Antenatal care strengthening in Jimma, Ethiopia: A mixed-method needs assessment

Publikation: Bidrag til tidsskriftTidsskriftartikelForskningfagfællebedømt

Sarah Fredsted Villadsen, Britt Pinkowski Tersbøl, Dereje Negussie, Abebe GebreMariam, Abebech Tilahun, Henrik Friis, Vibeke Rasch

Objective. We assessed how health system priorities matched user expectations and what the needs for antenatal care (ANC) strengthening were for improved maternal health in Jimma, Ethiopia. Methods. A questionnaire survey among all recent mothers in the study area was conducted to study the content of ANC and to identify the predictors of low ANC satisfaction. Further, a qualitative approach was applied to understand perceptions, practices, and policies of ANC. Results. There were no national guidelines for ANC in Ethiopia. Within the health system, the teaching of health professional students was given high priority, and that contributed to a lack of continuity and privacy. To the women, poor user-provider interaction was a serious concern hindering the trust in the health care providers. Further, the care provision was compromised by the inadequate laboratory facilities, unstructured health education, and lack of training of health professionals. Conclusions. Health system trials are needed to study the feasibility of ANC strengthening in the study area. Nationally and internationally, the leadership needs to be strengthened with supportive supervision geared towards building trust and mutual respect to protect maternal and infant health.

OriginalsprogEngelsk
Artikelnummer945164
TidsskriftJournal of Environmental and Public Health
Vol/bind2014
Antal sider10
ISSN1687-9805
DOI
StatusUdgivet - 2014

Bibliografisk note

CURIS 2014 NEXS 300

ID: 125301952