Pinidiyapathirage M J, Wickremasinghe A R
Department of Community Medicine, Faculty of Medicine, University of Kelaniya, Ragama, Sri Lanka.
Asia Pac J Public Health. 2007;19(3):38-44. doi: 10.1177/101053950701900307.
A descriptive cross-sectional study was carried out in the Gampaha District in Sri Lanka to assess the quality of care provided at antenatal field clinics. Checklists were used to assess the structure and process attributes of quality. An interviewer administered questionnaire assessed the quality of information provided to the clients and client satisfaction. The findings indicated that several resource components need upgrading in the district. The majority of clinics did not have adequate seating arrangements, lacked a footstool, a height measuring instrument and Vitamin C. Less than 50% of the staff were present at 8.00 a.m. in eight clinics. Health education material was substandard in nine clinics. No supervisory notes were made during the preceding year in fourteen clinics. Testing urine for sugar and albumin was substandard in 11 and eight clinics, respectively. Physical examination of pregnant females was substandard in all 20 clinics. No information was provided on some routine procedures carried out at the clinic such as blood pressure monitoring, weight gain and vaccines given. Client satisfaction exceeded 95% in all aspects except building and infrastructure and time spent at the clinic.
在斯里兰卡的甘巴哈区开展了一项描述性横断面研究，以评估产前现场诊所提供的护理质量。使用检查表来评估质量的结构和过程属性。由访员管理的问卷评估了向客户提供的信息质量和客户满意度。研究结果表明，该地区的几个资源组成部分需要升级。大多数诊所没有足够的座位安排，缺少脚凳、身高测量仪器和维生素C。在八家诊所中，不到50%的工作人员在上午8点上班。九家诊所的健康教育材料不合格。在十四家诊所中，前一年没有进行监督记录。分别有11家和8家诊所的尿糖和尿白蛋白检测不合格。所有20家诊所对孕妇的体格检查均不合格。诊所未提供一些常规程序的信息，如血压监测、体重增加情况和接种疫苗情况。除了建筑和基础设施以及在诊所花费的时间外，客户在所有方面的满意度均超过95%。
