Implementation Evaluation of Focused Antenatal care service at Selected Public health centers of Hawassa Town, Southern Ethiopia.

Abstract

Background: Focused antenatal care is evidence based, client-centered, goal oriented care and provided by skilled health providers. The concepts arise from the view that every pregnant woman is at risk of complication. Globally every minute, at least one woman dies from pregnancy related to complications or child birth and Ethiopia is one of six countries that accounts 50% of maternal deaths in the world. Hawassa town administration public health center in 2014/15 antenatal care service visit dropout was 45%. Objective of the evaluation: to evaluate the implementation status of focused antenatal care services in public health centers of Hawassa town. Method a single case study design involving both qualitative and quantitative method of data collection was used from March 14/2017 to April 13/2017 in Hawassa town southern Ethiopia. Focus of the evaluation was process and formative approach was used. Availability, compliance and Acceptability were used as dimensions. A total sample of 422 for exit interview, 60 observations, 13 in-depth interview and 5 health centers were used. For qualitative analysis bi variate and multivariate analysis and for qualitative manual thematic analysis methods were used. Result Availability of resource for focused antenatal care service was 83.1% which was judged as Good. Emergency transportation, private room for Antenatal care service, functional pipe water, Tetanus toxoid vaccination and drugs option for Tuberculosis and Sexual transmuted disease were available at all health centers and Only 1 health center have Iron tablets during study period. Compliance of health care providers with focused antenatal care guideline was 66.19% which to be Fair. Health care providers were not provided certain component like counseling on breast feeding, family planning. Acceptability of clients for focused antenatal care service was 72.9% which judged as Good. Receiving prescription for Iron, Information on less or loss of fetal movement, Advice on insecticide treated bed net use, HIV test counseling, Partner accompany with client and Waiting time 30 minute were a predictors for satisfaction of clients on focused antenatal care service. Conclusion overall evaluation of focused antenatal care service was 73.2% which was judged to be Good which needs some improvement. Recommendation: Hawassa town health department to avail Iron drug, syphilis and hemoglobin test reagent consistently for exempted antenatal care service with communicating South nation nationality regional health bureau. Health centers need to avail guideline and Health care providers should be needed to deliver full component of Focused antenatal care service for all clients.