Abstract:
Background: Health system responsiveness is related to the non-monetary, non-clinical quality of
care that reflects respect for human dignity and interpersonal aspects of the care process. Obstetric
violence and childbirth mistreatment are global problems, but the worst form occurs in low-income
countries such as sub-Saharan Africa. Responsiveness is a challenging situation that needs early
identification of the specific gaps to tackle. There was paucity or lack of published studies in the
topic, disrespect and abuse in maternal care practiced repeatedly in Ethiopia. In JUMC, 91.7% of
maternal care service was in disrespect and abusive manner.
Objectives: To evaluate responsiveness of labor and delivery service at Jimma university medical
center, 2021
Methods: A single-case study design was used for this study, using mixed methods sequentially. In
this evaluation, availability with 17 and responsiveness with 24 indcators were used. A quantitative
data collection with a sample size of 422 using consecutive method was conducted from May 09–
June 02, 2021, and 15 purposefully selected KII for qualitative data. Data entry was done using Epi
Data version 4.6.02 and SPSS version 25 for analysis of quantitative data, whereas thematic
analysis for qualitative data. Multiple linear regression analysis was used to check the association
of the dependent variable with independent variables.
Result: A total of 422 respondents participated in this study, with a response rate of 100%. The
availability of resources and responsiveness of delivery service in the maternity unit of JUMC was
84.4% and 60.52 %, respectively. Stethoscope, thermometer and guidelines were not available.
Some drugs and supplies are frequently interrupted during the evaluation period. One care provider
assigned to more than six clients per shift in the maternity unit of JUMC. Care providers’ personal
behavior, work overload, and lack of motivation like training hinders them from giving responsive
delivery service. At p-value<0.05 at 95%CI, residency, occupation, average monthly income, and
mode of current delivery were factors associated with the responsiveness of delivery service.
Conclusion and recommendation: The overall responsiveness of delivery service was good in
JUMC. Furthermore, to give responsive delivery service, JUMC should recruit more healthcare
providers, avail all supplies daily, and better to train healthcare providers
