American Journal of Health Research

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Perceived Quality of Antenatal Care Service by Pregnant Women in Public and Private Health Facilities in Northern Ethiopia

Received: Jul. 27, 2014    Accepted: Aug. 04, 2014    Published: Aug. 20, 2014
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Abstract

Background: Quality of Antenatal care is potentially one of the most effective health intervention for preventing maternal morbidity and mortality particularly in places where the general health status of women is poor. Improving quality of health care is one of the strategies in Health sector development program IV (HSDP IV) of Ethiopia. However, there are limited studies on quality of antenatal coverage in Ethiopia including the study area. Thus, the aim of this study was to assess the perceived quality of Antenatal care of pregnant women in public and private health facilities in Tigray, Northern Ethiopia. Methods: Health institution based cross sectional study was conducted from February to May, 2013 in Tigray region among 526 pregnant women attending Antenatal care clinic. Participants were selected using multi-stage sampling technique first health facility were selected using lottery method then pregnant women from each selected facility were selected using systematic sampling method according to the flow pregnant women to the ANC clinics. Data were entered and cleaned using EPI-info version 3.5.1 and analysis was performed by SPSS version 20. Bivariate and multivariate logistic regression analysis was used to calculate odd ratio with 95% confidence level. Statistical association between the dependent and independent variables was ascertained at p-value less than 0.05. Results: The prevalence of overall perceived quality of ANC was 24.5%. Factors like women aged between 26 and 35 years [AOR=0.58(0.38-0.88)], governmental institution ANC attendance [AOR=0.52(0.33-0.83)], own income [AOR=0.61(0.40-0.92)], one to three ANC attendance [AOR=0.31(0.18-0.54)], testing for HIV [AOR=0.12(0.06-0.24)] causes less likely to perceived that getting high quality ANC service however, waiting time greater than one hour [AOR=3.42(1.61-7.28)] is positively associated with mother perception toward getting high quality ANC service. Conclusions: This study revealed that the perceived quality of ANC is very poor. Therefore, urgent action is mandatory to improve the quality ANC service by providing women centered approaches in giving care, in-service training to health care providers on quality practices.

DOI 10.11648/j.ajhr.20140204.17
Published in American Journal of Health Research ( Volume 2, Issue 4, July 2014 )
Page(s) 146-151
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This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Perceived Quality of ANC, Pregnant Women, Northern Tigray, Ethiopia

References
[1] Abou-Zahr, Carla L, Wardlaw, Tessa M. Antenatal care in developing countries: promises, achievements and missed opportunities: an analysis of trends, levels and differentials, 1990-2001. Genva: WHO, UNICEF 2003.
[2] USAID. Focused Antenatal care: Providing integrated, individualized care during pregnancy 2007.
[3] UNICEF, WHO. Data from Demographic and Health Surveys (DHS), Multiple Indicator Cluster Surveys (MICS) and other national surveys, late 1990s to 2001. 104 countries. Averages weighted by number of births 2002.
[4] Yared M, Mekonnen A. Utilization of Maternal Health Care Services in Ethiopia. Calverton, Maryland, USA: ORC Macro 2002.
[5] World Health Organization Maternal mortality fact sheet No. 348. 2010 [cited 2011 December 13]; Available from: http://www.who.int/mediacentre/factsheets/fs348/en/index.html.
[6] Ornella L, Seipati M-A, Patricia G, Stephen M. Antenatal Care. Opportunity for African’s newborn, 2003.
[7] Centeral Statistics Agency, ICF Macro Calverton. Ethiopia Demographic and Health Survey 2011. Addis Ababa: CSA 2011.
[8] Federal Democratic Republic of Ethiopia Population census commission. Summary and Statistical Report of the 2007 Addis Ababa 2007.
[9] Zeidan Z, Idris A, Bhairy N. Satisfaction among pregnant women toward Antenatal care in public and private in Khartoum. Khartoum Medical Journal 2011; 4(2):590-5.
[10] Villar J, Bergsjo P. WHO Antenatal Care Randomized trial: Manual for the Implementation of the New Model. Genva: WHO; 2003.
[11] 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.
[12] O.O. Sholeye, O.A. Abosede and O.A. Jeminusi. Client Perception of Antenatal Care Services at Primary Health Centers in an Urban Area of Lagos, Nigeria. World Journal of Medical Sciences, 2013; 8 (4): 359-364.
[13] Tadese Ejigu, Mirkuzie Woldie and Yibeltal Kifle. Quality of antenatal care services at public health facilities of Bahir-Dar special zone, Northwest Ethiopia. BMC Health Services Research 2013, 13:443.
[14] I.L. Nwaeze, O.O. Enabor, T.A.O. Oluwasola, C.O. Aimakhu. Perception and Satisfaction with Quality of Antenatal Care Services among Pregnant Women at the University College Hospital, Ibadan, Nigeria. Ann Ibd. Pg. Med 2013; 11(1): 22-28.
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    Girmatsion Fesseha, Mussie Alemayehu, Belachew Etana, Kiday Haileslassie, Ayalnesh Zemene. (2014). Perceived Quality of Antenatal Care Service by Pregnant Women in Public and Private Health Facilities in Northern Ethiopia. American Journal of Health Research, 2(4), 146-151. https://doi.org/10.11648/j.ajhr.20140204.17

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    ACS Style

    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. Am. J. Health Res. 2014, 2(4), 146-151. doi: 10.11648/j.ajhr.20140204.17

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    AMA Style

    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. Am J Health Res. 2014;2(4):146-151. doi: 10.11648/j.ajhr.20140204.17

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  • @article{10.11648/j.ajhr.20140204.17,
      author = {Girmatsion Fesseha and Mussie Alemayehu and Belachew Etana and Kiday Haileslassie and Ayalnesh Zemene},
      title = {Perceived Quality of Antenatal Care Service by Pregnant Women in Public and Private Health Facilities in Northern Ethiopia},
      journal = {American Journal of Health Research},
      volume = {2},
      number = {4},
      pages = {146-151},
      doi = {10.11648/j.ajhr.20140204.17},
      url = {https://doi.org/10.11648/j.ajhr.20140204.17},
      eprint = {https://download.sciencepg.com/pdf/10.11648.j.ajhr.20140204.17},
      abstract = {Background: Quality of Antenatal care is potentially one of the most effective health intervention for preventing maternal morbidity and mortality particularly in places where the general health status of women is poor. Improving quality of health care is one of the strategies in Health sector development program IV (HSDP IV) of Ethiopia. However, there are limited studies on quality of antenatal coverage in Ethiopia including the study area. Thus, the aim of this study was to assess the perceived quality of Antenatal care of pregnant women in public and private health facilities in Tigray, Northern Ethiopia. Methods: Health institution based cross sectional study was conducted from February to May, 2013 in Tigray region among 526 pregnant women attending Antenatal care clinic. Participants were selected using multi-stage sampling technique first health facility were selected using lottery method then pregnant women from each selected facility were selected using systematic sampling method according to the flow pregnant women to the ANC clinics. Data were entered and cleaned using EPI-info version 3.5.1 and analysis was performed by SPSS version 20. Bivariate and multivariate logistic regression analysis was used to calculate odd ratio with 95% confidence level. Statistical association between the dependent and independent variables was ascertained at p-value less than 0.05. Results: The prevalence of overall perceived quality of ANC was 24.5%. Factors like women aged between 26 and 35 years [AOR=0.58(0.38-0.88)], governmental institution ANC attendance [AOR=0.52(0.33-0.83)], own income [AOR=0.61(0.40-0.92)], one to three ANC attendance [AOR=0.31(0.18-0.54)], testing for HIV [AOR=0.12(0.06-0.24)] causes less likely to perceived that getting high quality ANC service however, waiting time greater than one hour [AOR=3.42(1.61-7.28)] is positively associated with mother perception toward getting high quality ANC service. Conclusions: This study revealed that the perceived quality of ANC is very poor. Therefore, urgent action is mandatory to improve the quality ANC service by providing women centered approaches in giving care, in-service training to health care providers on quality practices.},
     year = {2014}
    }
    

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  • TY  - JOUR
    T1  - Perceived Quality of Antenatal Care Service by Pregnant Women in Public and Private Health Facilities in Northern Ethiopia
    AU  - Girmatsion Fesseha
    AU  - Mussie Alemayehu
    AU  - Belachew Etana
    AU  - Kiday Haileslassie
    AU  - Ayalnesh Zemene
    Y1  - 2014/08/20
    PY  - 2014
    N1  - https://doi.org/10.11648/j.ajhr.20140204.17
    DO  - 10.11648/j.ajhr.20140204.17
    T2  - American Journal of Health Research
    JF  - American Journal of Health Research
    JO  - American Journal of Health Research
    SP  - 146
    EP  - 151
    PB  - Science Publishing Group
    SN  - 2330-8796
    UR  - https://doi.org/10.11648/j.ajhr.20140204.17
    AB  - Background: Quality of Antenatal care is potentially one of the most effective health intervention for preventing maternal morbidity and mortality particularly in places where the general health status of women is poor. Improving quality of health care is one of the strategies in Health sector development program IV (HSDP IV) of Ethiopia. However, there are limited studies on quality of antenatal coverage in Ethiopia including the study area. Thus, the aim of this study was to assess the perceived quality of Antenatal care of pregnant women in public and private health facilities in Tigray, Northern Ethiopia. Methods: Health institution based cross sectional study was conducted from February to May, 2013 in Tigray region among 526 pregnant women attending Antenatal care clinic. Participants were selected using multi-stage sampling technique first health facility were selected using lottery method then pregnant women from each selected facility were selected using systematic sampling method according to the flow pregnant women to the ANC clinics. Data were entered and cleaned using EPI-info version 3.5.1 and analysis was performed by SPSS version 20. Bivariate and multivariate logistic regression analysis was used to calculate odd ratio with 95% confidence level. Statistical association between the dependent and independent variables was ascertained at p-value less than 0.05. Results: The prevalence of overall perceived quality of ANC was 24.5%. Factors like women aged between 26 and 35 years [AOR=0.58(0.38-0.88)], governmental institution ANC attendance [AOR=0.52(0.33-0.83)], own income [AOR=0.61(0.40-0.92)], one to three ANC attendance [AOR=0.31(0.18-0.54)], testing for HIV [AOR=0.12(0.06-0.24)] causes less likely to perceived that getting high quality ANC service however, waiting time greater than one hour [AOR=3.42(1.61-7.28)] is positively associated with mother perception toward getting high quality ANC service. Conclusions: This study revealed that the perceived quality of ANC is very poor. Therefore, urgent action is mandatory to improve the quality ANC service by providing women centered approaches in giving care, in-service training to health care providers on quality practices.
    VL  - 2
    IS  - 4
    ER  - 

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Author Information
  • School of Public Health, Reproductive Health and Nutrition team, Mekelle University, Mekelle, Ethiopia

  • School of Public Health, Reproductive Health and Nutrition team, Mekelle University, Mekelle, Ethiopia

  • School of Public Health, Health service Management Team, Mekelle University, Mekelle, Ethiopia

  • School of Public Health, Reproductive Health and Nutrition team, Mekelle University, Mekelle, Ethiopia

  • Department of Midwifery, Obstetric and gynaecology team, Mekelle University, Mekelle, Ethiopia

  • Section