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Health system responsiveness in maternity care at Hadiya zone public hospitals in Southern Ethiopia: Users’ perspectives

BACKGROUND: Health system responsiveness refers to non-financial, non-clinical qualities of care that reflect respect for human dignity and interpersonal aspects of the care process. The non-clinical aspects of the health system are therefore essential to the provision of services to patients. There...

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Autores principales: Abdo, Ritbano Ahmed, Halil, Hassen Mosa, Kebede, Biruk Assefa, Anshebo, Abebe Alemu, Ayalew, Minychil Demelash, Nedamo, Selamu Abose, Helill, Shamill Eanga
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8516277/
https://www.ncbi.nlm.nih.gov/pubmed/34648538
http://dx.doi.org/10.1371/journal.pone.0258092
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author Abdo, Ritbano Ahmed
Halil, Hassen Mosa
Kebede, Biruk Assefa
Anshebo, Abebe Alemu
Ayalew, Minychil Demelash
Nedamo, Selamu Abose
Helill, Shamill Eanga
author_facet Abdo, Ritbano Ahmed
Halil, Hassen Mosa
Kebede, Biruk Assefa
Anshebo, Abebe Alemu
Ayalew, Minychil Demelash
Nedamo, Selamu Abose
Helill, Shamill Eanga
author_sort Abdo, Ritbano Ahmed
collection PubMed
description BACKGROUND: Health system responsiveness refers to non-financial, non-clinical qualities of care that reflect respect for human dignity and interpersonal aspects of the care process. The non-clinical aspects of the health system are therefore essential to the provision of services to patients. Therefore, the main purpose of this study was to assess the responsiveness in maternity care, domain performance and factors associated with responsiveness in maternity care in the Hadiya Zone public Hospitals in Southern Ethiopia. METHODS: A hospital-based cross-sectional study was employed on 413 participants using a systematic sampling technique from 1 July to 1 August 2020. An exit interviewer–administered questionnaire was used to collect data. EpiData (version 3.1) and SPSS (version 24) software were used for data entry and analysis, respectively. Bivariate and multivariable logistic regression were computed to identify the associated factors of health system responsiveness in maternity care at 95% CI. RESULTS: The findings indicated that 53.0% of users gave high ratings for responsiveness in delivery care. In the multivariable logistic regression analysis, mothers aged ≥ 35 (AOR = 0.4; 95% CI = 0.1–0.9), urban resident (AOR = 2.5; 95% CI = 1.5–4.8), obstetrics complications during the current pregnancy (AOR = 2.1; 95% CI = 1.1–3.0), and caesarean delivery (AOR = 0.4; 95% CI = 0.2–0.7) were factors associated with poor ratings for responsiveness in maternity care. CONCLUSION: In the hospitals under investigation, responsiveness in maternity care was found to be good. The findings of this study suggest that the ministry of health and regional health bureau needs to pay attention to health system responsiveness as an indicator of the quality of maternity care.
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spelling pubmed-85162772021-10-15 Health system responsiveness in maternity care at Hadiya zone public hospitals in Southern Ethiopia: Users’ perspectives Abdo, Ritbano Ahmed Halil, Hassen Mosa Kebede, Biruk Assefa Anshebo, Abebe Alemu Ayalew, Minychil Demelash Nedamo, Selamu Abose Helill, Shamill Eanga PLoS One Research Article BACKGROUND: Health system responsiveness refers to non-financial, non-clinical qualities of care that reflect respect for human dignity and interpersonal aspects of the care process. The non-clinical aspects of the health system are therefore essential to the provision of services to patients. Therefore, the main purpose of this study was to assess the responsiveness in maternity care, domain performance and factors associated with responsiveness in maternity care in the Hadiya Zone public Hospitals in Southern Ethiopia. METHODS: A hospital-based cross-sectional study was employed on 413 participants using a systematic sampling technique from 1 July to 1 August 2020. An exit interviewer–administered questionnaire was used to collect data. EpiData (version 3.1) and SPSS (version 24) software were used for data entry and analysis, respectively. Bivariate and multivariable logistic regression were computed to identify the associated factors of health system responsiveness in maternity care at 95% CI. RESULTS: The findings indicated that 53.0% of users gave high ratings for responsiveness in delivery care. In the multivariable logistic regression analysis, mothers aged ≥ 35 (AOR = 0.4; 95% CI = 0.1–0.9), urban resident (AOR = 2.5; 95% CI = 1.5–4.8), obstetrics complications during the current pregnancy (AOR = 2.1; 95% CI = 1.1–3.0), and caesarean delivery (AOR = 0.4; 95% CI = 0.2–0.7) were factors associated with poor ratings for responsiveness in maternity care. CONCLUSION: In the hospitals under investigation, responsiveness in maternity care was found to be good. The findings of this study suggest that the ministry of health and regional health bureau needs to pay attention to health system responsiveness as an indicator of the quality of maternity care. Public Library of Science 2021-10-14 /pmc/articles/PMC8516277/ /pubmed/34648538 http://dx.doi.org/10.1371/journal.pone.0258092 Text en © 2021 Abdo et al https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Research Article
Abdo, Ritbano Ahmed
Halil, Hassen Mosa
Kebede, Biruk Assefa
Anshebo, Abebe Alemu
Ayalew, Minychil Demelash
Nedamo, Selamu Abose
Helill, Shamill Eanga
Health system responsiveness in maternity care at Hadiya zone public hospitals in Southern Ethiopia: Users’ perspectives
title Health system responsiveness in maternity care at Hadiya zone public hospitals in Southern Ethiopia: Users’ perspectives
title_full Health system responsiveness in maternity care at Hadiya zone public hospitals in Southern Ethiopia: Users’ perspectives
title_fullStr Health system responsiveness in maternity care at Hadiya zone public hospitals in Southern Ethiopia: Users’ perspectives
title_full_unstemmed Health system responsiveness in maternity care at Hadiya zone public hospitals in Southern Ethiopia: Users’ perspectives
title_short Health system responsiveness in maternity care at Hadiya zone public hospitals in Southern Ethiopia: Users’ perspectives
title_sort health system responsiveness in maternity care at hadiya zone public hospitals in southern ethiopia: users’ perspectives
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8516277/
https://www.ncbi.nlm.nih.gov/pubmed/34648538
http://dx.doi.org/10.1371/journal.pone.0258092
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