Women’s Perceptions of the Quality of Care and Health Related Information Provided by the Mother and Child Health E-Registry
Hala Hamed Yousef Bahloul
هالة حامد يوسف بهلول
Antenatal care and postnatal care are important services provided to mothers in the childbearing period to reduce maternal morbidity and mortality. Both of them complement each other to get positive outcomes for both mother and her baby. The study aimed to assess the perception of women about the quality of care in the antenatal care and postnatal care in governmental primary health centers in the Gaza Strips, their satisfaction with obtaining electronic health registry and evaluate sending short message service messages in improving their outcome and the attendance on time. The study was conducted among eight health care centers in four governorates. The study design was a mixed-methods study: it involved both quantitative and qualitative data. The quantitative data was collected from mothers who utilize antenatal care, post natal care at governmental primary health centers. In total 400 women participated in the quantitative study. The qualitative data was collected through 3 focus group discussions with mothers about antenatal care, postnatal care services provided to 20 mothers. Key informant interviews were done with 10 health care providers (doctors, midwives). Analysis of quantitative data was conducted through the Statistical Package for the social sciences program, the analysis involved different types of statistical tests. For qualitative data, an open coding thematic analysis method was used. The study results showed low utilization of Preconception care services as 41.6% was supplemented with folic acid. The percentage of early registration in pregnancy was 53.9% related to the mother’s preference for late registration and health care provider's instructions for coming after 12weeks. PNC delayed receiving this service for more than 1 week among 63% of women due to the closure of clinics in COVID 19. The highest mean in perceived quality was tangible perceived quality(81.4%) where Gaza governorate women participants reported a significantly higher level of tangible with a mean of 84.4% while the lowest mean was responsiveness perceived quality 75.8% where Rafah governorate women participants reported a statistically the lowest level of responsiveness with mean 71.6% that explained from health care providers due to overload and work pressure and staff shortage. Gaza governorate women participants reported a significantly higher level of adherence to an appointment with a mean of 87.4% than Khan Younis governorate women participants with a mean of 79.6%. Sharing appointments for next visits was high in Alhurria health center women participants reported a significant the highest level of adherence to the appointment with a mean of 88.8% and Abasan Alkabeera women participants reported the lowest level of mean 75.2%. Bany Suhaila health center participants reported a significant the highest level of using mobile health application with a mean of 71.2% and Abasan Algadeeda women participants reported the lowest level of managing medical risks in pregnancy with a mean of 49.6%. Mothers confirm that sending SMS reminders was improved in increase adherence to appointments 81.8% and useful in reminding the appointment 83.3% especially in women with risk in pregnancy. Conclusion; the present study concluded that the proportion of women utilizing preconception care was low that affects early registration in pregnancy. Most women utilize postnatal care after 1 week that considers late utilization in comparison to the World Health Organization recommendation. Recommendation: enhance the early utilization of maternal health care services to decrease maternal morbidity and mortality by increasing awareness of women for the importance of these services.