Process Quality of Antenatal Care Among Clients of Antenatal Care Service Users and Service Providers in Public Hospitals of Woliata Zone, Southern Ethiopia

Abstract

Background: Many women are dying due to factors related to pregnancy and childbirth, especially in developing countries including Ethiopia, where maternal mortality ratio is one of the highest in the world. In Ethiopia, most women have had antenatal care visit, however the goal, reduction in maternal mortality, is yet not in line with the 2030 Sustainable Development Goal particularly in rural areas, where the process quality has gap.Methods and Objectives: Facility-based cross-sectional study was to determine sum score of process quality of Antenatal care services among mothers who attended antenatal care service during the study period in Woliata Zone, Southern Ethiopia. Data collection took place using smart phones running Google's Android operating system from 704 participants via observation. The phones were equipped with Open Data Kit (ODK) software. Logistic regression was performed using SPSS version 24.0 Result: A total of 704 pregnant women were included in the analysis. Only 52.3% of antenatal care attendants met Process quality of the service in antenatal clinic while discussing with the service provider. In binary logistic regression; advise the client to use skilled health worker for delivery AOR= 21.0 (95%CI:6.3, 69.6), discussed heavy vaginal bleeding during or after birth AOR=1.6 (95%CI:1.0‚ 2.5) , take client's blood pressure AOR,2.1(95%CI:1.1‚ 4.2), asked the client where she will deliver AOR =2.6(95%CI:1.7,4.2), advise the client to prepare for delivery AOR, 3.1(95%CI : 2.0‚4.9), provide counselling related to HIV AOR=1.8(95%CI:1.0,3.0) and examine conjunctiva or palms for anaemia AOR=1.8(95%CI:1.0,3.1) were statistically significant predictors of the process quality of antenatal care service in the study period in Woliata Zone, Southern Ethiopia. Conclusion:Sum score of Process quality of Care among antenatal care service users was low compared to national standard. Informing women that getting standard process quality service is their right, and encouragement of mothers regarding the need for Process quality of the services is of crucial. Providers must be in line with principles of screening and counselling.

Quality of Antenatal Care in Public Health Facilities of Dessie Town, Northeastern Ethiopia, 2022

“…This is similar to findings in Nigeria, 18 Kellem Wollega, West Ethiopia, 22 Hossaina Town, Southern Ethiopia, 26 and Wolaita, Southern Ethiopia. 30 This might be explained by a lack of skilled professionals in quantity as well as quality, a high client burden that shortens the interaction time between care providers and clients and makes it likely to have missed an opportunity, a lack of screening equipment such as laboratory machines and reagents, and a lack of essential drug and supplement supplies.…”