16 research outputs found
Factors Associated with Client Satisfaction with Institutional Delivery Care at Public Health Facilities in South Ethiopia
No full textBackground: Ethiopia has one of the world’s highest maternal death rates. Client satisfaction is a dynamic indicator of quality of delivery care services. However, little is known about the factors that contribute to client satisfaction in this setting. Objective: To assess client satisfaction with institutional delivery in women attending for delivery at public health facilities in South EthiopiaMethods: A quantitative and qualitative cross-sectional study was conducted. Sixteen health facilities (one hospital and 15 health centers) were included in the study: a total of 380 mothers were interviewed when discharged. Consecutive sampling was employed to obtain the required sample size. Trained nurses collected the quantitative data, and the principal investigator collected qualitative data from focus groups. Data were coded, entered, cleaned, and analyzed using binary logistic and multivariable logistic regression analyses to identify predictors of client satisfaction. Qualitative data were analyzed according to themes and triangulated with the quantitative data. Result: Overall, 67.9% of clients were satisfied with delivery care in public health facilities in the study zone. Satisfaction varied from 23.4% in the technical dimension to 76.1% in outcomes of care. Predictors of satisfaction were: the presence of an attendant throughout delivery (AOR=2.18; 95% CIs 1.23-3.85), being informed about the baby following neonatal examination (3.22; 1.85-5.62), being prepared for labor and delivery (3.53 1.81-6.89), and care taken to assure privacy (3.07; 1.70-5.52). Qualitative data revealed a range of client satisfaction from perceiving warm, courteous, and respectful care to expressing grievances about being insulted, embarrassed, and even beaten by care providers. Conclusion and recommendations: Physical, interpersonal, and technical aspects of care influence client satisfaction with delivery care services. Healthcare providers should address problems related to physical, technical, and intrapersonal aspects of care and develop friendly and courteous relationships with clients and cleaner environments to escalate satisfaction, and hence utilization, of services by clients. Keywords: Client satisfaction, delivery services, South Ethiopi
Institutional Delivery Service Utilization among Women from Rural Districts of Wolaita and Dawro Zones, Southern Ethiopia; a Community Based Cross-Sectional Study.
No full textThe highest number of maternal deaths occur during labour, delivery and the first day after delivery highlighting the critical need for good quality care during this period. Therefore, for the strategies of institutional delivery to be effective, it is essential to understand the factors that influence individual and household factors to utilize skilled birth attendance and institutions for delivery. This study was aimed to assess factors affecting the utilization of institutional delivery service of women in rural districts of Wolaita and Dawro Zones.A community based cross-sectional study was done among mothers who gave birth within the past one year preceding the survey in Wolaita and Dawro Zones, from February 01 -April 30, 2015 by using a three stage sampling technique. Initially, 6 districts were selected randomly from the total of 17 eligible districts. Then, 2 kebele from each district was selected randomly cumulating a total of 12 clusters. Finally, study participants were selected from each cluster by using systematic sampling technique. Accordingly, 957 mothers were included in the survey. Data was collected by using a pretested interviewer administered structured questionnaire. The questionnaire was prepared by including socio-demographic variables and variables of maternal health service utilization factors. Data was entered using Epi-data version 1.4.4.0 and exported to SPSS version 20 for analysis. Bivariate and multiple logistic regressions were applied to identify candidate and predictor variables respectively.Only 38% of study participants delivered the index child at health facility. Husband's educational status, wealth index, average distance from nearest health facility, wanted pregnancy, agreement to follow post-natal care, problem faced during delivery, birth order, preference of health professional for ante-natal care and maternity care were predictors of institutional delivery.The use of institutional delivery service is low in the study community. Eventhough antenatal care service is high; nearly two in every three mothers delivered their index child out of health facility. Improving socio-economic status of mothers as well as availing modern health facilities to the nearest locality will have a good impact to improve institutional delivery service utilization. Similarly, education is also a tool to improve awareness of mothers and their husbands for the improvement of health care service utilization
Epidemiology and clinical characteristics of breast cancer in Ethiopia: a systematic review
No full textAbstract Background According to GLOBOCAN 2020 Breast cancer is the most common cancer among women and the prevalence is increasing worldwide and in Ethiopia. This review assessed studies conducted in Ethiopia on the clinical features and epidemiology of breast cancer. Methods Data base search conducted PubMed, Google Scholar African Journals Online (AJOL), Cumulative Index of Nursing and Allied Health Literature (CINAHL) and Hinari without time restrictions. The search keywords included; prevalence and pattern, clinical presentation, histological and molecular subtypes, and management. We followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guideline to identify, search, extract articles, and report this systematic review. The protocol was registered in PROSPERO, ID: CRD42023403320. Results Twenty studies were included in the review with 33,369 participants and 3 were community-based and 17 were hospital-based. In all except two reviewed studies, breast cancer is the most common cancer among women of Ethiopia. The most frequent presenting symptom was a breast lump/mass and commonly affected side was right breast. Most patients presented at a late stage and they were premenopausal age group. The commonest histology type is ductal carcinoma, that the most prevalent receptor was estrogen receptor positive, and the most common molecular subtype was Luminal A in pathology samples. Surgery is main stay of treatment and the most common surgical technique practiced in Ethiopia is modified radical mastectomy. Conclusion Breast cancer incidence is rising, and it accounts for the major cancer burden in the country. There is a need for additional awareness-raising and health education because delayed presentation are critical problems throughout Ethiopia. For planning and monitoring cancer patterns, comprehensive demographic and clinical data from a population or facility-based registry are needed in the regions. The available treatment options are still limited in Ethiopia it needs infrastructural development
Determinants of respectful maternity care among women who gave childbirth in Southern Ethiopia
No full textAbstract Background Having a good provision of respectful maternity care (RMC) to a woman who gives childbirth is a crucial component of maternal health care to result in positive maternal and neonatal outcomes. Disrespect and lack of women-centered care in birth discourage a woman from seeking healthcare during childbirth contributing to poor healthcare-seeking behaviour and dissatisfaction with the maternity service. The current study aimed to assess key determinants of RMC during childbirth at selected public health facilities of the Gofa zone, Southern Ethiopia. Methods A cross-sectional study design was conducted from March to April 2021 among 390 women who gave birth in eight randomly selected public health facilities of Gofa zone, Southern Ethiopia. The level of RMC was measured using structured exit interview items. A structured-interviewer-administered questionnaire was used to collect data and then entered into Epi-data version 4.6 and exported to SPSS version 25 for further analysis. Bivariate and multivariate logistic regression analyses were used to identify determinants of RMC among women. Results A total of 390 women responded to the exit interview making a response rate of 100%. The mean (± SD) age of the 390 women was 27.9 (± 4.85) years. The overall prevalence of women who received RMC was 40.5%, 95% CI (36-45%). Two hundred and ninety-seven (76.2%; n = 297/390) women had antenatal care (ANC) attendance in the index pregnancy. A woman who had planned pregnancy (AOR = 1.72, CI: 1.04, 2.85), planned to deliver in a health facility (AOR = 1.68, CI: 1.00, 2.81), presence of familial support (AOR = 2.04, CI: 1.20, 3.48), and had information about service availability (AOR = 4.44, CI: 2.09, 9.42) were associated with RMC among women. Conclusion The provision of respectful maternity care in the study area was low when compared with local studies. Planned pregnancy, plan to deliver in a health facility, family support, and presence of information about service availability were factors associated with RMC among women. More attention should be given to training and supportive supervision of health care professionals on respectful maternity care and its standards to increase service uptake and make service more women-centred
Client satisfaction with antiretroviral treatment services in South Ethiopian public health facilities: an institution-based cross-sectional survey
No full textBackground HIV/AIDS remains the leading cause of morbidity and mortality worldwide. Moreover, sub-Saharan countries, including Ethiopia, are highly affected by HIV/AIDS pandemic. Ethiopia’s government has been working on a comprehensive HIV care and treatment programme, including antiretroviral therapy. However, evaluating client satisfaction with antiretroviral treatment services is not well studied. Objectives This study aimed to assess client satisfaction and associated factors with antiretroviral treatment services provided at public health facilities of Wolaita zone, South Ethiopia. Methods A facility-based cross-sectional study involved 605 randomly selected clients using ART services from six public health facilities in Southern Ethiopia. A multivariate regression model was used to see an association between independent variables and the outcome variable. The odds ratio with 95% CI was computed to determine the presence and strength of the association. Results Four hundred twenty-eight (70.7%) clients were satisfied with an overall antiretroviral treatment service, which included significant variations ranging from 21.1% to 90.0% among health facilities. Sex [AOR = 1.91; 95% CI = 1.10–3.29], employment [AOR = 13.04; 95% CI = 4.34–39.22], clients’ perception of the availability of prescribed laboratory services [AOR = 2.56; 95% CI = 1.42–4.63], availability of prescribed drugs [AOR = 6.26; 95% CI = 3.40–11.52] and cleanliness of toilet in the facility [AOR = 2.83; 95% CI = 1.56–5.14] were factors associated with client satisfaction with antiretroviral treatment services. Conclusion The overall client satisfaction with antiretroviral treatment service was lower than the national target of 85%, with a marked difference among facilities. Sex, occupational status, availability of comprehensive laboratory services, standard drugs, and cleanliness toilets in the facility were factors associated with client satisfaction with antiretroviral treatment services. Sex-sensitive services needed to address and sustained availability of laboratory services and medicine recommended
Socio-demographic characteristics of study participants, assessment of institutional delivery service utilization in Wolaita and Dawro zone, 2015.
No full textSocio-demographic characteristics of study participants, assessment of institutional delivery service utilization in Wolaita and Dawro zone, 2015.</p
Climate Variability and Development Interventions Influence Migration Aspirations and Capabilities of Project Beneficiaries in Southern Ethiopia
No full textPredictors of institutional deliveryservice utilization, Wolaita and Dawro Zone, Ethiopia, 2015.
No full textPredictors of institutional deliveryservice utilization, Wolaita and Dawro Zone, Ethiopia, 2015.</p
Place of delivery of index child, assessment of institutional delivery service utilization in Wolaita and Dawro zone, 2015.
No full textPlace of delivery of index child, assessment of institutional delivery service utilization in Wolaita and Dawro zone, 2015.</p
Health service utilization of study participants, assessment of institutional delivery service utilization in Wolaita and Dawro zone, 2015.
No full textHealth service utilization of study participants, assessment of institutional delivery service utilization in Wolaita and Dawro zone, 2015.</p
