Health system responsiveness in maternity care at Hadiya zone public hospitals in Southern Ethiopia: Users' perspectives
Autor: | Hassen Mosa Halil, Minychil Demelash Ayalew, Biruk Assefa Kebede, Shamill Eanga Helill, Ritbano Ahmed Abdo, Selamu Abose Nedamo, Abebe Alemu Anshebo |
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Jazyk: | angličtina |
Rok vydání: | 2021 |
Předmět: |
Adult
Care process medicine.medical_specialty Maternal Health Science Caesarean delivery Social Sciences Mothers Interpersonal communication Data entry Logistic regression Health Services Accessibility Labor and Delivery Young Adult Maternity care Sociology Pregnancy Surveys and Questionnaires Medicine and Health Sciences medicine Humans Maternal Health Services Termination of Pregnancy Quality of Health Care Multidisciplinary Hospitals Public business.industry Obstetrics and Gynecology Systematic sampling Patient Acceptance of Health Care Delivery Obstetric medicine.disease Hospitals Pregnancy Complications Health Care Cross-Sectional Studies Health Care Facilities Family medicine Birth Social Systems Women's Health Medicine Female Ethiopia business Research Article |
Zdroj: | PLoS ONE, Vol 16, Iss 10, p e0258092 (2021) PLoS ONE |
ISSN: | 1932-6203 |
Popis: | Background Health system responsiveness refers to non-financial, non-clinical qualities of care that reflect respect for human dignity and interpersonal aspects of the care process. The non-clinical aspects of the health system are therefore essential to the provision of services to patients. Therefore, the main purpose of this study was to assess the responsiveness in maternity care, domain performance and factors associated with responsiveness in maternity care in the Hadiya Zone public Hospitals in Southern Ethiopia. Methods A hospital-based cross-sectional study was employed on 413 participants using a systematic sampling technique from 1 July to 1 August 2020. An exit interviewer–administered questionnaire was used to collect data. EpiData (version 3.1) and SPSS (version 24) software were used for data entry and analysis, respectively. Bivariate and multivariable logistic regression were computed to identify the associated factors of health system responsiveness in maternity care at 95% CI. Results The findings indicated that 53.0% of users gave high ratings for responsiveness in delivery care. In the multivariable logistic regression analysis, mothers aged ≥ 35 (AOR = 0.4; 95% CI = 0.1–0.9), urban resident (AOR = 2.5; 95% CI = 1.5–4.8), obstetrics complications during the current pregnancy (AOR = 2.1; 95% CI = 1.1–3.0), and caesarean delivery (AOR = 0.4; 95% CI = 0.2–0.7) were factors associated with poor ratings for responsiveness in maternity care. Conclusion In the hospitals under investigation, responsiveness in maternity care was found to be good. The findings of this study suggest that the ministry of health and regional health bureau needs to pay attention to health system responsiveness as an indicator of the quality of maternity care. |
Databáze: | OpenAIRE |
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