Quality of basic emergency obstetric and newborn care (BEmONC) services from patients’ perspective in Adigrat town, Eastern zone of Tigray, Ethiopia. 2017: a cross sectional study

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Abstract

Background

Most of the maternal and newborn deaths occur at birth or within 24 h of birth. Provision of quality Basic Emergency Obstetric and Neonatal Care (BEmONC) is very crucial and the current recommended intervention to prevent maternal and newborn morbidity and mortality.

Methods

An institution based cross-sectional study was conducted among mothers receiving at least one of the signal functions of BEmONC services. A total of 398 women were included in the study. The study participants were selected using a systematic random sampling method. Data was collected using structured interviewer-administered Tigrigna version questionnaire. Data were analyzed using SPSS version 20. Multi-variable logistic regression was used to control the effect of confounders.

Results

The perceived quality of BEmONC was 66.7%, which is poor. Clients scored lower quality rates on aspects such as the availability of necessary equipment, lack of clean and functional shower and toilet and administration of anti-pain during delivery and manual vacuum aspiration (MVA). Quality of BEmONC was lower among rural residents (AOR = 0.273, 95% CI: (0.151–0.830). Whereas, Presence of companion (AOR = 2.259; 95% CI: (3.563–13.452) were found with a higher score of quality of BEmONC compared to their counterparts.

Conclusion

The overall perception of quality of BEmONC services received was poor. Residence, ANC follow-up, and presence of companion during labor or delivery were found to have a significant association with the perceived quality of BEmONC services.

Electronic supplementary material

The online version of this article (10.1186/s12884-019-2307-6) contains supplementary material, which is available to authorized users.

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Most cited references 6

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Mothers' satisfaction with referral hospital delivery service in Amhara Region, Ethiopia

Azmeraw Tayelgn, Desalegn T Zegeye, Yigzaw Kebede (2011)

Background A woman's satisfaction with the delivery service may have immediate and long-term effects on her health and subsequent utilization of the services. Providing satisfying delivery care increases service utilization. The objective of this study is to assess the satisfaction of mothers with referral hospitals' delivery service and identify some possible factors affecting satisfaction in Amhara region of Ethiopia. Methods A hospital-based cross-sectional survey that involved an exit interview was conducted from September to November 2009 in three referral hospitals in Ethiopia. A total of 417 delivering mothers were enrolled in the study. Client satisfaction was measured using a survey instrument adopted from the Donabedian quality assessment framework. We collect data systematically from every other postnatal woman who delivered in the referral hospitals. Multivariate and binary logistic regression was applied to identify the relative effect of each explanatory variable on the outcome (satisfaction). Results The proportion of mothers who were satisfied with delivery care in this study was 61.9%. Women's satisfaction with delivery care was associated with wanted status of the pregnancy, immediate maternal condition after delivery, waiting time to see the health worker, availability of waiting area, care providers' measure taken to assure privacy during examinations, and amount of cost paid for service. Conclusions The overall satisfaction of hospital delivery services in this study is found to be suboptimal. The study strongly suggests that more could be done to assure that services provided are more patient centered.

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Assessment of client satisfaction in labor and delivery services at a maternity referral hospital in Ethiopia

Tadele Melese, Yirgu Gebrehiwot, Daniel Bisetegne … (2014)

Introduction Patients perception about service quality shapes their confidence with regard to use of the available health care facility. This study is aimed to assess the client`s satisfaction in a maternal health care setting. Methods This is an institution based cross sectional descriptive study. A total of 423 postpartum women were interviewed. Data was analyzed using SPSS version 20 statistical package. Results The proportion of mothers who are completely satisfied with health care ranges between 2.4 to 21%. Pain control was the poorest source of satisfaction with 82% reporting dissatisfaction. Provider's communication with clients yielded complete satisfaction rates ranging between 0.7 to 26%. Inadequate information about the drug prescribed and explanation of procedures to be done to the client were found to be major causes of dissatisfaction. The complete satisfaction rate with environmental factor of the hospital was between 3.3 to 40.2%. Age of the client, educational status, income of the client and client's address away from Addis Ababa were found to be the predictors of client satisfaction. Provider's attitude and communication, as well as longer duration of stay in the ward were independent predictors of client satisfaction. Conclusion Pain management, client privacy and client provider communication need to be addressed to ensure the satisfaction of maternity clients. The clients need to be involved in the management of their own health problems.

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Determinants of perceived quality of obstetric care in rural Tanzania: a cross-sectional study

Elysia Larson, Sabrina Hermosilla, Angela Kimweri … (2014)

Background Patients’ reported opinions of the health system need to be understood in order to provide patient-centered care. We investigated determinants of women’s ratings of the quality of care during their most recent facility delivery. Methods We conducted a census of all deliveries in the 6 weeks to 12 months preceding the survey, in villages served by 24 primary care clinics in rural Pwani Region, Tanzania. Women who had delivered children in a study facility were included in this analysis (n = 855). We interviewed women about demographic and obstetric factors and the quality of their obstetric care using a structured questionnaire. We created a composite index of perceived quality from six quality questions. We also assessed the functioning of the local health clinic using structured surveys. We used a multi-level model to analyze factors associated with women’s rating of the quality of care during delivery. Results 14% of respondents rated the overall quality of care received during delivery as excellent. Women who listened to the radio daily reported lower quality composite scores (β: -0.99, p < 0.001). Women who reported receiving more services in ANC had higher quality scores (β: 0.46, p = 0.001), as did women receiving more delivery services (β: 0.55, p < 0.001). Women who reported disrespect and abuse during delivery had significantly lower quality scores (β: -4.13, p < 0.001). Conclusions A woman’s expectations and prior and current experiences influence her perception of the quality of care she received. Health facility characteristics did not influence ratings of overall quality. Focusing on improving the process rather than inputs of service delivery during ANC visits and delivery may increase perceived quality of delivery care in low-resource settings. Trial registration ISRCTN17107760

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Author and article information

Contributors

Betell Berhane:

ORCID: http://orcid.org/0000-0002-7776-3060

betiela03@yahoo.com

Haftom Gebrehiwot: haftom1224@gmail.com

Solomon Weldemariam: mikiass1708@gmail.com

Berhane Fisseha: berhanefish@gmail.com

Samson Kahsay: sami78ka@gmail.com

Alem Gebremariam: alemg25@gmail.com

Journal

Journal ID (nlm-ta): BMC Pregnancy Childbirth

Journal ID (iso-abbrev): BMC Pregnancy Childbirth

Title: BMC Pregnancy and Childbirth

Publisher: BioMed Central (London )

ISSN (Electronic): 1471-2393

Publication date (Electronic): 30 May 2019

Publication date PMC-release: 30 May 2019

Publication date Collection: 2019

Volume: 19

Electronic Location Identifier: 190

Affiliations

[1 ]ISNI 0000 0004 1783 9494, GRID grid.472243.4, Department of Midwifery, College of Medicine and Health Science, , Adigrat University, ; Adigrat, Ethiopia

[2 ]ISNI 0000 0001 1539 8988, GRID grid.30820.39, Department of Midwifery, College of Health Science, , Mekelle University, ; Mekelle, Ethiopia

[3 ]ISNI 0000 0004 1783 9494, GRID grid.472243.4, Department of Public health, College of Medicine and Health Science, , Adigrat University, ; Adigrat, Ethiopia

[4 ]Edagahamus Health Center, Eastern Zone of Tigray, Tigray, Ethiopia

Author information

Betell Berhane http://orcid.org/0000-0002-7776-3060

Article

Publisher ID: 2307

DOI: 10.1186/s12884-019-2307-6

PMC ID: 6543605

PubMed ID: 31146729

SO-VID: 80c1d1d9-8d58-4488-9fc5-b57019164bc2

License:

Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License ( http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver ( http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.

History

Date received : 7 June 2018

Date accepted : 22 April 2019

Funding

Funded by: FundRef http://dx.doi.org/10.13039/501100009402, Mekelle University;

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ScienceOpen disciplines: Obstetrics & Gynecology

Keywords: quality,basic emergency obstetric and newborn care,adigrat,tigray,ethiopia

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ScienceOpen disciplines: Obstetrics & Gynecology

Keywords: quality, basic emergency obstetric and newborn care, adigrat, tigray, ethiopia

Quality of basic emergency obstetric and newborn care (BEmONC) services from patients’ perspective in Adigrat town, Eastern zone of Tigray, Ethiopia. 2017: a cross sectional study

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Most cited references 6

Mothers' satisfaction with referral hospital delivery service in Amhara Region, Ethiopia

Assessment of client satisfaction in labor and delivery services at a maternity referral hospital in Ethiopia

Determinants of perceived quality of obstetric care in rural Tanzania: a cross-sectional study

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