Title:
Quality of Care at Delivery: A Contextual Qualitative Review of Client Experience at Jaramogi Oginga Odinga Teaching and Referral Hospital, Kisumu - Kenya
Authors:
Owuor, Rapenda Kennedy G.
Place:
Amsterdam, The Netherlands
Publisher:
KIT - Royal Tropical Institute [etc.]
Year:
2013
PAGE:
ix, 65
Language:
En
Subject:
Maternal Health – Lessons Learned
Keywords:
Maternal health, maternal mortality, quality of care, institutional delivery, patient experience, client satisfaction, perceived quality of care.
Abstract:
Background: Maternal health remains a major challenge in developing countries, which account for 99% of annual global maternal deaths. Less than half the women deliver in hospital across most of Africa. Quality of care at delivery institutions has been cited as partly responsible for this poor performance. Objective: To investigate the role of client experience of care as a factor of quality of care at delivery and a determinant for the uptake of institutional delivery services. Methods: Using a descriptive-qualitative approach, semi-structured in-depth interviews were conducted with 10 obstetric patients and 4 nurses at Jaramogi Oginga Odinga Teaching and Referral Hospital in Kisumu, Kenya and a focus group discussion held with 17 local community members. Findings: The outcome of childbirth is a significant determinant of mothers’ satisfaction with the care process in and outside the hospital. However, interpersonal factors between mothers and their care providers modulate patient perceptions of the care process and inform their ultimate experience. A poor experience of care in hospital is likely to drive pregnant women to consider alternative providers (TBA) and contribute to a delay in seeking care in subsequent pregnancies. Health workers on the other have adopted a more task-oriented than patient-centered approach to care hence not meeting patients’ individual needs. Conclusion: Continued uptake of institutional delivery will remain pegged (at least partly) on a good experience of the care process by current patients. Recommendation: There needs to be a re-orientation of delivery care to women from a task perspective to a patient-centered approach.
Organization:
KIT - Royal Tropical Institute
,
VU - Vrije Universiteit Amsterdam
,
The TropEd Network
Institute:
KIT (Royal Tropical Institute)
Department:
Development, Policy and Practice
Country:
Kenya
Region:
East Africa
Training:
Master of Public Health
Category:
research
Right:
© 2013 Owuor
Document type:
Thesis/dissertation
File:
EOt32nvVEj_20171119142500948.pdf