Quality of Antenatal Care Services in a Developing Country: A Cross-Sectional Survey.
Jacoline Sommer AlbertAhtisham YounasGideon VictorPublished in: Creative nursing (2020)
The global adult lifetime risk of maternal mortality is 1 in 180; in Pakistan, it is 1 in 170; in developed regions, 1 in 4,900 (Alkema et al., 2016; Filippi, Chou, Ronsmans, Graham, & Say, 2016; World Health Organization [WHO], 2015). The differences in maternal mortality between developed and developing countries are mainly due to the quality of antenatal care (ANC) available in the two groups of countries. The purpose of this study was to assess the structural and procedural quality of ANC services provided and to assess satisfaction levels of women receiving ANC services in two large hospitals in Islamabad, Pakistan. A cross-sectional survey was conducted at the hospitals' outpatient maternal and child health clinics, with a random sample of 138 women. The overall quality of ANC was rated as good (61%), average (17.5%), or poor (17.5%). The findings suggest a need to cultivate quality of care at public health facilities, train health workers in communication skills, and build technical capacity by continuing education and supportive supervision to train health-care providers to follow standard protocols for provision of quality ANC services.
Keyphrases
- healthcare
- quality improvement
- public health
- primary care
- palliative care
- mental health
- type diabetes
- pregnant women
- birth weight
- cardiovascular disease
- metabolic syndrome
- tertiary care
- climate change
- pain management
- insulin resistance
- mass spectrometry
- high speed
- coronary artery disease
- risk assessment
- weight loss
- human health
- health promotion
- gestational age
- neural network