Ketero Musa Kumbi, Muhammed Abduljewad Hussen, Abdi Adem Abdulkadir
Department of Public Health, Goba Referral Hospital, Madda Walabu University, Goba, Ethiopia.
Patient Prefer Adherence. 2021 Apr 15;15:793-805. doi: 10.2147/PPA.S280004. eCollection 2021.
The Integrated Management of Newborn and Childhood Illness (IMNCI) strategy includes both preventive and curative interventions to improve practices in health facilities, the health system and at home. The quality of these interventions has been very rarely subjected to scientific inquiry in Ethiopia. This study assessed quality of IMNCI services in health centers of Jimma, South West Ethiopia, 2014.
A facility based cross-sectional study was conducted from March 2-15, 2014 in the health centers of Jimma among 411 care takers exit interview and total of 60 consultation sessions were observed using checklist and participants enrolled through convenient sampling technique. Descriptive statistics were used and factor analysis was employed to create measurement scales for satisfaction of caretakers. Factor scores were used in linear regression analyses to determine presence of statistically significant association between explanatory variables and the outcome variable at P value <0.05.
The response rate for the exit interview was 411 (97.4%). The mean score of overall caretakers satisfaction was 63.4. Specifically 23.4%, 33.6%, and 19.2% of the respondents were dissatisfied with waiting time, amount of explanation they received about the problem or treatment, and availability of medicines, respectively. Availability of prescribed medications (95% CI: 0.577 to 0.047), receiving first dose of medication at health facility (95% CI: 0.087, 0.552), receiving laboratory services (95% CI:0.455,0.056) were among factors that significantly associated with the caretakers' satisfaction score.
Perceived mean of caretakers' satisfaction at the health centers of Jimma town was low as compared to national standards and long waiting time while providing services. Availability of prescribed medications, receiving first dose of medication and receiving laboratory services were factors associated with patients' satisfaction. Respective health centers need to ensure availability of medications and supplies and professionals need to pay special attention on medical services like laboratory services, medication and decrease waiting time while providing health services.
新生儿和儿童疾病综合管理（IMNCI）策略包括预防和治疗干预措施，以改善医疗机构、卫生系统及家庭中的医疗实践。在埃塞俄比亚，这些干预措施的质量极少受到科学探究。本研究评估了2014年埃塞俄比亚西南部吉马地区卫生中心的IMNCI服务质量。
2014年3月2日至15日，在吉马地区的卫生中心开展了一项基于机构的横断面研究，对411名护理人员进行了离职访谈，并使用检查表观察了总共60次咨询会议，研究对象通过方便抽样技术招募。采用描述性统计方法，并运用因子分析创建护理人员满意度的测量量表。因子得分用于线性回归分析，以确定在P值<0.05时解释变量与结果变量之间是否存在统计学上的显著关联。
离职访谈的回复率为411人（97.4%）。护理人员总体满意度的平均得分为63.4分。具体而言，分别有23.4%、33.6%和19.2%的受访者对等待时间、关于问题或治疗所得到的解释量以及药品供应情况不满意。处方药物的可获得性（95%置信区间：0.577至0.047）、在医疗机构接受首剂药物治疗（95%置信区间：0.087，0.552）、接受实验室服务（95%置信区间：0.455，0.056）是与护理人员满意度得分显著相关的因素。
与国家标准相比，吉马镇卫生中心护理人员的满意度平均得分较低，且提供服务时等待时间较长。处方药物的可获得性、接受首剂药物治疗和接受实验室服务是与患者满意度相关的因素。各卫生中心需要确保药品和物资的供应，专业人员在提供卫生服务时需要特别关注实验室服务、药物治疗等医疗服务，并减少等待时间。
