University of Gondar Comprehensive Specialized Hospital, Gondar, Ethiopia.
Department of Health Systems and Policy, College of Medicine and Health Science, University of Gondar, Gondar, Ethiopia.
PLoS One. 2024 Oct 31;19(10):e0310038. doi: 10.1371/journal.pone.0310038. eCollection 2024.
Antenatal care is the care that women receive during their pregnancy to ensure the health of the mother and her baby. The provision of information on birth preparedness in Ethiopia is still low, which implies identification of pre-existing health conditions that may affect the outcome of pregnancies was not provided. Even if the Focused Antenatal Care service was provided in our setup, maternal death was still high. In addition, as far as our search, the quality of antenatal care service in this facility has not yet been evaluated. As a result, the purpose of this study was to assess the quality of focused antenatal care services at the University of Gondar Comprehensive Specialized Hospital, Northwest Ethiopia.
A mixed method case study evaluation design was employed at the University of Gondar Comprehensive Specialized Hospital from February 29 to March 29, 2020. Quantitative data was collected through exit interviews of 411 mothers who attended antenatal care follow-up and review of 422 clients' cards 2 months prior to the study period. Similarly, 35 items of resources inventory, 10 direct observations, and 12 key informant interviews were conducted. The data were entered into Epi-Data version 4.6 and exported to SPSS version 25 and it was analysed with the Evaluation judgment matrix analysis method. Qualitative data were transcribed, translated and analysed by using thematic analysis. The evaluation focused on availability, compliance, and satisfaction dimensions with 25 indicators to judge the quality of antenatal care services.
The overall quality of focused antenatal care services was judged as good, based on pre-set judgment criteria (76.7%), to which availability of resources, healthcare provider's compliance with the national guideline, and maternal satisfaction contributed, 73.3, 77.75, and 78.8%, respectively. Auditory and visual privacy were practiced which enhances patient confidentiality and personal dignity. The waiting area was perceived to be satisfactory by the majority (89%) of ANC clients, but there is no separate waiting area for ANC clients. Ten (10) client/provider interactions were observed, demonstrating that all clients were counseled about pregnancy danger signs.
The overall focused antenatal care services quality was relatively good, although the availability of resources was fair. Some essential drugs and medical equipment were out of stock. Therefore, the hospital had better fulfill crucial medicines and equipment for better service quality.
产前护理是女性在怀孕期间接受的护理，旨在确保母婴健康。然而，在埃塞俄比亚，提供生育准备信息的情况仍然很低，这意味着可能影响妊娠结果的预先存在的健康状况并没有得到识别。即使在我们的设置中提供了重点产前护理服务，产妇死亡仍然很高。此外，就我们的搜索结果来看，该设施的产前护理服务质量尚未得到评估。因此，本研究的目的是评估埃塞俄比亚西北部贡德尔大学综合专科医院的重点产前护理服务质量。
2020 年 2 月 29 日至 3 月 29 日，在贡德尔大学综合专科医院采用混合方法案例研究评估设计。通过对 411 名接受产前护理随访的母亲进行出院访谈和对研究前 2 个月的 422 名客户病历进行回顾，收集了定量数据。同样，进行了 35 项资源清单、10 次直接观察和 12 次关键知情人访谈。将数据输入 Epi-Data 版本 4.6 并导出到 SPSS 版本 25，然后使用评估判断矩阵分析方法进行分析。定性数据通过主题分析进行转录、翻译和分析。评估重点是可用性、合规性和满意度三个维度，共有 25 个指标用于判断产前护理服务的质量。
根据预设的判断标准（76.7%），重点产前护理服务的整体质量被判断为良好，这得益于资源的可用性、医疗保健提供者对国家指南的遵守情况以及产妇的满意度，分别为 73.3%、77.75%和 78.8%。听觉和视觉隐私得到了实践，增强了患者的保密性和个人尊严。大多数（89%）接受 ANC 的客户认为等候区令人满意，但 ANC 客户没有单独的等候区。观察到 10 次（10 次）客户/提供者互动，表明所有客户都接受了关于妊娠危险信号的咨询。
尽管资源的可用性是公平的，但重点产前护理服务的整体质量相对较好。一些基本药物和医疗设备缺货。因此，医院最好提供关键药物和设备，以提高服务质量。
