Adde Kenneth Setorwu, Esia-Donkoh Kobina, Amo-Adjei Joshua
Department of Population and Health, College of Humanities and Legal Studies, University of Cape Coast, Cape Coast, Ghana.
BMC Pregnancy Childbirth. 2025 Apr 2;25(1):380. doi: 10.1186/s12884-025-07502-6.
Access to quality abortion services will not only help to reach SDG Target 3.1 and Goal 3 of Agenda 2063 but will also enhance maternal health in sub-Saharan Africa. Post-abortion care was thus introduced as a key component in managing complications from abortion. However, not much is known about the quality of post-abortion care services and practices. The main objective of this study was to examine the connecting experiences of clients and service providers perspectives on the quality of post-abortion care services.
An in-depth interview technique was used to collect data from 18 purposively selected post-abortion care clients and 13 post-abortion care service providers from selected health facilities in urban Accra. Data were analysed using NVivo 12 software using a quantitative thematic analysis technique.
We noted that the providers' perspectives and clients' experiences or narratives about PAC quality converged around interpersonal and technical quality. Apart from the consensus on what quality meant and what clients received, there were subtle divergences or variations in quality perspectives. Specifically, while the clients considered quality communication to be concerned with behaviour and mannerisms, service providers perceived it as patient-centred. Also, while clients considered quality treatment to be the immediate outcome of treatment, service providers perceived it as one with no adverse event. We also found that the quality of PAC services at health facilities could be improved by making consumables readily available and the provision of separate treatment rooms.
Although PAC services are generally considered high quality in the Greater Accra region, there is still room for improvement. The private health facility owners, the Ministry of Health and the Ghana Health Services could take pragmatic steps to enhance synchronisation of notions of quality PAC services through sensitisation and education based on existing PAC protocol requirements.
获得高质量的堕胎服务不仅有助于实现可持续发展目标3.1以及《2063年议程》的目标3，还将改善撒哈拉以南非洲地区的孕产妇健康状况。因此，堕胎后护理被作为管理堕胎并发症的关键组成部分引入。然而，对于堕胎后护理服务和实践的质量了解并不多。本研究的主要目的是从客户和服务提供者的角度审视堕胎后护理服务质量方面的相关经历。
采用深入访谈技术，从阿克拉市区选定的医疗机构中，有目的地选取18名堕胎后护理客户和13名堕胎后护理服务提供者收集数据。使用NVivo 12软件，采用定量主题分析技术对数据进行分析。
我们注意到，提供者对于堕胎后护理质量的看法以及客户的经历或叙述在人际质量和技术质量方面趋于一致。除了在质量的含义以及客户所接受的服务方面达成共识外，在质量观点上还存在细微的差异。具体而言，客户认为高质量沟通涉及行为和举止，而服务提供者则将其视为以患者为中心。此外，客户认为高质量治疗是治疗的直接结果，而服务提供者则将其视为无不良事件的治疗。我们还发现，通过确保消耗品随时可用以及提供单独的治疗室，可以提高医疗机构堕胎后护理服务的质量。
尽管在大阿克拉地区，堕胎后护理服务总体上被认为质量较高，但仍有改进空间。私立医疗机构所有者、卫生部和加纳卫生服务局可以采取务实措施，根据现有的堕胎后护理协议要求，通过宣传和教育来加强堕胎后护理服务质量观念的同步。
