Quality Of Delivery Service at Public Health Facilities In Arbaminch Town and The Surraunding District Gamo Gofa Zone Southhern Ethiopia.

Abstract

Background: Quality of delivery care service is an important aspect of maternal healthcare that is given a priority globally and in developing countries in particular, however reports on this aspect are scarce, which calls for further study. Therefore, assessment and improvement of the quality of delivery services could enhance delivery care services utilization. Objectives: To assess quality of delivery service at public health facilities in Arba Minch town and the surrounding district, Gamo Gofa zone, Southern Ethiopia. Methods: A cross sectional facility based study using both quantitative and qualitative method of data collection was conducted from April 1st-25th, 2014. All 9 facilities, 27 key informants and a total of 256 delivered mothers were included. The data was collected using pre-tested interview guided, Semi structured in-depth interview guide and structured checklists were used and entered by using Epi data version 3.1 and analyzed by using SPSS version 20.0. Factor analysis was performed for likert scale questions. Qualitative data was analyzed using thematic approach then triangulated with quantitative. Descriptive, bivariate, multivariable and overall quality of delivery services the composite quality indices analysis was performed. Result The overall quality of care was 54.06%. A shortage of some medical equipment, drugs, supplies, infection prevention materials and trained staffs in health facilities and also few partograph records, good client provider interaction and low infection prevention practice was observed. Two hundred thirty two (90.2%) studied clients reported satisfied by services. Factors that predicted client satisfaction in delivery care service was included :- not attending formal education with [AOR= 8.00, 95% CI = (1.51, 42.61)], follow the recommended number of anti natal care visit[ AOR = 5.00, 95% CI = (1.76, 14.20)], waiting time less than 15minits to be seen by health professional with [AOR = 3.37 ,95% CI = (1.14, 10.00)] and those mothers who not payed for the drugs and supplies[ AOR = 6.19,95% CI = (1.34, 28.57)] were more satisfied than their counter part. Conclusion in this study poor quality delivery service was observed at all health facilities. Thus it was recommended that the government could take actions for improving facilities capacity and performance of care providers in order to improve quality of delivery service.