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Evaluation of antenatal care service quality and its determinants in public health facilities in hossana Town, hadia District, southern Ethiopia: a longitudinal study

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Document pages: 11 pages

Abstract: Background prenatal care is a kind of care that connects women and their families with the formal health system, increases the opportunity to use skilled caregivers at birth and contributes to health throughout the life cycle. During this time, inadequate care broke a key link in the continuity of care and affected women and infants. Therefore, the main purpose of this study is to determine the quality of ANC in hadiya area in southern Ethiopia. Methods a facility-based longitudinal study design was conducted in 1123 mothers with gestational age less than 16 weeks and followed up before and 40 days after birth to detect whether they met the acceptable quality standard of ANC from July 2017 to June 2018. Structured, predefined and pre tested Observation Checklistnd Likert scales were employed to obtain the necessary information after getting both written and verbal consent from the concerned bodies and study participants. Data was entered into Epi Info version 3.5 and transferred to STATA Version 14 software and cleaned by reviewing frequency tables, logical errors, and checking outliers. Generalized estimating equation (GEE) analysis was applied to get the average response observation of each visit of quality of ANC in the health facilities. Result. This study showed that the overall magnitude of good quality of antenatal care service that was provided in the whole visit at Hosanna Town’s public health facilities was 1230 (31.38 ). The most frequently identified problems were inability to take full history, lack of proper counseling, poor healthcare provider and client interaction, and improper registration and there was a variation in providing quality of care in each visit. Quality of antenatal care was significantly associated with residence, educational status gravidity, parity, and visit. In conclusion, the overall quality of antenatal care is low, so the health facilities need further modification on the identified problems.

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