Pregnant Women Satisfaction with Quality of Antenatal Care at Governmental Clinics in Gaza Strip
Date
2020-06-06
Authors
Najah Saleh Hussin Shaqalih
نجاح صالح حسين شقليه
Journal Title
Journal ISSN
Volume Title
Publisher
Al-Quds University
جامعة القدس
جامعة القدس
Abstract
تعتبر خدمات رعاية الحوامل مؤشراً هاماً لمعرفة مدى الاستفادة من الرعاية الصحية، حيث تحدد تلك الرعاية مدى مقابلة الخدمة الصحية لاحتياجات الأفراد المستفيدين من تلك الخدمة. هدفت الدراسة إلى معرفة مدى رضى السيدات الحوامل عن جودة الخدمة الصحية المقدمة لهن في عيادات رعاية الحوامل الحكومية في قطاع غزة. وقد تم استخدام المنهج الوصفي في هذه الدراسة. وقد استخدمت الباحثة طريقة العينة غير الاحتمالية لاختيار عينة الدراسة حيث شاركت في الدراسة 311 سيدة حامل بمعدل استجابة 97.2% و هؤلاء من المترددات على عيادات رعاية الحوامل الحكومية في قطاع غزة بحد أدنى أربع زيارات في جميع محافظات غزة (جباليا، غزة، دير البلح، خانيونس، رفح). لجمع البيانات قامت الباحثة بإعداد استبانه لقياس مدى رضى السيدات عن خدمات رعاية السيدات الحوامل، وقد تم اجراء دراسة استطلاعية لقياس ثبات الاستبانة حيث بلغ متوسط قيمة ألفا لكل فقرات الاستبانة 0.778. واستمرت الدراسة من مارس 2019 حتى مارس 2020. وقد تم الحصول على الموافقة الإدارية والأخلاقية من كل من جامعة القدس ولجنة هلسنكي، وقد تبنت الباحثة نموذج دونابيديان لتقييم جودة الخدمة الصحية كإطار مرجعي في هذه الدراسة. ولتحليل البيانات إحصائياً تم استخدام برنامج الرزم الإحصائية (SPSS 23). وقداظهرت نتائج الدراسة أن متوسط عمر المشاركات في الدراسة بلغ 27.3 سنة، كما أن 61.9% من المشاركات في الدراسة حاصلات على الدرجة الجامعيةالاولى، 84.9% منهن ربات بيوت، 89% لديهن دخل شهري أقل من 1973 شيكل (حد الفقر المدقع). كما بينت النتائج بان 34.7% من السيداتالمشاركاتفيالدراسة كان لديهن ثلاث حمولات فأقل، 77.5% منالمشاركاتكان لديهن حمل طبيعي، و77.9% منالمشاركات كان لديهن 1 – 3 مرات ولادة.
وأظهرتنتائجالدراسةايضابان 60.8% من المشاركات في الدراسة كن راضيات عن خدمة رعاية الحوامل في حين أن 39.2% كن غير راضيات، وأظهرت النتائج ايضاوجود مستوى مرتفع من الرضا العام عن خدمة رعاية الحوامل بلغت 80.5%، وكانت أعلى المستويات في الرضا عن الرعاية المقدمة حيث بلغت 95.6%، يليها الرضا عن عدد زيارات عيادة رعاية الحوامل حيث بلغت 91.3%، يليها الرضا عن مكان تقديم الرعاية الصحية حيث بلغت 83.2%، يليها الرضا عن المعلومات المقدمة حيث بلغت 67%، ثم الرضا عن الوقت المستنفذ في الزيارات حيث بلغ 66.15%. وبينت النتائج أن 32% من المشاركات في الدراسة يرين أن الخدمة المقدمة في عيادات رعاية الحوامل كانت ممتازة في حين أن 48.7% يرين أن الخدمة المقدمة كانت جيدة جداً.و علاوة على ذلك، أظهرت النتائج عدم وجود علاقة ذات دلالة إحصائية بين الرضا العام عن خدمات رعاية الحوامل وكل من العمر، والحالة الاجتماعية، والمستوى التعليمي، والعمل، والدخل الشهري، وحالة الحمولات السابقة والحمل الحالي. وأظهرت المشاركات في الدراسة من عيادة دير البلح مستوى أعلى من الرضا مقارنة بنظرائهن من العيادات الأخرى، كما تبين وجود علاقة ذات دلالة إحصائية بين الرضا العام والوقت المستنفذ في الزيارات لعيادات رعاية الحوامل، كما تبين وجود علاقة ذات دلالة إحصائية بين الرضا العام وجودة الخدمة المقدمة في عيادات رعاية الحوامل.
وخلصت الدراسة الحالية بوجود مستوى عال من الرضا عن خدمات الرعايةالصحيةالمقدمةللسيدات الحوامل، بالمقابل فقد كانت أدنى مستويات الرضا في كل من المعلومات المقدمة ووقت الانتظار في عيادات رعاية الحوامل. وأوصت الدراسة بالحاجة إلى تقليل فترة الانتظار في عيادات الحوامل لأن طول فترة الانتظار لها أثار سلبية على جودة الخدمة الصحية، كما اوصت الدراسة بالحاجة إلى تفعيل نظام الحجز المسبق الذي بدوره يزيد من جودة المقابلة الشخصية مع مقدمي الرعاية الصحية.
Antenatal care (ANC) is an important indicator of efficient utilization of health services because it assesses the extent to which the service meets a person’s requirements and needs. This study aimed to assess pregnant women's satisfaction with the quality of antenatal care at governmental clinics in the Gaza Strip. A descriptive, cross-sectional study design was utilized. The researcher used a nonprobability convenience sample technique, and the target group was pregnant women who had at least 4 antenatal visits in the assigned governmental antenatal clinics (Al Rimal, Jabalia, Der Al Balah, Khan Younis, and Rafah). A self-administered questionnaire was used to collect the data and 311 pregnant women participated with a response rate of 97.2%. The questionnaire was tested for reliability and the alpha coefficient was with a total mean score of 0.778. Data collection took place from March 2019 to March 2020.Administrative and ethical approvals were obtained from Al-Quds University and Helsinki Committee respectively.The Donabedian model isa conceptual model that provides a framework for examining health services and evaluating the quality of health care that was adopted in the study. For statistical analysis, the researcher used SPSS version (23). The results of the study showed that the mean age of study participants was 27.3 years, 61.9% had a university education, 84.9% were housewives, 89% had income less than 1973 NIS (absolute poverty line). Also, 34.7% had three pregnancies, and more, 77.5% had normal pregnancies, 77.9% had 1 – 3 deliveries. The results indicated that 60.8% of study participants were satisfied with ANC services while 39.2% were dissatisfied. The overall satisfaction with ANC was 80.5%. The highest was in satisfaction with provided care (95.6%), followed by satisfaction with the number of visits (91.3%), satisfaction with the place of provided care (83.2%), satisfaction with provided formation (67%), and satisfaction with waiting time (66.15%). The results also showed that 32% of participants perceived the quality of ANC service as excellent and 48.7% perceived it as very good. There was no statistically significant relationship between overall satisfaction and participant's age (2=3.57,P= 0.167), education (2=2.2,P= 0.520), work (2 =0.01, P= 0.560), and monthly income (2 =1.07,P= 0.580). Participants from Der Al Balah expressed significantlyhigher satisfaction compared to participants from other antenatal clinics (P= 0.002). Besides, there was no statistically significant relationship between overall satisfaction and current and previous pregnancies (2 = 0.16, 0.30; P= 0.380, 0.850 respectively), while there was a statistically significant relationship between overall satisfaction and time consumed in antenatal visits (2= 3.6, P= 0.001). Also, there was a statistically significant relationship between overall satisfaction and quality of antenatal care (2= 12.1,P= 0.007). The study concluded that overall satisfaction with ANC services is high. However, they evaluated the information received during consultation and the waiting time as low. The study recommended that there was a need to decrease waiting time before ANC checkup because that has a negative effect on the satisfaction of pregnant women about quality of care as well as to initiate appointment system and increasing quality face time with health care providers.
Antenatal care (ANC) is an important indicator of efficient utilization of health services because it assesses the extent to which the service meets a person’s requirements and needs. This study aimed to assess pregnant women's satisfaction with the quality of antenatal care at governmental clinics in the Gaza Strip. A descriptive, cross-sectional study design was utilized. The researcher used a nonprobability convenience sample technique, and the target group was pregnant women who had at least 4 antenatal visits in the assigned governmental antenatal clinics (Al Rimal, Jabalia, Der Al Balah, Khan Younis, and Rafah). A self-administered questionnaire was used to collect the data and 311 pregnant women participated with a response rate of 97.2%. The questionnaire was tested for reliability and the alpha coefficient was with a total mean score of 0.778. Data collection took place from March 2019 to March 2020.Administrative and ethical approvals were obtained from Al-Quds University and Helsinki Committee respectively.The Donabedian model isa conceptual model that provides a framework for examining health services and evaluating the quality of health care that was adopted in the study. For statistical analysis, the researcher used SPSS version (23). The results of the study showed that the mean age of study participants was 27.3 years, 61.9% had a university education, 84.9% were housewives, 89% had income less than 1973 NIS (absolute poverty line). Also, 34.7% had three pregnancies, and more, 77.5% had normal pregnancies, 77.9% had 1 – 3 deliveries. The results indicated that 60.8% of study participants were satisfied with ANC services while 39.2% were dissatisfied. The overall satisfaction with ANC was 80.5%. The highest was in satisfaction with provided care (95.6%), followed by satisfaction with the number of visits (91.3%), satisfaction with the place of provided care (83.2%), satisfaction with provided formation (67%), and satisfaction with waiting time (66.15%). The results also showed that 32% of participants perceived the quality of ANC service as excellent and 48.7% perceived it as very good. There was no statistically significant relationship between overall satisfaction and participant's age (2=3.57,P= 0.167), education (2=2.2,P= 0.520), work (2 =0.01, P= 0.560), and monthly income (2 =1.07,P= 0.580). Participants from Der Al Balah expressed significantlyhigher satisfaction compared to participants from other antenatal clinics (P= 0.002). Besides, there was no statistically significant relationship between overall satisfaction and current and previous pregnancies (2 = 0.16, 0.30; P= 0.380, 0.850 respectively), while there was a statistically significant relationship between overall satisfaction and time consumed in antenatal visits (2= 3.6, P= 0.001). Also, there was a statistically significant relationship between overall satisfaction and quality of antenatal care (2= 12.1,P= 0.007). The study concluded that overall satisfaction with ANC services is high. However, they evaluated the information received during consultation and the waiting time as low. The study recommended that there was a need to decrease waiting time before ANC checkup because that has a negative effect on the satisfaction of pregnant women about quality of care as well as to initiate appointment system and increasing quality face time with health care providers.
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Keywords
Citation
Shaqalih، Najah Saleh. (2020). Pregnant Women Satisfaction with Quality of Antenatal
Care at Governmental Clinics in Gaza Strip [رسالة ماجستير منشورة، جامعة القدس، فلسطين].
المستودع الرقمي لجامعة القدس. https://arab-scholars.com/08ee90