scholarly journals Level of Quality of Option B+PMTCT Service Provision in Public Health Facilities in Mekelle Zone, Northern Ethiopia: Cross-sectional study

2020 ◽  
Author(s):  
Kiros Fenta Ajemu ◽  
Alem Desta
Keyword(s):  
Service Quality ◽  
Service Provision ◽  
Cross Sectional Study ◽  
Health Facilities ◽  
Northern Ethiopia ◽  
Pmtct Service ◽  
Sectional Study ◽  
Input Process ◽  
Cross Sectional

Abstract Back ground: Substantial improvements have been observed in the coverage and access to maternal health services in Ethiopia. However, quality of care has been lagging behind. Therefore, the aim of this study was to assess quality of Option B + PMTCT service provision. Methods : Facility based cross-sectional study was conducted in 12 public health facilities from February to April 2016. It employed both quantitative and qualitative method. Donabedian input-process-output quality assessment model was used to evaluate the service. Data collection techniques carried out were facility inventory, non-participatory observation, record and chart review to assess input, process and output service quality. Concurrently, patients and service providers were subjected to exit and in-depth interview autonomously to explore barriers for good and bad service quality. Quantitative data were analyzed using SPSS version 21. Use of manual thematic approach was used for qualitative data analysis. R esults: The level of overall quality of Option B+ PMTCT service provision has rendered as good in two out of 12(16.7%) studied health facilities. The input quality was better than its counterpart; which was judged as good in 33.3% of health facilities. Only, one fourth of studied health facilities were rated as good for the process and output service quality respectively. Conclusion : The overall level of quality was achieved optimal in insignificant number of facilities. The desired level of quality will be realized if and only if the three quality components would be kept on eye side by side during service mentoring. Likewise, persistent effort in view of Donabedian theoretical framework will improve the overall service quality. Key words: Quality, Option B+PMTCT, HIV Positive Women, Tigray, Northern Ethiopia

scholarly journals Level of Quality of Option B+PMTCT Service Provision in Public Health Facilities in Mekelle Zone, Northern Ethiopia: Cross-sectional study

2020 ◽  
Author(s):  
Kiros Fenta Ajemu ◽  
Alem Desta
Keyword(s):  
Quality Of Care ◽  
Service Quality ◽  
Service Provision ◽  
Cross Sectional Study ◽  
Northern Ethiopia ◽  
Pmtct Service ◽  
Sectional Study ◽  
Cross Sectional ◽  
Output Quality

Abstract Background: Substantial improvements have been observed in the coverage and access to maternal health services in Ethiopia. However, quality of care has been lagging behind. Therefore, the aim of this study was to assess quality of Option B+ PMTCT service provision. Methods: Facility based cross sectional study was conducted from February to April 2016 in Northern Ethiopia. The quality of service delivery was assessed in 12 health facilities based on Donabedian input-process-output quality components. It employed mixed method approach involving both quantitative and qualitative data. Facilities were categorized rendering good input service quality if scored 100 % as per national guideline; whilst, 90 % and more for process and output quality components respectively. The emerged themes of factors for good and bad service quality from content analysis were then thematically fitted to donabedian themes. Results: Overall 2 of 12 (16.7%) facilities fulfilled all the three quality components according to predetermined judgment criteria. The input quality was better than their counterpart; in which it was judged as good in 33.3% of facilities. Besides, one fourth of them were realized process and output quality. We identified multiple barriers and facilitators for good and bad service quality in respective quality components influencing quality of care. Conclusion: Only 16.7% of facilities declared the overall quality in all three dimensions according to service delivery guideline. The desired level of quality will be realized if and only if the three quality components would be kept on eye side by side in line with identified facilitators and barriers for good and bad service quality.

scholarly journals Level of Quality of Option B+PMTCT Service Provision in Public Health Facilities in Mekelle Zone, Northern Ethiopia: Cross-sectional study

2019 ◽  
Author(s):  
Kiros Fenta Ajemu ◽  
Alem Desta
Keyword(s):  
Public Health ◽  
Maternal Health Services ◽  
Cross Sectional Study ◽  
Health Facilities ◽  
Northern Ethiopia ◽  
Sectional Study ◽  
Cross Sectional ◽  
Public Health Facilities ◽  
Output Quality

Abstract Background Substantial improvements have been observed in coverage and access to maternal health services in Ethiopia. However, quality of care has been lagging behind. Therefore, the aim of the study was to assess quality of OptionB + in Mekelle Zone, Northern Ethiopia.Methods Facility based cross-sectional study involving both quantitative and qualitative methods was conducted from December 2016- January 2017. The quality of service delivery was assessed in 11 public health facilities in Mekelle. Data collection was conducted using facility audit, observation, and client exit interview check list to assess (Input-Process–Output) quality components. Similarly in-depth interview guide was used to gather qualitative data. Data were analyzed using SPSS version 21 software. Descriptive statistics were computed to summarize the study findings and triangulation was made with qualitative findings.Results Overall, 2 (16.7%) of study health facilities full filled all the three quality components but none in 3(25%). The input quality component was better than the others in which 4(33.3%) facilities were rated as good. The process and output quality components were judged as good in 3(25%) study health facilities.Conclusion Only 16.7% of facilities studied were achieved good quality with respect to the three predetermined quality components. Since, assessed items in each quality component were potentially easy to intervene; strengthening program monitoring needed by program managers at each level of the health facilities.

SERVICE QUALITY OF PUBLIC AND PRIVATE PHYSIOTHERAPY INSTITUTES: A COMPARATIVE STUDY IN LAHORE

2019 ◽  
Author(s):  
Roohi Abbas
Keyword(s):  
Physical Therapy ◽  
Service Quality ◽  
Cross Sectional Study ◽  
Quality Of Services ◽  
Sectional Study ◽  
Cross Sectional ◽  
Public And Private ◽  
Quality Dimensions ◽  
Service Quality Dimensions

Background: Ever since quality of services is gaining importance in every industry as it is the indicator of consumer/customer satisfaction, it is of utmost importance to measure service quality of educational institutes to determine the satisfaction of students. Thus, the study aimed to determine the important factors in service quality dimensions which contribute to the satisfaction of students. Methods: This was a Comparative Cross Sectional study in which final year department of physical therapy (DPT) students were included from three private and three public physiotherapy institutes. Results: The largest mean Positive Gap scores for Public Physiotherapy Institutes was 0.18 for accessibility and affordability 0.18. The largest negative mean gap score for Private Physiotherapy domain was “Accessibility and Affordability” found to be -1.96. Conclusion: Students were satisfied with service quality of private institutes in all domains except for the “Accessibility and Affordability” whereas, in Public Institutes largest negative quality gaps were found in “Empathy” and “Assurance”.

scholarly journals REASONS WHY PATIENTS BYPASS LOWER LEVEL PUBLIC FACILITIES: A CROSS SECTIONAL STUDY FROM UGANDA

2019 ◽  
Author(s):  
SAMUEL OKORI ◽  
INNOCENT BESIGYE ◽  
JANE FRANCIS NAMATOVU
Keyword(s):  
Health Care Providers ◽  
Tertiary Education ◽  
Cross Sectional Study ◽  
Poor Quality ◽  
Health Facilities ◽  
Care Providers ◽  
Sectional Study ◽  
Cross Sectional ◽  
Validated Questionnaire

Abstract Background The quality of services in Uganda at higher level health facilities are usually affected negatively by congestion when patients bypass care from their primary care health facilities (PCHF). The reason behind this bypass phenomenon in Uganda is limited. This study was conducted among patients receiving care at Lira Regional Referral Hospital in northern Uganda to identify reasons why patients bypass their PCHF. Methods We performed a descriptive cross-sectional study between 29/12/2014 & 30/1/2015, 484 respondents attending the outpatient department were recruited by systematic random sampling. Four focus group discussions (FGDs) each involving 10 participants were conducted. Quantitative data was collected using a validated questionnaire, entered, analysed by Epidata Entry 3.1 and SPSS 18 versions respectively. Descriptive statistics and chi square test for differences in the study population were used. For qualitative data, thematic analysis of transcripts was done. Codes and categories were developed and interrogated following an iterative process based on grounded theory. Results The majority (80.4%) of respondents (71.7% females, mean age 18-35 years, SD 0.85) bypassed their PCHF. Factors associated with bypass were: marital status, distance travelled of >10 km and tertiary education. FGDs reported lack of trust in the health care providers, lack of medicines and diagnostic equipment. Conclusions Poor quality of health services at PCHF encourages seeking care from higher-level facilities. Utilization of PCHF is limited due to poor infrastructure, shortage of medicines and human resource. Improvement of these issues will support PCHF which in turn can help reverse bypass phenomenon.

scholarly journals Pengaruh Fasilitas Kesehatan Dan Motivasi Kerja Terhadap Kepuasan Pasien Melalui Kualitas Pelayanan Pada Unit Rawat Inap Di RSUD Haji Makassar Provinsi Sulawesi Selatan

2021 ◽  
Vol 2 (1) ◽  
pp. 55-68
Author(s):  
Aznira Nurul Hidayah ◽  
Nurmuati Muchlis ◽  
Rasyidin Abduallah
Keyword(s):  
Patient Satisfaction ◽  
Service Quality ◽  
Health Facility ◽  
Work Motivation ◽  
Total Sample ◽  
Cross Sectional Study ◽  
Health Facilities ◽  
Cross Sectional ◽  
South Sulawesi

Background: Measurement of customer satisfaction is an important element in providing better, efficient and more effective service. This study aims to determine the effect of health facilities and work motivation on patient satisfaction through service quality in inpatient units at Haji Makassar Hospital, South Sulawesi Province. Method: The research design used in this study was an analytic survey with a Cross Sectional Study approach. Sampling was done by total sampling method with a total sample of 68 people. Methods of data analysis using statistical analysis calculations using the SPSS program using path analysis. Results: The results showed that from the Sobel test there was a significant and positive effect of the health facility variable at t count 3.984> 1.987 and work motivation t count of 3.011> 1.987 on patient satisfaction through service quality, there was a significant effect of the health facility variable 0.000 <0.005 on satisfaction, no there is a significant effect of work motivation variable 0.155> 0.000 on patient satisfaction, there is a significant influence of the health facility variable 0.000 <0.005 and the work motivation variable 0.001 <0.005 on service quality, and there is a significant effect of the service quality variable 0.000 <0.005 on patient satisfaction.Conclusion: The conclusion of the study shows that there is an effect of health facilities and work motivation on patient satisfaction through the quality of service at Haji Makassar Hospital, South Sulawesi Province. So it is suggested to the hospital to maintain the quality of its service.

scholarly journals Quality of Drug in Health Facilities: A Cross-sectional Study

2021 ◽  
Vol 18 (4) ◽  
pp. 644-648
Author(s):  
Khem Bahadur Karki ◽  
Neelam Dhakal ◽  
Baburam Humagain ◽  
Arpana Pandit ◽  
Trishna Acharya ◽  
...  
Keyword(s):  
Public Health ◽  
Storage Condition ◽  
Cross Sectional Study ◽  
Poor Quality ◽  
Health Facilities ◽  
Sectional Study ◽  
Cross Sectional ◽  
Public Health Facilities

Background: Poor quality drugs result minor to detrimental effect on human health. The drug should be of standard quality and should be used appropriately in order to meet its therapeutic efficacy. This study aims to assess the quality of drug in Nepal. Methods: A cross sectional study was conducted in randomly selected 88 health facilities in Nepal from 10th April to 30th June 2016. Selective medicines were collected from both private licensed pharmacies and selected public health facilities. Face to face interview with health facility in-charge of selected health facilities was carried out along with the direct observation of the medicine storage room. The collected medicine samples were dispatched to two laboratories for in-vitro analysis. The labels of the collected medicine were analyzed. The obtained data were entered in Epidata version 3.1, cleaned in Microsoft excel 2007 and analyzed in SPSS version 20.Results: Out of 172 brands, nine brands of medicines were found substandard. Information regarding storage conditions, direction for use and category of the drug were lacking in the label of some brands of medicines. Some selected health facilities were found not meeting major requirements for drug storage: protection from sunlight, moisture, heat, well ventilation and proper sanitation.Conclusions: Few drugs were found to be substandard in Nepalese market from both public and private sectors. Adequate labeling and proper storage condition of medicines in health facilities were lacking.Keywords: Drug quality; private pharmacies; public health facilities; substandard drugs.

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