Quality of maternal and newborn health care in Ethiopia: a cross-sectional study
Abstract Background Despite reports of universal access to and modest utilization of maternal and newborn health services in Ethiopia, mothers and newborns continue to die from preventable causes. Studies indicate this could be due to poor quality of care provided in health systems. Evidences show t...
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doaj-9ce06dd874084058815ac7fdd33c61a02021-07-11T11:09:30ZengBMCBMC Health Services Research1472-69632021-07-0121111010.1186/s12913-021-06680-1Quality of maternal and newborn health care in Ethiopia: a cross-sectional studyAbera Biadgo0Aynalem Legesse1Abiy Seifu Estifanos2Kavita Singh3Zewdie Mulissa4Abiyou Kiflie5Hema Magge6Befikadu Bitewulign7Mehiret Abate8Haregeweyni Alemu9Institute for Healthcare Improvement, Ethiopia Project OfficeMinistry of health of EthiopiaDepartment of Reproductive, Family and Population Health, School of Public Health, College of Health Sciences, Addis Ababa UniversityDepartment of Maternal and Child Health, Gillings School of Global Public Health, University of North Carolina at Chapel HillInstitute for Healthcare Improvement, Ethiopia Project OfficeInstitute for Healthcare Improvement, Ethiopia Project OfficeBrigham and Women’s Hospital Division of Global Health EquityInstitute for Healthcare Improvement, Ethiopia Project OfficeInstitute for Healthcare Improvement, Ethiopia Project OfficeInstitute for Healthcare Improvement, Ethiopia Project OfficeAbstract Background Despite reports of universal access to and modest utilization of maternal and newborn health services in Ethiopia, mothers and newborns continue to die from preventable causes. Studies indicate this could be due to poor quality of care provided in health systems. Evidences show that high quality health care prevents more than half of all maternal deaths. In Ethiopia, there is limited knowledge surrounding the status of the quality of maternal and newborn health care in health facilities. This study aims to assess the quality of maternal and neonatal health care provision at the health facility level in four regions in Ethiopia. Methodology This study employed a facility-based cross-sectional study design. It included 32 health facilities which were part of the facilities for prototyping maternal and neonatal health quality improvement interventions. Data was collected using a structured questionnaire, key informant interviews and record reviews. Data was entered in Microsoft Excel and exported to STATA for analysis. Descriptive analysis results are presented in texts, tables and graphs. Quality of maternal and neonatal health care was measured by input, process and outputs components. The components were developed by computing scores using standards used to measure the three components of the quality of maternal and neonatal health care. Result The study was done in a total of 32 health facilities: 5 hospitals and 27 health centers in four regions. The study revealed that the average value of the quality of the maternal and neonatal health care input component among health facilities was 62%, while the quality of the process component was 43%. The quality of the maternal and neonatal health output component was 48%. According to the standard cut-off point for MNH quality of care, only 5 (15.6%), 3 (9.3%) and 3 (10.7%) of health facilities met the expected input, process and output maternal and neonatal health care quality standards, respectively. Conclusion This study revealed that the majority of health facilities did not meet the national MNH quality of care standards. Focus should be directed towards improving the input, process and output standards of the maternal and neonatal health care quality, with the strongest focus on process improvement.https://doi.org/10.1186/s12913-021-06680-1MNH quality of careHealth facilitiesInputProcessOutputEthiopia |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Abera Biadgo Aynalem Legesse Abiy Seifu Estifanos Kavita Singh Zewdie Mulissa Abiyou Kiflie Hema Magge Befikadu Bitewulign Mehiret Abate Haregeweyni Alemu |
spellingShingle |
Abera Biadgo Aynalem Legesse Abiy Seifu Estifanos Kavita Singh Zewdie Mulissa Abiyou Kiflie Hema Magge Befikadu Bitewulign Mehiret Abate Haregeweyni Alemu Quality of maternal and newborn health care in Ethiopia: a cross-sectional study BMC Health Services Research MNH quality of care Health facilities Input Process Output Ethiopia |
author_facet |
Abera Biadgo Aynalem Legesse Abiy Seifu Estifanos Kavita Singh Zewdie Mulissa Abiyou Kiflie Hema Magge Befikadu Bitewulign Mehiret Abate Haregeweyni Alemu |
author_sort |
Abera Biadgo |
title |
Quality of maternal and newborn health care in Ethiopia: a cross-sectional study |
title_short |
Quality of maternal and newborn health care in Ethiopia: a cross-sectional study |
title_full |
Quality of maternal and newborn health care in Ethiopia: a cross-sectional study |
title_fullStr |
Quality of maternal and newborn health care in Ethiopia: a cross-sectional study |
title_full_unstemmed |
Quality of maternal and newborn health care in Ethiopia: a cross-sectional study |
title_sort |
quality of maternal and newborn health care in ethiopia: a cross-sectional study |
publisher |
BMC |
series |
BMC Health Services Research |
issn |
1472-6963 |
publishDate |
2021-07-01 |
description |
Abstract Background Despite reports of universal access to and modest utilization of maternal and newborn health services in Ethiopia, mothers and newborns continue to die from preventable causes. Studies indicate this could be due to poor quality of care provided in health systems. Evidences show that high quality health care prevents more than half of all maternal deaths. In Ethiopia, there is limited knowledge surrounding the status of the quality of maternal and newborn health care in health facilities. This study aims to assess the quality of maternal and neonatal health care provision at the health facility level in four regions in Ethiopia. Methodology This study employed a facility-based cross-sectional study design. It included 32 health facilities which were part of the facilities for prototyping maternal and neonatal health quality improvement interventions. Data was collected using a structured questionnaire, key informant interviews and record reviews. Data was entered in Microsoft Excel and exported to STATA for analysis. Descriptive analysis results are presented in texts, tables and graphs. Quality of maternal and neonatal health care was measured by input, process and outputs components. The components were developed by computing scores using standards used to measure the three components of the quality of maternal and neonatal health care. Result The study was done in a total of 32 health facilities: 5 hospitals and 27 health centers in four regions. The study revealed that the average value of the quality of the maternal and neonatal health care input component among health facilities was 62%, while the quality of the process component was 43%. The quality of the maternal and neonatal health output component was 48%. According to the standard cut-off point for MNH quality of care, only 5 (15.6%), 3 (9.3%) and 3 (10.7%) of health facilities met the expected input, process and output maternal and neonatal health care quality standards, respectively. Conclusion This study revealed that the majority of health facilities did not meet the national MNH quality of care standards. Focus should be directed towards improving the input, process and output standards of the maternal and neonatal health care quality, with the strongest focus on process improvement. |
topic |
MNH quality of care Health facilities Input Process Output Ethiopia |
url |
https://doi.org/10.1186/s12913-021-06680-1 |
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