Quality of antenatal care in selected public health facilities of West Ethiopia
Abstract Background Ante natal care (ANC) is a key entry point for a pregnant woman to receive abroad range of promotion and preventive health services. Quality of ANC has paramount role to ensure better maternal and neonatal outcome. Objective To assess the quality of antenatal care services at pub...
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| Format: | Article |
| Language: | English |
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BMC
2022-10-01
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| Series: | Contraception and Reproductive Medicine |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s40834-022-00186-9 |
| _version_ | 1797998255131328512 |
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| author | Amanuel Nemomsa Desalegn Wirtu Motuma Getachew Gemechu Kejela Emiru Merdassa Workineh Diriba Markos Desalegn |
| author_facet | Amanuel Nemomsa Desalegn Wirtu Motuma Getachew Gemechu Kejela Emiru Merdassa Workineh Diriba Markos Desalegn |
| author_sort | Amanuel Nemomsa |
| collection | DOAJ |
| description | Abstract Background Ante natal care (ANC) is a key entry point for a pregnant woman to receive abroad range of promotion and preventive health services. Quality of ANC has paramount role to ensure better maternal and neonatal outcome. Objective To assess the quality of antenatal care services at public health facilities of western Ethiopia. Methods Facility-based cross-sectional study was conducted from May 30th to June 30th, 2016. All public health facilities in the Kellem Wollega Zone of West Ethiopia were audited, 316 medical records were reviewed, and 316 pregnant women were interviewed. The data was entered using EPI Data version 3.1 and analyzed using SPSS version 20.0. Descriptive statistics, binary, and multiple logistic regressions were conducted. Variables with a P-value of <0.05 were considered as statistically significant associated factors. Results A total of 316 pregnant women were enrolled in the study. All facilities were categorized as “good” by the possession of necessary equipment, 3/4 by basic amenities and 87.34% by general and gynecologic examination. The information was provided for 222(86.21%), which is categorized as poor. About 252 (79.7%) of the women were satisfied with ANC. A urine sample taken during ANC visit [(AOR= 3.36 (95 % CI= 1.70, 6.61)], and counseling on nutrition during pregnancy [(AOR= 2.27 (95 % CI=1.16, 4.45)] were predictors of client satisfaction on ANC. Conclusions In this study quality of ANC was labeled good for structural aspects and poor for process aspects of quality. In terms of outcome aspects, the majority of pregnant women were satisfied with the ANC they received. A urine sample taken during the ANC visits and being counseled on nutrition during pregnancy were predictors for client satisfaction on ANC. Concerned bodies need to improve laboratory tests and information provision. |
| first_indexed | 2024-04-11T10:45:45Z |
| format | Article |
| id | doaj.art-9cd19c6eb7e642d39109fd6aa6878bff |
| institution | Directory Open Access Journal |
| issn | 2055-7426 |
| language | English |
| last_indexed | 2024-04-11T10:45:45Z |
| publishDate | 2022-10-01 |
| publisher | BMC |
| record_format | Article |
| series | Contraception and Reproductive Medicine |
| spelling | doaj.art-9cd19c6eb7e642d39109fd6aa6878bff2022-12-22T04:29:04ZengBMCContraception and Reproductive Medicine2055-74262022-10-01711910.1186/s40834-022-00186-9Quality of antenatal care in selected public health facilities of West EthiopiaAmanuel Nemomsa0Desalegn Wirtu1Motuma Getachew2Gemechu Kejela3Emiru Merdassa4Workineh Diriba5Markos Desalegn6Department of Public health, Institute of health science, Wollega UniversityDepartment of Public health, Institute of health science, Wollega UniversityDepartment of Public health, Institute of health science, Wollega UniversityDepartment of Public health, Institute of health science, Wollega UniversityDepartment of Public health, Institute of health science, Wollega UniversitySchool of medicine, college of medicine and health science, Jigjiga UniversityDepartment of Public health, Institute of health science, Wollega UniversityAbstract Background Ante natal care (ANC) is a key entry point for a pregnant woman to receive abroad range of promotion and preventive health services. Quality of ANC has paramount role to ensure better maternal and neonatal outcome. Objective To assess the quality of antenatal care services at public health facilities of western Ethiopia. Methods Facility-based cross-sectional study was conducted from May 30th to June 30th, 2016. All public health facilities in the Kellem Wollega Zone of West Ethiopia were audited, 316 medical records were reviewed, and 316 pregnant women were interviewed. The data was entered using EPI Data version 3.1 and analyzed using SPSS version 20.0. Descriptive statistics, binary, and multiple logistic regressions were conducted. Variables with a P-value of <0.05 were considered as statistically significant associated factors. Results A total of 316 pregnant women were enrolled in the study. All facilities were categorized as “good” by the possession of necessary equipment, 3/4 by basic amenities and 87.34% by general and gynecologic examination. The information was provided for 222(86.21%), which is categorized as poor. About 252 (79.7%) of the women were satisfied with ANC. A urine sample taken during ANC visit [(AOR= 3.36 (95 % CI= 1.70, 6.61)], and counseling on nutrition during pregnancy [(AOR= 2.27 (95 % CI=1.16, 4.45)] were predictors of client satisfaction on ANC. Conclusions In this study quality of ANC was labeled good for structural aspects and poor for process aspects of quality. In terms of outcome aspects, the majority of pregnant women were satisfied with the ANC they received. A urine sample taken during the ANC visits and being counseled on nutrition during pregnancy were predictors for client satisfaction on ANC. Concerned bodies need to improve laboratory tests and information provision.https://doi.org/10.1186/s40834-022-00186-9Antenatal careServiceQualityWest Ethiopia |
| spellingShingle | Amanuel Nemomsa Desalegn Wirtu Motuma Getachew Gemechu Kejela Emiru Merdassa Workineh Diriba Markos Desalegn Quality of antenatal care in selected public health facilities of West Ethiopia Contraception and Reproductive Medicine Antenatal care Service Quality West Ethiopia |
| title | Quality of antenatal care in selected public health facilities of West Ethiopia |
| title_full | Quality of antenatal care in selected public health facilities of West Ethiopia |
| title_fullStr | Quality of antenatal care in selected public health facilities of West Ethiopia |
| title_full_unstemmed | Quality of antenatal care in selected public health facilities of West Ethiopia |
| title_short | Quality of antenatal care in selected public health facilities of West Ethiopia |
| title_sort | quality of antenatal care in selected public health facilities of west ethiopia |
| topic | Antenatal care Service Quality West Ethiopia |
| url | https://doi.org/10.1186/s40834-022-00186-9 |
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