Quality of Antenatal Services at the Primary Care Level in Southwest Nigeria
), Christianah A. Iyaniwura(2), Adewale O. Sule-Odu(3),
(1)
(2)
(3)
Corresponding Author
Abstract
A survey of 452 pregnant women accessing care at first level public health facilities in a local government area in southwest Nigeria was conducted to assess their perspectives on the quality of antenatal care received. Majority of the women expressed satisfaction with the level of expertise and basic technical competence of their careproviders. Less than 30% were pleased with the existing patients’ referral mechanisms. At least two-thirds received as much information as desired in salient aspects of antenatal health information needs. Frequency of antenatal visits was “about the same as expected” for 93.6% of the women. The mean reported waiting time before antenatal consultation was 131.1 minutes although 106 (43.3 %) women expected to be attended within 30 minutes of arrival. Approximately two-thirds of women were unhappy about their involvement in decision-making with respect to birth planning and postpartum contraception. Compared to other elements of quality, women were least pleased with constellation of services especially sanitary facilities and number of skilled healthcare providers. On the whole, respondents expressed a high level of overall satisfaction (81.4%) with the care received. The survey indicates that antenatal women may generally express satisfaction with the quality of services despite some inconsistencies between received care and their expectations of the facilities (Afr J Reprod Health 2008; 12[3]:71-92).
RĖSUMĖ
Qualité de services prénatals de soin principal au Sud-ouest du Nigeria Une étude de 452 femmes enceintes ayant accès au soin de premier niveau de santé publique dans une région publique du Sud-ouest du Nigeria a été faite afin de déterminer leurs vues sur la qualité de soin prénatal reçu. La majorité des femmes étaient satisfaites avec le niveau du savoir-faire et la compétence technique de base des dispensateurs de soins. Moins de 30% étaient contentes avec les mécanismes existant des recommandations des patients. Au moins deux tiers ont reçu autant de renseignements désirés dans des aspects marquants des renseignements des soins sanitaires prénatals. La fréquence des consultations prénatales étaient ‘presque la même exigée’ pour 93,6% des femmes. Le moyen du temps d’attente reporté avant la consultation prénatale étaient 131.1 minutes, pourtant, 106 (43,3%) des femmes qu’on devrait assister en moins de 30 minutes de leur arrivée. Approximativement deux tiers des femmes n’étaient pas heureuses concernant leur participation de prendre la décision en ce qui concerne le projet d’accouchement et le contraceptif postpartum. Par rapport aux autres éléments de qualité, les femmes sont moins heureuses avec la constellation de service surtout l’équipement sanitaire et le nombre de dispensateurs sanitaires qualifiées. Dans l’ensemble, des femmes interrogées ont exprimé une satisfaction complètement supérieure (81,4%) des soins reçus. L’étude indique que des futures mamans peuvent en général exprimer une satisfaction avec la qualité de service malgré les contradictions entre les soins reçus et leur espérance des installations (Afr J Reprod Health 2008; 12[3]:71-92).
KEY WORDS: Quality of care, clients’ perspective, antenatal care, primary health care
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