Department of Midwifery, College of Medicine and Health Sciences, Wachemo University, Hossana, Ethiopia.
Department of Anesthesia, College of Medicine and Health Sciences, Wachemo University, Hossana, Ethiopia.
PLoS One. 2021 Oct 14;16(10):e0258092. doi: 10.1371/journal.pone.0258092. eCollection 2021.
Health system responsiveness refers to non-financial, non-clinical qualities of care that reflect respect for human dignity and interpersonal aspects of the care process. The non-clinical aspects of the health system are therefore essential to the provision of services to patients. Therefore, the main purpose of this study was to assess the responsiveness in maternity care, domain performance and factors associated with responsiveness in maternity care in the Hadiya Zone public Hospitals in Southern Ethiopia.
A hospital-based cross-sectional study was employed on 413 participants using a systematic sampling technique from 1 July to 1 August 2020. An exit interviewer-administered questionnaire was used to collect data. EpiData (version 3.1) and SPSS (version 24) software were used for data entry and analysis, respectively. Bivariate and multivariable logistic regression were computed to identify the associated factors of health system responsiveness in maternity care at 95% CI.
The findings indicated that 53.0% of users gave high ratings for responsiveness in delivery care. In the multivariable logistic regression analysis, mothers aged ≥ 35 (AOR = 0.4; 95% CI = 0.1-0.9), urban resident (AOR = 2.5; 95% CI = 1.5-4.8), obstetrics complications during the current pregnancy (AOR = 2.1; 95% CI = 1.1-3.0), and caesarean delivery (AOR = 0.4; 95% CI = 0.2-0.7) were factors associated with poor ratings for responsiveness in maternity care.
In the hospitals under investigation, responsiveness in maternity care was found to be good. The findings of this study suggest that the ministry of health and regional health bureau needs to pay attention to health system responsiveness as an indicator of the quality of maternity care.
卫生系统反应性是指非财务、非临床的护理质量，反映了对人类尊严和护理过程人际方面的尊重。因此，卫生系统的非临床方面对于向患者提供服务至关重要。因此，本研究的主要目的是评估埃塞俄比亚南部哈迪耶地区公立医院产妇保健中的反应能力、领域表现以及与产妇保健反应能力相关的因素。
本研究采用了 2020 年 7 月 1 日至 8 月 1 日期间在 413 名参与者中进行的基于医院的横断面研究，使用系统抽样技术。使用问卷调查收集数据，由调查员在受访者离开时进行。EpiData（版本 3.1）和 SPSS（版本 24）软件分别用于数据录入和分析。采用双变量和多变量逻辑回归来确定产妇保健中卫生系统反应能力的相关因素，置信区间为 95%。
研究结果表明，53.0%的使用者对分娩护理的反应能力给予了高度评价。在多变量逻辑回归分析中，年龄≥35 岁的母亲（AOR=0.4；95%CI=0.1-0.9）、城市居民（AOR=2.5；95%CI=1.5-4.8）、当前妊娠期间的产科并发症（AOR=2.1；95%CI=1.1-3.0）和剖宫产（AOR=0.4；95%CI=0.2-0.7）是与产妇保健反应能力差相关的因素。
在所调查的医院中，产妇保健的反应能力被认为是良好的。本研究结果表明，卫生部和地区卫生局需要关注卫生系统反应性作为产妇保健质量的指标。
