Level of quality of option B+PMTCT service provision in public health facilities in Mekelle zone, northern Ethiopia: cross-sectional study
Abstract Background Substantial improvements have been observed in coverage and access to maternal health services in Ethiopia. However, the quality of care has been lagging behind. Therefore, this study aimed to assess the level of quality of Option B+ PMTCT in Northern Ethiopia. Methods A facility...
| Main Authors: | , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
BMC
2020-06-01
|
| Series: | BMC Health Services Research |
| Subjects: | |
| Online Access: | http://link.springer.com/article/10.1186/s12913-020-05429-6 |
| _version_ | 1818303982753284096 |
|---|---|
| author | Kiros Fenta Ajemu Alem Desta |
| author_facet | Kiros Fenta Ajemu Alem Desta |
| author_sort | Kiros Fenta Ajemu |
| collection | DOAJ |
| description | Abstract Background Substantial improvements have been observed in coverage and access to maternal health services in Ethiopia. However, the quality of care has been lagging behind. Therefore, this study aimed to assess the level of quality of Option B+ PMTCT in Northern Ethiopia. Methods A facility based survey was conducted from February to April 2016 in Northern Ethiopia. Twelve health facilities were enrolled in the study. Mixed method approach was used in line with Donabedian (Input- Process-Output) service quality assessment model. Data of 168 HIV positive mothers & their infant were abstracted from registers, and follow up charts. During the Option B+ service consultation, a total of 60 sessions were involved for direct observation. Of which, 30 clients and 12 service providers were subjected for exit and in-depth interview respectively. Facilities were categorized rendering good service quality based on predetermined quality judgment criteria. Reasons of good and bad service quality were thematically fitted with each quality component based on emerging themes (TM1-TM3), and categories (CA1-CA6). Results Of the total 12 study health facilities, 2(16.7%) were achieved the desired level of service quality based on the three quality components. The input quality was better and judged as good in 33.3% health facilities. However; process and output service quality were realized in one - fourth of them. Conclusion Insignificant numbers of facilities fulfilled the aspired level of service quality. Quality of care was found influenced by multiple inputs, processes, and output related barriers and facilitators. Comprehensive Program monitoring is needed based on three quality components to improve the overall service quality. |
| first_indexed | 2024-12-13T06:03:27Z |
| format | Article |
| id | doaj.art-ac46e446282a41efaf477a105929b90d |
| institution | Directory Open Access Journal |
| issn | 1472-6963 |
| language | English |
| last_indexed | 2024-12-13T06:03:27Z |
| publishDate | 2020-06-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Health Services Research |
| spelling | doaj.art-ac46e446282a41efaf477a105929b90d2022-12-21T23:57:16ZengBMCBMC Health Services Research1472-69632020-06-0120111010.1186/s12913-020-05429-6Level of quality of option B+PMTCT service provision in public health facilities in Mekelle zone, northern Ethiopia: cross-sectional studyKiros Fenta Ajemu0Alem Desta1Tigray Health Research InstituteSchool of Public Health, Mekelle UniversityAbstract Background Substantial improvements have been observed in coverage and access to maternal health services in Ethiopia. However, the quality of care has been lagging behind. Therefore, this study aimed to assess the level of quality of Option B+ PMTCT in Northern Ethiopia. Methods A facility based survey was conducted from February to April 2016 in Northern Ethiopia. Twelve health facilities were enrolled in the study. Mixed method approach was used in line with Donabedian (Input- Process-Output) service quality assessment model. Data of 168 HIV positive mothers & their infant were abstracted from registers, and follow up charts. During the Option B+ service consultation, a total of 60 sessions were involved for direct observation. Of which, 30 clients and 12 service providers were subjected for exit and in-depth interview respectively. Facilities were categorized rendering good service quality based on predetermined quality judgment criteria. Reasons of good and bad service quality were thematically fitted with each quality component based on emerging themes (TM1-TM3), and categories (CA1-CA6). Results Of the total 12 study health facilities, 2(16.7%) were achieved the desired level of service quality based on the three quality components. The input quality was better and judged as good in 33.3% health facilities. However; process and output service quality were realized in one - fourth of them. Conclusion Insignificant numbers of facilities fulfilled the aspired level of service quality. Quality of care was found influenced by multiple inputs, processes, and output related barriers and facilitators. Comprehensive Program monitoring is needed based on three quality components to improve the overall service quality.http://link.springer.com/article/10.1186/s12913-020-05429-6QualityOption B + PMTCTHIV positive womenTigrayNorthern Ethiopia |
| spellingShingle | Kiros Fenta Ajemu Alem Desta Level of quality of option B+PMTCT service provision in public health facilities in Mekelle zone, northern Ethiopia: cross-sectional study BMC Health Services Research Quality Option B + PMTCT HIV positive women Tigray Northern Ethiopia |
| title | Level of quality of option B+PMTCT service provision in public health facilities in Mekelle zone, northern Ethiopia: cross-sectional study |
| title_full | Level of quality of option B+PMTCT service provision in public health facilities in Mekelle zone, northern Ethiopia: cross-sectional study |
| title_fullStr | Level of quality of option B+PMTCT service provision in public health facilities in Mekelle zone, northern Ethiopia: cross-sectional study |
| title_full_unstemmed | Level of quality of option B+PMTCT service provision in public health facilities in Mekelle zone, northern Ethiopia: cross-sectional study |
| title_short | Level of quality of option B+PMTCT service provision in public health facilities in Mekelle zone, northern Ethiopia: cross-sectional study |
| title_sort | level of quality of option b pmtct service provision in public health facilities in mekelle zone northern ethiopia cross sectional study |
| topic | Quality Option B + PMTCT HIV positive women Tigray Northern Ethiopia |
| url | http://link.springer.com/article/10.1186/s12913-020-05429-6 |
| work_keys_str_mv | AT kirosfentaajemu levelofqualityofoptionbpmtctserviceprovisioninpublichealthfacilitiesinmekellezonenorthernethiopiacrosssectionalstudy AT alemdesta levelofqualityofoptionbpmtctserviceprovisioninpublichealthfacilitiesinmekellezonenorthernethiopiacrosssectionalstudy |