Quality of basic emergency obstetric and newborn care (BEmONC) services from patients' perspective in Adigrat town, Eastern zone of Tigray, Ethiopia. 2017: a cross sectional study

BMC Pregnancy Childbirth. 2019 May 30;19(1):190. doi: 10.1186/s12884-019-2307-6.

Abstract

Background: Most of the maternal and newborn deaths occur at birth or within 24 h of birth. Provision of quality Basic Emergency Obstetric and Neonatal Care (BEmONC) is very crucial and the current recommended intervention to prevent maternal and newborn morbidity and mortality.

Methods: An institution based cross-sectional study was conducted among mothers receiving at least one of the signal functions of BEmONC services. A total of 398 women were included in the study. The study participants were selected using a systematic random sampling method. Data was collected using structured interviewer-administered Tigrigna version questionnaire. Data were analyzed using SPSS version 20. Multi-variable logistic regression was used to control the effect of confounders.

Results: The perceived quality of BEmONC was 66.7%, which is poor. Clients scored lower quality rates on aspects such as the availability of necessary equipment, lack of clean and functional shower and toilet and administration of anti-pain during delivery and manual vacuum aspiration (MVA). Quality of BEmONC was lower among rural residents (AOR = 0.273, 95% CI: (0.151-0.830). Whereas, Presence of companion (AOR = 2.259; 95% CI: (3.563-13.452) were found with a higher score of quality of BEmONC compared to their counterparts.

Conclusion: The overall perception of quality of BEmONC services received was poor. Residence, ANC follow-up, and presence of companion during labor or delivery were found to have a significant association with the perceived quality of BEmONC services.

Keywords: Adigrat; Basic emergency obstetric and newborn care; Ethiopia; Quality; Tigray.

MeSH terms

  • Adult
  • Cross-Sectional Studies
  • Emergency Medical Services / standards*
  • Ethiopia
  • Female
  • Health Facilities / standards*
  • Humans
  • Infant, Newborn
  • Maternal-Child Health Services / standards*
  • Mothers / psychology*
  • Patient Acceptance of Health Care / psychology*
  • Perception
  • Pregnancy
  • Quality of Health Care
  • Young Adult