Chowdhury Sameena, Hossain Syed Akram, Halim Abdul
Department of Obstetrics and Gynecology, Institute of Child and Mother Health, Dhaka.
Bangladesh Med Res Counc Bull. 2009 Aug;35(2):53-6. doi: 10.3329/bmrcb.v35i2.3044.
The study was conducted using the exit interview with patients (n=120), in depth interview with health care providers (n=87) and focus group discussion (n=16) with stakeholders to assess the perceived level of quality of care in maternal and newborn health at public facilities in Bangladesh. Both clients and providers expressed dissatisfaction for inadequate quality of care represented by poor cleanliness, long waiting time with less consultation time, poor compassion by providers, inadequate supply of drugs and unnoticed cost for services varied by level of facilities. Inadequacy in human resource and absenteeism and poor laboratory service were reported to worsen the condition especially at lower level of service delivery. Thus this study explored some important factors like poor quality of care, inadequate technical competencies, information exchange and follow-up services. A deficit in supplies and logistics are strong barrier in regards to quality of care at various levels which needs to be addressed immediately.
该研究通过对患者进行出院访谈（n = 120）、对医疗服务提供者进行深入访谈（n = 87）以及与利益相关者进行焦点小组讨论（n = 16）来开展，以评估孟加拉国公共机构中孕产妇和新生儿保健护理的感知质量水平。客户和提供者都对护理质量不足表示不满，表现为卫生条件差、等待时间长而咨询时间短、提供者缺乏同情心、药品供应不足以及不同级别设施的服务费用不明。据报告，人力资源不足、旷工以及实验室服务差尤其在较低级别的服务提供中使情况恶化。因此，本研究探讨了一些重要因素，如护理质量差、技术能力不足、信息交流和后续服务。物资和后勤方面的短缺是各级护理质量的强大障碍，需要立即加以解决。
