Quality Of Care In Delivery Service At Public Health Institutions In Bahir Dar Town Ethiopia.

Background: Delivery and the time immediately after, is the most critical stage for everyrnpregnancy, and this is the stage where quality of care available does matter. 99% of world’srnmaternal deaths occur in developing countries. More than half of these deaths occur in subSaharanrnAfricarnincludingrnEthiopia,rnandrnmostrnwerernavoidable.rnEthiopia’srnmaternalrnmortalityrnraternrncontinuesrnatrnanrnunacceptablyrnhighrnlevel.rnThernpercentagernofrndeliveriesrnattendedrnbyrnskilledrnhealthrnrnpersonnelrnatrnhealthrninstitutionsrndeclinedrnfromrn18.4%rninrn2009rntorn16.8%rninrn2010,rnwhichrnisrnmuchrnrnbelowrntherntargetrnofrn37.0%rn.Thisrnpercentage,rnisrnveryrnlow,rnlargelyrnbelowrnthernSubrnSaharanrnAfricanrnrnaveragernrnof 47% in 2009 and very far from MDG target of 90% coverage. This is because ofrnactual quality of care for deliveries have received relatively less research attention than otherrnareas of health care.rnObjective: The objective of this study is to assess the quality of delivery services at publicrnhealth institutions in Bahir Dar town, Amhara regional state, Ethiopia.rnMethods: Quantitative cross-sectional study was conducted on three health facilities fromrnSeptember 2011 to May 2012. Convenient non-probability sampling technique was used andrnsamples were allocated proportionally to each facility according to their previous year deliveryrnuptake. Data was collected using three data collection instruments; Exit Interview, Observationrnand facility assessment. Data entry, cleaning and analysis, using descriptive values and binaryrnlogistic regression for association test, were done. rnResult: A total of 400 delivering mothers for exit interview and 40 deliveries for observationrnwere participated from Felege Hiwot referral hospital, Bahir Dar and Han health centers. Inrnexit interview, the study revealed that 216 (54%) of mothers were satisfied while 184 (46%)rndissatisfied with the delivery care given. A total of 167 (41.8%) of mothers satisfy with therndistance over home to facility. Among other facility related satisfaction; cleanliness of toilets,rnoverall cleanliness and comfort of the waiting area and examination room satisfaction were the rnfirst three least values; 184 (46.0%), 179 (47.1%) and 198 (49.5%) respectively. Regardingrncare provider related satisfaction completeness of information given by health professionals,rnmeasures taken to assure privacy and feeling of confidentiality were the first least valuesrnaccording to mothers view; 163 (40.8%), 169 (42.2%) and 196 (49.0%) respectively. Afterrnadjusting for confounding socio demographic factors maternal age and monthly income werernsignificantly associated with satisfaction of delivery services. When obstetric factors werernadjusted; parity, maternal and fetal outcomes had significantly associated with mothers’rnsatisfaction (p-values

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