Volume 5, Issue 2, March 2017, Page: 31-36
Quality of Delivery Service at Public Health Facilities in Arba Minch District, Gamo Gofa Zone, Southern Ethiopia
Zeritu Dewana, Department of Midwifery, Arba Minch Health Science College, Arba Minch, Ethiopia
Abebe Gebremariam, Department of Population and Family Health, College of Public Health and Medical Sciences, Jimma University, Jimma, Ethiopia
Misra Abdulahi, Department of Population and Family Health, College of Public Health and Medical Sciences, Jimma University, Jimma, Ethiopia
Teshale Fikadu, School of Public Health, College of Health Sciences and Medicine, Wolaita Sodo University, Wolaita Sodo, Ethiopia
Wolde Facha, School of Public Health, College of Health Sciences and Medicine, Wolaita Sodo University, Wolaita Sodo, Ethiopia
Received: Feb. 10, 2017;       Accepted: Mar. 7, 2017;       Published: Mar. 31, 2017
DOI: 10.11648/j.jgo.20170502.12      View  2175      Downloads  188
Quality of delivery care service is an important aspect of maternal healthcare which enhance delivery services utilization by mothers. Assessing quality of delivery services is a global priority particularly in developing countries; however reports on this aspect are scarce, which calls for further study. Therefore, the objective of this study was to assess quality of delivery care at public health facilities in Arba Minch district, Gamo Gofa zone, Southern Ethiopia. A cross sectional facility based study was conducted among women who gave birth at public health facilities in this area. A total of nine health facilities, 27 key informants and 256 women were included in the study. Data were analyzed using SPSS 20.0 statistical software. The overall quality of delivery care was 54.06% and mother’s satisfied on delivery care was 90.2%. Shortage of some medical equipment, drugs and supplies, trained man power, few proper partograph records, good client provider interaction, good client satisfaction and low infection prevention practice was observed in our study. As a conclusion poor quality delivery service was observed at public health facilities. Thus, efforts should be made by government for improving facilities capacity and performance of care providers in order to improve the quality of delivery care.
Delivery, Quality Care, Satisfaction, Delivery Service, Southern Ethiopia
To cite this article
Zeritu Dewana, Abebe Gebremariam, Misra Abdulahi, Teshale Fikadu, Wolde Facha, Quality of Delivery Service at Public Health Facilities in Arba Minch District, Gamo Gofa Zone, Southern Ethiopia, Journal of Gynecology and Obstetrics. Vol. 5, No. 2, 2017, pp. 31-36. doi: 10.11648/j.jgo.20170502.12
Copyright © 2017 Authors retain the copyright of this article.
This article is an open access article distributed under the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Donabedian A. Evaluating the Quality of Medical Care: the Milbank Quarterly. Milbank Memorial Fund, 2005; 83 (4): 691–729.
Institute of Medicine, Medicare: A Strategy for Quality Assurance. 1990; available at http://www.iom.edu/CMS/8089.aspx.
Maxwell RJ. Quality assessment in health. Br Med J; 1984, 288 (6428): 1470-1472.
Bell and Avan. Developing a framework and instrument to assess the quality of delivery care: a work in progress. Executive Summary, 2010 (5). Available at http://www.immpact-international.org.
FMOH, Health Sector Development Program IV, 2010, Ethiopia Federal Ministry of Health.
WHO, UNICEF, UNFPA, WORLD BANK: Trends in Maternal Mortality: 1990 to 2010. 2012, World Health Organization.
Filippi V, Ronsmans C, et al. Maternal health in poor countries: the broader context and a call for action. Lancet, 2006; 368: 1535-1541.
Rahman K, Sarkar P, Situation of maternal health care services in Bangladesh. The Social Sciences, 2009; 4 (5): 503.
UN, the Millennium Development Goal Report. 2011. United Nations.
Lilian T, Karen M, Abu M, Bjorg E and Thecla W. Why give birth in health facility? Users’ and providers’ accounts of poor quality of birth care in Tanzania, BMC, 2013; 13 (174).
Maman D and Pierre F. Human resources and the quality of emergency obstetric care in developing countries: a systematic review of the literature. BMC, 2009; 7 (7).
Jonathan M, Jonathan R, Stuart L, Priya D, and Atul A. Access to essential technologies for safe childbirth: a survey of health workers in Africa and Asia. BMC, 2013; 13 (43).
FGAE. Assessment of Sexual and Reproductive Health, and HIV Linkages. Ethiopia country assessment, 2011. Ethiopia Family Guidance Association.
Beyene W, Jira C, Sudhakar M, Assessment of Quality of Health Care in Jimma Zone, Southwest Ethiopia. Ethiop J Health Sci., 2011; 21.
USAID, MCHIP, Quality of Care for Prevention and Management of Common Maternal and Newborn Complications: A Study of Ethiopia’s Hospitals. 2011. Available at www.jhpiego.org.
Mozlan J and Ortayli N. Social science Research initiative on quality of Care. An evaluation of quality of maternity care in three Istanbul updated January.
WHO, Making Pregnancy Safer: The Critical Role of the Skilled Attendant. 2004, World Health Organization.
WHO, Beyond the Numbers: Reviewing Maternal Deaths and Complications to Make Pregnancy Safer. 2004, World Health Organization.
FMOH, National reproductive health strategy, 2006 – 2015. Ethiopia Federal Ministry of Health.
Democratic Republic of Ethiopia/Population Census Commission (FDRE/PCC) (2008), Summary and Statistical Report of the 2007 Population and Housing Census: Population Size by Age and Sex, FDRE/PCC, Addis Ababa.
Engida Y, Berhanu D, Ayalew A and Nebreed F. Completion of the modified WHO partograph during labor in public health institutions of Addis Ababa, Ethiopia. Reproductive Health, 2013; 10 (230).
Bereket Y, Mulat T and Wondimagegn P. Mothers’ Utilization of Antenatal Care and their Satisfaction with Delivery Services in Selected Public Health Facilities of Wolaita Zone, Southern Ethiopia. International journal of scientific & technology research, 2013; 2 (2).
Azmeraw T, Desalegn Z and Yigzaw K: Mothers’ satisfaction with referral hospital delivery service in Amhara Region, Ethiopia. BMC, 2011; 11 (78).
Studd J, Partograms and Nomograms of Cervical Dilatation in Management of Primigravid Labor. BM J, 1973; 4 (5890): 451-55.
Surekha T and Pooja J, The impact of use of modified WHO partograph on maternal and prenatal outcome. IJBAR, 2012; 3 (4).
Harriott EM, Williams TV, Peterson MR. Childbearing in US military hospitals: dimensions of care affecting women’s perceptions of quality and satisfaction. Birth, 2005; 32: (4).
Bazant ES, Koenig MA, Women’s satisfaction with delivery care in Nairobi’s informal settlements. International Journal for Quality in Health Care, 2009; 21 (2): 79-86.
Delvaux T. Quality of normal delivery care in Côted’Ivoire. African Journal of Reproductive Health, 2007; 11 (1).
Liz C. Creel, Justine V. Sass, and Nancy V. Yinger, Client-Centered Quality: Clients’ Perspectives and Barriers to Receiving Care Population Council and Population Reference Bureau New Perspectives on Quality of Care: No. 2, Population Council and Population Reference Bureau.
Kiguli J, Elizabeth E, Okui O, Mutebi A, Hayley M and William G. Increasing access to quality health care for the poor: Community perceptions on quality care in Uganda. Patient Preference and Adherence, 2009; 3: 77-85.
Tamburlini G, Siupsinskas G, Bacci A, Quality of Maternal and Neonatal Care in Albania, Turkmenistan and Kazakhstan: A Systematic, Standard-Based, Participatory Assessment. PLoS ONE 6 (12): 28763.
Okonofua F, Okpokunu E, Aigbogun O, Nwandu C, Mokwenye C and Kanguru L, et al. Assessment of infection control practices in maternity units in Southern Nigeria. International Journal for Quality in Health Care, 2012: 1–7.
Jorge Mendoza Aldana, Helga Piechulek, Ahmed Al-Sabir. Client satisfaction and quality of health care in rural Bangladesh. Bulletin of the World Health Organization, 2001; 79 (6).
Rajesh M, Dileep VM, KV Ramani, Sheetal S and Julia H. Infection control in delivery care units, Gujarat state, India: A needs assessment. BMC, 2011; 11 (37).
JHPIEGO: Performance and quality improvement standards for EMNC health center/hospital intrapartum care & infection prevention, February, 2012 draft Ethiopia, version 1.
Browse journals by subject