Spatial Differences in Quality of Maternal Health Service in Primary Health Centers of Enugu State, Nigeria
Journal Title: Journal of Advances in Medicine and Medical Research - Year 2015, Vol 10, Issue 10
Abstract
Aim: The aim of the study was to determine how adequate were the resources, (equipment and personnel), process (client-provider interaction), and outcome components of quality of maternal health service in urban and rural primary health centers of Enugu state, Nigeria. Study Design: Cross-sectional analytical study design. Place and Duration of Study: Primary health centers in Enugu State, Nigeria, between January and March 2013. Methodology: A three stage sampling method was used to select 540 clients in18 of 440 primary health centers in the state. The clients were women who attended antenatal and postnatal care in the health centers. Outcome measure was clients true satisfaction with maternal health service also denoted as satisfaction index. It was assessed by proportion of clients who were satisfied with antenatal, and postnatal care, were ready to use the health centers again, and willing to recommend them to others for same services. Results: No health center had adequate equipment, 16.7% of health centers had adequate health manpower and 16.7% had good client provider interaction. Only a minor proportion of clients, (urban 7%; rural 24.1%) delivered in the health centers. On part of clients, 64.8% in urban were truly satisfied, as compared to 75.6% in rural. Predictors of clients true satisfaction included being a client in urban, (AOR=0.6, 95% CI: 0.4- 0.9), client unmarried, (AOR=0.3, 95% CI: 0.1- 0.5), and being unemployed/housewife, (AOR=2.0, 95% CI: 1.3- 4.5). Conclusion: The structure and process components of quality of maternal health service in primary health centers in the study area were deficient. Also, utilization of health centers for delivery services was poor. The clients of maternal health service seem to focus more on providers of healthcare and their interactions with them than the health system and its deficiencies hence were easily satisfied with the services received. To reduce the maternal death burden in Nigeria there is need for adequate attention on rural areas, the primary health care system and the provision of client oriented health services at all levels of care. More health workers should be employed, and more equipment supplied in-order to improve the quality of maternal health service in the primary health centers.
Authors and Affiliations
Edmund Ndudi Ossai, Emmanuel Amaechi Nwobi, Benjamin Sunday C. Uzochukwu
Keywords
Related Articles
- EP ID EP349347
- DOI 10.9734/BJMMR/2015/20357
- Views 63
- Downloads 0
Humoral Response against Native Plasmodium berghei Hemozoin and Synthetic Hemozoin in BALB/c Mice
Aims: Malaria is a disease caused by protozoan parasites of the genus Plasmodium. One of the malaria mechanisms of adaptation to the host is the digestion of hemoglobin by the trophozoite stage. This mechanism provides t...
Anti-restenotic Therapies for Peripheral Arterial Disease
Defining the ideal treatment for peripheral arterial disease remains an ongoing endeavor. The initial treatment standard of balloon angioplasty and stenting has produced suboptimal long-term outcomes due to in-stent rest...
Prevalence, Awareness and Factors Associated with Hypertension among Adult Residents in Lagos: A Population Based Study
Background: Hypertension is a global public health problem in both developed and developing countries. It is estimated that 75% of the world hypertensive patients in 2025 will be in developing countries including Nigeria...
Mozart Effect and Its Clinical Applications: A Review
Recent research efforts examining the effects on the brain of listening to music have discovered that music, with specific characteristics, is able to improve cognitive and learning capacity. Recent studies have demonstr...
An Evaluation of QuantiFERON-TB Gold in-Tube and Immunological Tests for TB Diagnosis in Iraqi Patients
Aims: Tuberculosis is an infectious disease caused by the bacillus Mycobacterium tuberculosis and other related species. It typically affects the lungs (pulmonary TB) but can affect other sites (extra-pulmonary TB). A p...