The examination of quality of pregnancy care based on the World Health Organization’s “Responsiveness” model of selected pregnant women in Tehran

Marhamati, Tahereh; Torkzahrani, Shahnaz; Nasiri, Malihe; Lotfi, Razieh

doi:10.19082/3720

Cited by 4 publications

(7 citation statements)

References 20 publications

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“…This result is concurrent with other studies in Iran,51 Tanzania21 and a four-country survey in four low-income and middle-income courtiers 52. On contrarily, this finding was lower than the study in Tehran, Iran 53. The possible explanation for the low achievement of basic amenity could be because this study was conducted after a conflict in the study area that resulted in damage to basic amenities in health facilities.…”

Section: Discussionsupporting

confidence: 83%

Health system responsiveness and associated factors for delivery care in public health facilities, Dessie City Administration, South Wollo zone, Ethiopia: Cross-sectional study design

Bayeh,

Tsehay,

Negash

2023

BMJ Open

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ObjectiveTo assess health system responsiveness (HSR) and associated factors for delivery care in public health facilities, Northeast Ethiopia.DesignInstitutional-based cross-sectional study.SettingSouth Wollo zone, Ethiopia.ParticipantsA total of 430 women who delivered within the study period from 1 June 2022 to 5 July 2022 were included for this analysis.OutcomeHSR.MethodsInstitutional-based cross-sectional study was conducted from 1 June 2022 to 5 July 2022 in nine public health facilities. The data were collected through semistructured interviewer administered questionnaire, reviewing delivery registration books and client charts. HSR for delivery care was assessed by eight domains based on WHO responsiveness assessment framework. Binary logistic regression analyses were employed to check the association of variables with HSR. An adjusted OR (AOR) with 95% CI was determined to show the strength of association, and a p<0.05 was taken as level of statistical significance.ResultsIn this study, the health system was responsive for 45.8% (95% CI 41.1% to 50.6%) of delivered mothers. The highest (74.2%) and lowest (45.8%) rated domains were dignity and basic amenity, respectively. In multivariable logistic regression analysis, caesarian delivery (AOR 3.67, 95% CI 1.91 to 7.06), obstetric complication in current pregnancy (AOR 0.45, 95% CI 0.23 to 0.85), referred during labour (AOR 0.36, 95% CI 0.18 to 0.69), birth within 17:30–8:30 hours (AOR 0.51, 95% CI 0.32 to 0.81) and good satisfaction (AOR 5.77, 95% CI 3.44 to 9.69) were statistically significant associated factors with HSR.ConclusionThe overall responsiveness of delivery care was low. Basic amenities, choice of provider and social support domains were least rated responsiveness domains. If health professionals give emphasis to mothers during spontaneous vaginal delivery, able to prevent obstetric complications, and if health facilities increase the number of professionals to duty time, handover, the referred mothers appropriately; having clean and attractive delivery wards will be important interventions to improve responsiveness for delivery care.

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Section: Discussionsupporting

confidence: 83%

Health system responsiveness and associated factors for delivery care in public health facilities, Dessie City Administration, South Wollo zone, Ethiopia: Cross-sectional study design

Bayeh,

Tsehay,

Negash

2023

BMJ Open

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“…Regarding the experience of pregnant women, the 'quality of basic amenities' was highest-rated, meanwhile the 'prompt attention' was the worst. 16 'Confidentiality' was the best in both studies Sajjadi et al and Ughasoro et al, 85% and 68.9%, respectively. At the meantime, the 'autonomy' and 'choice of provider' were the worst, 52% and 41.9%, respectively.…”

Section: Domains Of Responsivenessmentioning

confidence: 80%

“…9 A study conducted in Nigeria revealed that 59% of clients who sought specialist care in tertiary referral hospitals reported good or very good responsiveness 33 and this resembled the level of responsiveness (67%) rated by the diabetic patients in one of the studies in Iran. 27 In two studies, the women while pregnant 16 and post-delivery 13 have shown their satisfaction as a result of the high level of responsiveness at their hospitals.…”

Section: Level Of Responsivenessmentioning

confidence: 99%

“…Dignity was the main reason of satisfaction and has improved the feeling of peace and security, and hastening the recovery times as well. 9,10,16 Importantly, the positive attitude of health providers and office staff towards more respect to patients in addition incentivising those employees, particularly the frontline, have upgraded the dignity level. Clear communication is an important domain in enhancing responsiveness and also other outcomes such as satisfaction.…”

Section: Dignitymentioning

confidence: 99%

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Responsiveness of hospitals to inpatient and outpatient services in the low‐ and middle‐income countries: A systematic review

Shaqura

Jaafaripooyan

Ahmadi

et al. 2021

Health Planning & Management

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Responsiveness is the ability of health system to satisfy non-clinical people's expectations. This review aimed at assessing responsiveness of hospitals' services in the lowand middle-income countries, and identifying the influencing factors. This systematic review followed the PRISMA guidelines. PubMed, Scopus, Web of Science and ProQuest were searched. Studies of all designs aiming to assess responsiveness of hospitals' services in the period from 2005 up to the end of 2018 were included. Quality was appraised based on McMaster University tool. Results were presented as a narrative review. Fifteen studies originated from five low-middle-income countries have been included. Resultshave been proposed under five subtopics; level and distribution of responsiveness and its domains at hospitals, rank of domains according to the participants, and factors affecting responsiveness and its related domains. Most studies have focused on responsiveness level, but not the distribution. Socioeconomic status, organisational, systemic, and contextual factors have led to varied responsiveness, consequently, policymakers would benefit from these valuable results while planning for improving health system in order to accomplish its intrinsic goals. Further research is required in the lowand middle-income countries other than the five included in this review. Using the World Health Organization question-

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“…In CON domain, the privacy of information and medical records was the most paramount for patients in both departments, and this was consistent with some former studies 18,27,28 . It should be noted that the siege and related nancial hardship and economic decline, staff burnout, shortages of in healthcare workforce, and the problem in remuneration system may adversely affect the staff commitment, and ultimately reduced responsiveness performance, particularly PA domain 27,29 .…”

Section: Factors Affecting Responsivenessmentioning

confidence: 99%

Responsiveness of Inpatient Services at the Public General Hospitals in Gaza

Shaqura

Jaafaripooyan

Hosseini

et al. 2021

Preprint

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BackgroundThis study aimed at measuring the responsiveness level of inpatient services according to patients’ perspectives, and identifying the factors affecting its performance at the Gazan public general hospitals, particularly in internal medicine and surgical departments, in 2020.MethodsIt was a cross-sectional descriptive study, conducted in 5 public general hospitals in Gaza. Data were collected between October 2019 and June 2020 in a survey included 675 inpatients using an interviewed questionnaire. Data were analyzed using software SPSS 22.0 and by applying descriptive statistics, independent t-test and analysis of variance (ANOVA), and post hoc Scheffé test. ResultsThe overall responsiveness was “above moderate”, 80.15% and 80.9%, for both internal medicine and surgical departments, respectively. Access to social support, confidentiality and dignity were the highest-performing domains, while, choice of provider and quality of basic amenities were the lowest. Dignity and confidentiality were the most important domains based on patients’ viewpoints. Hospital type, medical department, and hospital stay in addition to the educational level, marital status, employment status, income, and insurance status were the most influential factors on the level of responsiveness and its domains. ConclusionThe assessment of the responsiveness of inpatient services at public hospitals is useful in integrating the health system goals. Inpatient care responsiveness was satisfactory in the Gazan public hospitals, however, there is a room for further improvements. Reform strategies should be directed toward the domains of weak performance and the important ones as well. Attention should be given to the supply-side such as hospital characteristics as they significantly affect the level of responsiveness and its domains. Further research is required to carry out mixed-method studies, moreover, the non-public hospitals need to be covered.

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The examination of quality of pregnancy care based on the World Health Organization’s “Responsiveness” model of selected pregnant women in Tehran

Cited by 4 publications

References 20 publications

Health system responsiveness and associated factors for delivery care in public health facilities, Dessie City Administration, South Wollo zone, Ethiopia: Cross-sectional study design

Health system responsiveness and associated factors for delivery care in public health facilities, Dessie City Administration, South Wollo zone, Ethiopia: Cross-sectional study design

Responsiveness of hospitals to inpatient and outpatient services in the low‐ and middle‐income countries: A systematic review

Responsiveness of Inpatient Services at the Public General Hospitals in Gaza

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