National Training and Research Centre in Rural Health of Maferinyah, Forecariah, Guinea.
Health District of Lélouma, Ministry of Health, Conakry, Guinea.
Afr J Reprod Health. 2020 Jun;24(2):96-105. doi: 10.29063/ajrh2020/v24i2.9.
High quality post-abortion care (PAC) is needed to curb maternal deaths by providing effective treatment and preventing future unintended pregnancies through PAC family planning. This study aimed at assessing PAC services with a focus on women's satisfaction with care they received in two health facilities in Conakry. We conducted a cross-sectional mixed method study with 426 PAC clients from March 1 to August 31 , 2014. Data analyses were performed using Stata software version 14 for quantitative data and using a thematic approach for qualitative data. Overall, 92.5% of women were satisfied with PAC services they received. The short waiting time ( < 30 min), the appropriate management of pain during the treatment, the affordable cost of the treatment, the confidentiality of services, the good patient-provider interaction and the cleanliness of the premises were factors statistically significantly associated with the satisfaction of women (P-value ˂ 0.001). This study showed a high rate of women's satisfaction. Nevertheless, health authorities should assure a regular follow-up on the application of official prices for the treatment of PAC patients; and providers should further consider aspects such as pain management during treatment, confidentiality of services, patient-provider interaction for optimal satisfaction of clients with PAC services.
需要高质量的流产后护理(PAC),通过 PAC 计划生育为患者提供有效治疗并预防未来意外怀孕,从而遏制孕产妇死亡。本研究旨在评估科纳克里两家卫生机构的 PAC 服务,重点关注女性对所接受护理的满意度。我们于 2014 年 3 月 1 日至 8 月 31 日开展了一项包含 426 名 PAC 患者的横断面混合方法研究。采用 Stata 软件 14 版进行定量数据分析,采用主题方法进行定性数据分析。总体而言,92.5%的女性对所接受的 PAC 服务表示满意。就诊等待时间短(<30 分钟)、治疗过程中疼痛管理恰当、治疗费用负担得起、服务保密性、医患良好互动以及就诊环境清洁是与女性满意度显著相关的因素(P 值<0.001)。本研究显示出较高的女性满意度。然而,卫生当局应确保定期监督 PAC 患者治疗费用的官方定价执行情况;提供者应进一步考虑治疗过程中的疼痛管理、服务保密性、医患互动等方面,以实现 PAC 服务客户满意度的最优化。