Institute for Healthcare Improvement, Ethiopia Project Office, Addis Ababa, Ethiopia.
Ministry of health of Ethiopia, Addis Ababa, Ethiopia.
BMC Health Serv Res. 2021 Jul 10;21(1):679. doi: 10.1186/s12913-021-06680-1.
Despite reports of universal access to and modest utilization of maternal and newborn health services in Ethiopia, mothers and newborns continue to die from preventable causes. Studies indicate this could be due to poor quality of care provided in health systems. Evidences show that high quality health care prevents more than half of all maternal deaths. In Ethiopia, there is limited knowledge surrounding the status of the quality of maternal and newborn health care in health facilities. This study aims to assess the quality of maternal and neonatal health care provision at the health facility level in four regions in Ethiopia.
This study employed a facility-based cross-sectional study design. It included 32 health facilities which were part of the facilities for prototyping maternal and neonatal health quality improvement interventions. Data was collected using a structured questionnaire, key informant interviews and record reviews. Data was entered in Microsoft Excel and exported to STATA for analysis. Descriptive analysis results are presented in texts, tables and graphs. Quality of maternal and neonatal health care was measured by input, process and outputs components. The components were developed by computing scores using standards used to measure the three components of the quality of maternal and neonatal health care.
The study was done in a total of 32 health facilities: 5 hospitals and 27 health centers in four regions. The study revealed that the average value of the quality of the maternal and neonatal health care input component among health facilities was 62%, while the quality of the process component was 43%. The quality of the maternal and neonatal health output component was 48%. According to the standard cut-off point for MNH quality of care, only 5 (15.6%), 3 (9.3%) and 3 (10.7%) of health facilities met the expected input, process and output maternal and neonatal health care quality standards, respectively.
This study revealed that the majority of health facilities did not meet the national MNH quality of care standards. Focus should be directed towards improving the input, process and output standards of the maternal and neonatal health care quality, with the strongest focus on process improvement.
尽管有报道称埃塞俄比亚已经普及了母婴健康服务，并且利用程度也有所提高，但母亲和新生儿仍死于可预防的原因。研究表明，这可能是由于卫生系统提供的护理质量较差。有证据表明，高质量的医疗保健可以预防一半以上的孕产妇死亡。在埃塞俄比亚，对于卫生设施中母婴保健质量的现状知之甚少。本研究旨在评估埃塞俄比亚四个地区卫生设施中母婴保健服务的质量。
本研究采用基于设施的横断面研究设计。它包括 32 个卫生设施，这些设施是孕产妇和新生儿健康质量改进干预措施的原型设施的一部分。使用结构化问卷、关键知情人访谈和记录审查收集数据。数据输入 Microsoft Excel 并导出到 STATA 进行分析。描述性分析结果以文本、表格和图形呈现。母婴保健质量通过投入、过程和产出三个组成部分进行衡量。这些组成部分是通过使用衡量母婴保健质量的三个组成部分的标准来计算分数而开发的。
该研究在四个地区的总共 32 个卫生设施中进行：5 家医院和 27 家保健中心。研究表明，卫生设施中母婴保健投入部分的平均质量值为 62%，而过程部分的质量值为 43%。母婴保健产出部分的质量值为 48%。根据母婴保健质量护理的标准截止值，只有 5（15.6%）、3（9.3%）和 3（10.7%）家卫生设施分别达到了预期的母婴保健投入、过程和产出质量标准。
本研究表明，大多数卫生设施未达到国家母婴保健质量标准。应重点提高母婴保健质量的投入、过程和产出标准，最关注的是过程改进。
Zotero 插件
