Assessment of Quality of Antenatal Care and Associated Factors among Pregnant Women in Selected Public Hospitals in Addis Ababa
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Date
2020-12
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Addis Ababa University
Abstract
Background: Antenatal care is one of the recommended essential interventions to decrease
maternal and neonatal mortality. It is an entry point to give care for pregnant women so as to
prevent problems that potentially compromise the life of a pregnant woman and her fetus. The
purpose of this study is to assess the quality of antenatal care and associated factors in
selected public hospitals in Addis Ababa, Ethiopia, 2020.
Method: A cross-sectional study design was conducted in Ras Desta Damitew Memorial
Hospital and St. Paul's Hospital Millennium Medical College. The data were collected using a
structured questionnaire and observational checklist from 351 pregnant women attending their
antenatal care at these hospitals in the period June 17 to July 7, 2020. The study participants
were selected using systematic random sampling technique. Data were entered, analyzed and
reported using the Statistical Package for the Social Sciences Version 24. A p-value of <0.05
was used to declare statistical significance in all inferential analysis made in this research.
Result: For the majority of the respondents (85.5%) it takes at least half an hour to be seen by
the service provider. It was less than half of the respondents (37.3%) that were treated
respectfully by the provider during their recent visit. One in three of the pregnant women
(33.3%) were satisfied with the information provided by the healthcare provider. Furthermore,
two in five (40.4%) of the respondents believed that they have received a quality care they
were seeking. The result also indicated that the background characteristics of women are not
significant predictors of quality of ANC service delivery. Longer waiting times (>1 hour) are
detrimental to the delivery of a quality ANC service (β=-1.273). From among the process
variables, an accurate and adequate provision of information to pregnant women was found to
have a positive contribution (β=0.236) to the satisfaction of women with the ANC service.
Conclusion: The level of quality ANC service delivery is very low and calls for an effort in
improving infrastructure, staff training on respectful and compassionate care and capitalize on
provision of adequate information to pregnant women.
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Keywords
Quality, ANC, Public Hospitals, Addis Ababa