American Journal of Health Research

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Quality of Antenatal Care Services in South-Western Uganda

Received: 21 July 2015    Accepted: 30 July 2015    Published: 10 August 2015
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Abstract

Objectives: The study aimed at the evaluation of the quality of antenatal care services in South Western Uganda Methods: This research used a data set from the Population Council of Kenya, which was conducted in South-Western Uganda, and it drew a representative sample of health facilities, by administering a questionnaire and making an assessment of the facilities. The sample size was selected using a stratified; two stage cluster design and enumeration areas were the sampling units for the first stage. 31 facilities were included in the study drawn from 9 districts and among the facilities that were assessed, 5 were government owned, 17 were privately run and 9 were faith-based facilities. 15 facilities were clinic, 10 were health centers, and 5 were hospitals and only 1 dispensary. Data Analysis: The data was analyzed using IBM SPSS version 20. Findings: This project found out that, the intervention facilities offered more ANC services than control. Majority of facilities lacked essentials ANC drugs – only 2.0% of intervention facilities had delivery equipment. Except for cancer screening and child delivery supplies, facilities had essential supplies and equipment and recommended infrastructure (including a private ANC room for consultation) for provision of ANC services. Significantly different, facilities under control group were well supplied with ARV drugs. For service charges, control group charged more of the two except for caesarian delivery method which was not covered by the voucher program. Conclusion: Quality of care was high. The intervention program increased client satisfaction with ANC services received though little evidence exists on the effect the program on quality of ANC services. Low Socio-Economic status limits access to ANC services. Vouchers were consumed more by clients of low socio-economic status and there were no much difference between the two sets of facilities is evident.

DOI 10.11648/j.ajhr.20150305.13
Published in American Journal of Health Research (Volume 3, Issue 5, September 2015)
Page(s) 279-285
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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

Antenatal Care, Intervention Facilities, Control Facilities, Quality of Care, Uganda

References
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[4] Boller, C., Wyss, K., Mtasiwa, D. & Tanner, M., 2003. Quality and comparison of antenatal care in public and private providers in the United Republic of Tanzania. Bulletin of the World Health Organization, 81(2).
[5] California Maternal Quality Care Collaborative. Cesarean Deliveries, Outcomes, and Opportunities for Change in California: Toward a Public Agenda for Maternity Care Safety and Quality. Accessed Jul 29, 2015. http://www.cmqcc.org/resources/2079/download.
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[8] Dehnavi, A. R. M. et al., 2011. Detection and classification of cardiac ischemia using vectorcardiogram signal via neural network.. Journal of Research in Medical Sciences, 16(2), pp. 136-142.
[9] Family Care International, 2007. The Safe Motherhood Initiative Review, New York: s.n.
[10] Hutchinson, P., Do, M. & Agha, S., 2009. Client Satisfaction And The Quality Of Family Planning Services: A Comparative Analysis Of Public And Private Health Facilities In Ghana, Kenya, And Tanzania, Bethesda: Abt Associates Inc.
[11] Kanji, N., Kilima, P. M. & Munishi, G. M., 1992. Quality of Primary Curative Care in Dar es Salaam, s.l.: s.n.
[12] Koblinsky, M., Campbell, O. & Heichelheim, J., n.d. Organizing delivery care: what works for safe motherhood?, s.l.: s.n.
[13] Lucini, D. et al., 2011. Health Promotion in the Workplace: Assessing Stress and Lifestyle With an Intranet Tool. Journal of Medical Internet Research, 13(4).
[14] Mainz, J., 2003. Defining and Classifying Clinical Indicators for Quality Improvement. International Journalfor Quality in Health Care, 15(6), pp. 523-530.
[15] Meyer, C., Bellows, N., Campbell, M. & Potts, P. M., 2011. The Impact of Vouchers on the Use and Quality of Health Goods and Services in Developing Countries: A Systematic Review.
[16] MOH, 2006. Essential Obstetric Care Manual. s.l.:s.n.
[17] MOH, 2009. NATIONAL HEALTH POLICY: Reducing poverty through promoting people’s health. Kampala: MOH.
[18] Needleman, J., Buerhaus, P., Mattke, S. & Stewart, M., 2002. Nurse-Staffing Levels And The Quality Of Care In Hospitals. The New England Journal of Medicine, 346(22), pp. 1715-1721.
[19] UNICEF, WHO, The World Bank, United Nations Population Division: Levels and Trends in Child Mortality. New York; 2012.
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Author Information
  • Deparment of Statistics and Actuarial Sciences, Jomo Kenyatta University of Science and Technology, Nairobi, Kenya

  • Department of Mathematics and Statistics, University of Missouri – Kansas City, Kansas City, USA

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    Kennedy Sakaya Barasa, Jones Mutune Mutua. (2015). Quality of Antenatal Care Services in South-Western Uganda. American Journal of Health Research, 3(5), 279-285. https://doi.org/10.11648/j.ajhr.20150305.13

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    Kennedy Sakaya Barasa; Jones Mutune Mutua. Quality of Antenatal Care Services in South-Western Uganda. Am. J. Health Res. 2015, 3(5), 279-285. doi: 10.11648/j.ajhr.20150305.13

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    AMA Style

    Kennedy Sakaya Barasa, Jones Mutune Mutua. Quality of Antenatal Care Services in South-Western Uganda. Am J Health Res. 2015;3(5):279-285. doi: 10.11648/j.ajhr.20150305.13

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  • @article{10.11648/j.ajhr.20150305.13,
      author = {Kennedy Sakaya Barasa and Jones Mutune Mutua},
      title = {Quality of Antenatal Care Services in South-Western Uganda},
      journal = {American Journal of Health Research},
      volume = {3},
      number = {5},
      pages = {279-285},
      doi = {10.11648/j.ajhr.20150305.13},
      url = {https://doi.org/10.11648/j.ajhr.20150305.13},
      eprint = {https://download.sciencepg.com/pdf/10.11648.j.ajhr.20150305.13},
      abstract = {Objectives: The study aimed at the evaluation of the quality of antenatal care services in South Western Uganda Methods: This research used a data set from the Population Council of Kenya, which was conducted in South-Western Uganda, and it drew a representative sample of health facilities, by administering a questionnaire and making an assessment of the facilities. The sample size was selected using a stratified; two stage cluster design and enumeration areas were the sampling units for the first stage. 31 facilities were included in the study drawn from 9 districts and among the facilities that were assessed, 5 were government owned, 17 were privately run and 9 were faith-based facilities. 15 facilities were clinic, 10 were health centers, and 5 were hospitals and only 1 dispensary. Data Analysis: The data was analyzed using IBM SPSS version 20. Findings: This project found out that, the intervention facilities offered more ANC services than control. Majority of facilities lacked essentials ANC drugs – only 2.0% of intervention facilities had delivery equipment. Except for cancer screening and child delivery supplies, facilities had essential supplies and equipment and recommended infrastructure (including a private ANC room for consultation) for provision of ANC services. Significantly different, facilities under control group were well supplied with ARV drugs. For service charges, control group charged more of the two except for caesarian delivery method which was not covered by the voucher program. Conclusion: Quality of care was high. The intervention program increased client satisfaction with ANC services received though little evidence exists on the effect the program on quality of ANC services. Low Socio-Economic status limits access to ANC services. Vouchers were consumed more by clients of low socio-economic status and there were no much difference between the two sets of facilities is evident.},
     year = {2015}
    }
    

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    AU  - Kennedy Sakaya Barasa
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    Y1  - 2015/08/10
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    AB  - Objectives: The study aimed at the evaluation of the quality of antenatal care services in South Western Uganda Methods: This research used a data set from the Population Council of Kenya, which was conducted in South-Western Uganda, and it drew a representative sample of health facilities, by administering a questionnaire and making an assessment of the facilities. The sample size was selected using a stratified; two stage cluster design and enumeration areas were the sampling units for the first stage. 31 facilities were included in the study drawn from 9 districts and among the facilities that were assessed, 5 were government owned, 17 were privately run and 9 were faith-based facilities. 15 facilities were clinic, 10 were health centers, and 5 were hospitals and only 1 dispensary. Data Analysis: The data was analyzed using IBM SPSS version 20. Findings: This project found out that, the intervention facilities offered more ANC services than control. Majority of facilities lacked essentials ANC drugs – only 2.0% of intervention facilities had delivery equipment. Except for cancer screening and child delivery supplies, facilities had essential supplies and equipment and recommended infrastructure (including a private ANC room for consultation) for provision of ANC services. Significantly different, facilities under control group were well supplied with ARV drugs. For service charges, control group charged more of the two except for caesarian delivery method which was not covered by the voucher program. Conclusion: Quality of care was high. The intervention program increased client satisfaction with ANC services received though little evidence exists on the effect the program on quality of ANC services. Low Socio-Economic status limits access to ANC services. Vouchers were consumed more by clients of low socio-economic status and there were no much difference between the two sets of facilities is evident.
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