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Clients' perspectives of quality emergency obstetric care in public health facilities in Ethiopia

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dc.contributor.advisor Zungu, L. (Lindiwe)
dc.contributor.advisor Cheglil, R.
dc.contributor.author Anteneh Zewdie Helelo
dc.date.accessioned 2014-08-12T07:58:43Z
dc.date.available 2014-08-12T07:58:43Z
dc.date.issued 2013-11
dc.identifier.citation Anteneh Zewdie Helelo (2013) Clients' perspectives of quality emergency obstetric care in public health facilities in Ethiopia, University of South Africa, Pretoria, <http://hdl.handle.net/10500/13789> en
dc.identifier.uri http://hdl.handle.net/10500/13789
dc.description.abstract The contribution of Emergency Obstetric Care (EmOC) in reducing maternal mortality in Ethiopia is very minimal as evidenced by poor provision and low utilization of EmOC. Client centred EmOC provision improves the provision and utilization of EmOC; leading to the treatment of the majority of obstetric complications which are the main causes of maternal mortality. This study describes clients’ views and perspectives concerning the quality of EmOC provision in Ethiopian public health facilities. An explorative and descriptive phenomenological qualitative study design was used in the study in order to explore and describe the lived experiences of clients with EmOC services. Key informant interviews with women who had direct obstetric complications and received EmOC at three public health facilities in Addis Ababa generated rich data on their lived experiences. Content analysis was used to analyze the data as it complies with the phenomenological data analysis and Atlas ti version 6.2 qualitative data analysis software was employed. The findings revealed that quality EmOC is a welcoming, life-saving timely care given in a clean environment with humility, respect, equal treatment and encouragement. It is care that is safe for the client, technically sound, responsive and meets clients’ needs and expectations. Accessibility of life saving care at all time and collaborative and coordinated care created good experiences for the clients. The causes of clients’ disappointment with the provision of EmOC were higher expectations from female providers, underestimation by providers, non responsive providers, and ethical misconduct by providers such as mocking, insulting, yelling, advantage taking providers, undelivered promises by providers, expectation with place of delivery, expectation with newborn care and a limited number of health workers attending delivery. Discrimination, high cost of care and asking client to buy drugs and supplies and referrals from centres, are some of the barriers on r the use of EmOC at public health facilities. The provision of EmOC is constrained by overloaded staffs, shortage of space to accommodate clients and inadequate number of beds. In conclusion, clients have expectations and experiences of provision of EmOC that influence their future decision to seek care. Finally, a client centred guideline for the provision of client centred EmOC provision was developed. en
dc.format.extent 1 online resource (xiii, 166 leaves) : color illustrations en
dc.language.iso en en
dc.subject Quality of care en
dc.subject Emergency en
dc.subject Emergency obstetric care en
dc.subject Client en
dc.subject Perspective en
dc.subject Experience en
dc.subject.ddc 618.20250963
dc.subject.lcsh Obstetrical emergencies -- Ethiopia en
dc.subject.lcsh Hospital care -- Ethiopia -- Quality control en
dc.subject.lcsh Public hospitals -- Ethiopia -- Quality control en
dc.subject.lcsh Labor (Obstetrics) -- Ethiopia en
dc.subject.lcsh Patients -- Ethiopia -- Attitudes en
dc.title Clients' perspectives of quality emergency obstetric care in public health facilities in Ethiopia en
dc.type Thesis en
dc.description.department Health Studies en
dc.description.degree D. Litt. et Phil. (Health Studies)


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