashemene.
Methods: A qualitative exploratory research design was conducted from February 30 – march
30 at public hospitals of shashemane town. Purposive sampling was employed to recruit women
and hospital staff who fulfill the inclusion criteria for in-depth interview, key informant
interview and observation. Women on Labour, mother who received labour and delivery care
and staff in managerial position were study participants. The total participant for in-depth
interview, observation of care and key informant interview were 12, 6 and 3 respectively. Both
observation and interview were conducted using semi-structured guide. Data were audio
recorded, transcribed verbatim and imported to ATLAS.ti 9 software for coding and analysis
assist. Thematic data analysis were used for categorizing and interpretation of data.
Result: The finding revealed the quality of childbirth service at facility. Which includes
inadequate human and physical resource like number of staff, room and bed, cleanliness of
room. In addition, provision of care is not inline to developed guideline; for example painful
procedure, partograph use and inadequate labour follow-up. Moreover the finding from
women’s perspective were strengthen the study finding in relation to communication and
relationship with care providers which is explained as poor, undignified and disrespectful care
were experienced by mothers.
Conclusion and recommendation: The study identified many challenges and experience on
quality of care related to childbirth service from both care providers and mothers. Prioritized
financing on infrastructure, supportive staff supervision and capacity building on
compassionate and respectful care for staff should be considered to enhance quality of service
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Keywords
Childbirth service, Quality of care, mother’s, care provider, qualitative, Ethiopia