Implementation evaluation of neonatal intensive care unit (nicu) service in fitche general hospital, north shoa, Oromia, central ethiopia

Abstract

Background: - The Neonatal Intensive Care Unit (NICU), with trained health professionals and fully equipped lifesaving supplies. The scarcity of resources is the main bottle nick for NICU service implementation. Objective: - To evaluate the implementation status and associated factors of NICU service in Fitche General Hospital. Method: A Hospital-based single case study was conducted at Fitche general Hospital from Jul to Sept. 2021. Both quantitative and qualitative data collection methods were used, to assess the availability of resources, health service providers‟ compliance with the standard, and level of Parents‟ satisfaction. Quantitative data was collected using a structured questionnaire, Parents of admitted newborns were selected by convenience sampling technique. Data was entered into Epi data 4.6.0.4 and exported into SPSS Version 26 for analysis. Bi-variable & multivariable logistic regression analyses were used to identify factors associated with parent satisfaction. The key informants were select purposefully for qualitative method. Results: 63 percent of the required resources were available for the implementation of NICU service in the study setting. The human resources and rooms have been inadequate. Health service providers' compliance with the standard national guideline was 82%. However, there was no hand washing conducted at the proper hand-washing event according to guidelines. About 66.4% of parents were satisfied with the services given to their neonates. There is no an association between sociodemographic characteristics and parental satisfaction with NICU service at Fitche General Hospital. Conclusion: The overall implementation status of neonatal intensive care unit service was good according to preset judgment criteria. However, there is a need for improvement on human resource, additional rooms, water supply, essential drugs, medical supplies and continuous Integrated Supportive Supervision