Assessment of Quality of Antenatal Care (ANC) Service Provision Among Pregnant Women in Ambo Town Public Health Institution, Ambo, Ethiopia, 2013
American Journal of Nursing Science
Volume 4, Issue 3, June 2015, Pages: 57-62
Received: Mar. 3, 2015;
Accepted: Mar. 22, 2015;
Published: Apr. 22, 2015
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Amsalu Nemera Yabo, Department of Nursing, College of Medicine and Health Sciences, Ambo University, Ambo, Ethiopia
Mitsiwat Abebe Gebremicheal, Department of Nursing, College of Medicine and Health Sciences, Ambo University, Ambo, Ethiopia
Eshetu Ejeta Chaka, Department of Nursing, College of Medicine and Health Sciences, Ambo University, Ambo, Ethiopia
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Introduction: Antenatal care refers to care given to pregnant women so that they have safe pregnancy and healthy baby. Improving the quality of ANC and other reproductive health services has been shown to increase uptake of services and reduce the number of adverse maternal health outcomes. There is a limited attempt to measure the quality of ANC services in Ethiopia. Although, the coverage of ANC services has improved in the last few years, the quality of the services has remained comparatively low. The objective of the study is to assess quality of antenatal care services provision in governmental health institution. Methods: Institutional based descriptive cross-sectional study design was employed from October 23, 2013 to December 30, 2013. A pretested and semi structured questionnaire via interview was used to collect quantitative data from 288 pregnant women and in-depth interview of focal person at facility level to collect the qualitative data. The collected data was entered &analyzed using SPSS version 16.0. Results: Overall 256 (89%) of clients reported satisfaction with services they had received. Regarding client-provider relationship, about 206(71.5%) of women reported that the provider were attentively listening to their problems but 16% of clients believe that there was a problem of privacy. About 266 (92.3%) of clients received information on the services given, from this only 28(9.03%) had obtain information on how to recognize/danger sign of pregnancy. Conclusion and recommendation: The study revealed that majority of women was satisfied with the services they had received. however; only small number of participants had information on how to recognize serious problems occurring during pregnancy. Even if, as a principle all pregnant women should properly involved in decision making process, in this study almost half (44.5%) had not properly involved in decision making process during ANC service provision. Giving greater emphasis on the delivering information on how to recognize serious problems (danger sign) occurring during pregnancy and securing privacy of clients in order to improve quality of care was recommended. Pregnant women should be encouraged to reach at decision during client provider interaction by health care provider.
ANC, Quality of Care, Client Satisfaction, Provider–Client Interaction
To cite this article
Amsalu Nemera Yabo,
Mitsiwat Abebe Gebremicheal,
Eshetu Ejeta Chaka,
Assessment of Quality of Antenatal Care (ANC) Service Provision Among Pregnant Women in Ambo Town Public Health Institution, Ambo, Ethiopia, 2013, American Journal of Nursing Science.
Vol. 4, No. 3,
2015, pp. 57-62.
Campbell S.M., Roland M.O., Buetow S.A. Defining quality of care, Social Science & Medicine. 2000; 51:1611-1625.
Central Statistical Authority (CSA) and ORC Macro. Ethiopia Demographic and Health Survey 2005, Addis Ababa, Ethiopia, and Calverton, Maryland, USA: CSA and ORC Macro, 2000.
Central Statistical Authority (CSA) and ORC Macro. Ethiopia Demographic and Health Survey 2005, Addis Ababa, Ethiopia, and Calverton, Maryland, USA: CSA and ORC Macro, 2011.
Donabedian A, Patricia Gomez, Stephen Munjanja etal.. The quality of care. How can it be assessed? JAMA. 1988; 260(12):1743 –7 1748
Fatalia M., Rosen field A., Indri so C., Sen D., Ratara S. The F.I.G.O. manual of human reproductive health: Global issue (13). 1990.
Federal Democratic Republic of Ethiopia, Ministry of Health(FMOH). Health and Health Related Indicators: Planning and Programming Department. January 2005.
Girmatsion Fesseha, Mussie Alemayehu, Belachew Etana, Kiday Haileslassie, Ayalnesh Zemene. Perceived Quality of Antenatal Care Service by Pregnant Women in Public and Private Health Facilities in Northern Ethiopia. American Journal of Health Research. Vol. 2, No. 4, 2014, pp. 146-151.
Mozlan Janet Turan and Ortayli Nuriye, Social since Research initiative on quality of Care. A evaluation of quality of Maternity care in three Istanbul Updated January 2000.
ROAD Map for accelerating the attainment of the millennium development Goals related to maternal and new born health in Ethiopia July 2012,3 -4.
Sholeye OO, Abosede OA, and Jeminusi OA. Three Decades after Alma-Ata: Are Women Satisfied with Antenatal Care Services at Primary Health Centres in Mushin, Lagos? Journal of Medicine and Medical Science Research. ISSN 2277-0879, 2013; 2(3): 24-29.
United Nations Population Fund Agency (UNFPA), International conference on Population Development (ICPD),1994.
WHO. What is the efficacy/effectiveness of antenatal care and the financial and organizational implications: Health Evidence Network? December 2003.