Quality of delivery services and its associated factors in public health facilities of Bahir Dar town, Northwest Ethiopia

Abstract

Background: Pregnancy and child birth complications are the leading cause of death in the developing countries. There has a major gap between coverage and the quality of care provided in health facilities. Therefore, improving the quality of health care services is necessary for improvement of health outcomes of mothers and children. Objective: To assess the quality of delivery services and its associated factor in public health facilities of Bahir Dar town, Ethiopia, 2017 Methods: A facility based cross-sectional study design employing both quantitative and qualitative methods was conducted. The study population was 432 delivered mothers for exit interview and record review. For observation checklist 100 mothers and for facility audit 8 health facilities were taken. Data were collected by structured face to face exit interview, facility audit, direct observation and key informant interview for health provider. The data were entered and analyzed using SPSS version 22. P value of 0.05 was taken as cut off point to label variables significant. Result: A total of 397 delivered mothers were included in the study. However, Fifty five percent (55.2%) of the women were satisfied with the delivery services they received. In this study found that provider was taken previous history of heavy bleeding 59.4%, anemia 62.5%, hypertension 63.5% and abortion 71.8%. Drugs like Mgso4, Ergometrine, vacuum extraction, radiator warmer, Vit K, Misoprostol and waiting area were not available in some of the facilities. Predictors of client satisfaction were Sex of delivery provider AOR; [2.8, 95% CI (1.537, 5.038)], parity AOR; [5.9, 95% CI (1.634, 11.60)], Educational level [AOR=2.8, 95% CI :( 1.023, 7.684)], waiting time AOR; [6.4, 95% CI (3.622, 11.197)] and previous history facility delivery AOR; [7.9, 95% CI (1.724, 12.623)]. Conclusion and recommendation: Half of women’s were satisfied with the delivery service. Asking about previous history was missed for most of the time. Some drugs, equipment and waiting area did not available in some health facilities. Sex of provider, parity, education, previous facility delivery and waiting time were predictors of client satisfaction. Health facilities should practicing respectful maternity care, giving training for health providers and sustainable provision of drugs and medical equipment.