Assess Quality Of Antenatal Care Services In Rural Health Centers In Bursa Woreda Sidama Zone Southern Nations Nationalities Peoples Region Ethiopia 2014

BACKGROUND:-The maternal mortality ratio in Ethiopia is strikingly high. One of Keyrninterventions to reduce maternal deaths is the promotion of ANC. ANC plays an importantrnrole in reducing maternal mortality and morbidity by detecting early risk factors in order tornhave an effective intervention in time and by linking the pregnant women to a plannedrndelivery with a skilled birth attendant. However, studies have shown that there are manyrnmissed opportunities for care, both because of client and health system related factors.rnOBJECTIVE:-To assess the quality of antenatal care services in rural health centers inrnBursa woreda from March-April, 2014.rnMETHOD:-The facility based cross- sectional study was conducted in rural health centers inrnBursa woreda. Antenatal follow up women’s was interviewed about perception onrnsatisfaction towards quality of antenatal services, by using structured questionnaires (n=rn290). Twenty-four antenatal care provider client sessions was observed by checklist. Simplernobservation using checklist was made for availability of resources necessary for antenatalrncare. Finally data was coded, cleaned, entered using EPI-6 and was analyzed using SPSSrnstatistical software for windows.rnRESULTS: - The study showed that overall satisfaction of client was low as 33%. Thernlikelihood of satisfaction from ANC service was lower among women secondary and abovernof education level [AOR = 0.14, 95% CI = (0.03-0.78)]. The study also illustrated that higherrnproportion of health providers did not provide danger sign counseling, advice andrninformation related to complication of pregnancy. Although all the health centers have basicrnstructural medical equipments, none of them has laboratory equipments and high-levelrndisinfection processrnConclusions and Recommendation:-Overall satisfaction of ANC is low. However, for allrnof them ANC clients were not performed likes (hemoglobin, blood grouping and Rhesusrnfactor, VDRL for Syphilis and urine analysis) and harmful habits likes (smoking, drug abusern&alcoholism, side effects of medicines during pregnancy, breast-feeding, and babyrnvaccination). Satisfaction from the ANC service in the health centers is very low, and shouldrnbe stressed health providers and woreda health office to do better for client’s satisfaction.rnKeywords: - Quality, Antenatal care, services, Bursa

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