Objective High maternal and neonatal mortality rates in developing regions like Pakistan are linked to low rates of institutional deliveries. One way to improve rates of institutional deliveries is through improving institutional delivery service satisfaction in women. The aim of this research is to identify which factors influence delivery service satisfaction during the period of COVID-19 and which socio-demographic characteristics of women are associated with greater fear of catching COVID-19 during institutional deliveries. Methods A total of 190 women who had given birth between May to June, 2020, were sampled from two private and two public sector hospitals in Lahore, Pakistan. A standardized tool was modified for use and a combination of descriptive statistics and multivariate regression was applied. ResultsThe results reveal that a majority of women, at 74.7%, are afraid of contracting COVID-19; specifically, women delivering at public hospitals, those who are illiterate or semi-literate, with more than four children, with low household income, and who are unemployed. Regression models are used to identify factors related to higher satisfaction, including the following: (i) pre-delivery care (explanatory power of R 2 = 0.651); (ii) during delivery care (R 2 = 0.716); (iii) after delivery care for women (R 2 = 0.525); and (iv) after delivery care for newborn (R 2 = 0.780). The main areas which influence satisfaction include the following: service quality of staff and administration; maintenance of hygiene and sanitation; involvement in decision-making; provision of necessary information; and advice for breastfeeding, immunization and family planning. Conclusions for Practice Based on our findings, we recommend improved regulation of delivery services in both public and private hospitals and increased protection for disadvantaged women groups to maintain service quality during the pandemic.
Objectives: This study has been designed to assess the knowledge, attitude and practices of healthcare workers at Mayo Hospital regarding biomedical waste segregation. Study Design: Cross-sectional study. Setting: Teaching Hospital of King Edward Medical University Lahore, Pakistan. Period: February 2018 to January 2019. Material & Methods: Structured questionnaires in English and Urdu were employed to collect data from healthcare workers (nurses and doctors) on duty in different wards of Mayo Hospital. The demographics, level of knowledge, practices and attitude regarding biomedical waste segregation are reported using descriptive statistics. The comparison of doctors and nurses is done using chi-square. Results: Significantly fewer number of doctors correctly identified the container for bio hazardous waste (p=0.016), while majority (89.4%) of respondents were able to correctly identify the container for sharps and general waste. Significantly more (p=0.00) number of nurses had training in waste segregation as compared with doctors. Majority (95.0%) of nurses acknowledged that guidelines regarding waste segregation were available in their departments, whereas significantly lesser number (64.5%) of doctors acknowledged existence of guidelines at their workplace (p=0.00). 21.3% of respondents claimed to have acquired infection from waste with no statistical difference between the two groups (p=0.19). A minority of the participants agreed that the practices were satisfactory (14.6%) and the required equipment was available (27.7%), yet there was a significant difference between the responses of doctors and nurses with the nurses being more satisfied with the available facilities and equipment (p=0.00) than doctors. Conclusion: The knowledge of the healthcare workers regarding waste segregation is better than their practices, nonetheless there is a dire need to improve the quality of training of these health care workers in and emphases must be put on ensuring that correct practices are adopted.
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