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Utilization Of Donabedian Model In Evaluation Of Maternal And Child Healthcare Quality Service
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1.7 Significance of the Study
According
to World Health Organization Report (WHO 2008), maternal and newborn
morbidity and mortality continue to be a problem with a huge disparity
between developed and developing countries. Therefore, findings from
this study might help with recommendations to improve the quality of
maternal and child healthcare services thereby reducing maternal and
child mortality and achieve Sustainable Development Goal 3 (SDGs) which
is Good health and well- being.
The findings may assist the Federal
Ministry of Health in adopting strategies to improve the quality of
maternal and child healthcare services through collaboration between
stake holders.
The findings may be useful in National Health Planning
and Budgeting to improve the structure of healthcare facilities,
training and retraining of staff, supervision, and provision of supplies
and transportation for prompt referrals in healthcare facilities.
Findings
may provide useful information on areas of partnering with local and
international agencies for complementary role in maternal and child
healthcare services.
The outcome of the study may be used to further
challenge health professionals to identify factors influencing quality
of maternal and child health care services in Nigeria and need for
improvement.
Findings may add to the existing body of knowledge and
would assist in achieving the desired goal of quality maternal and child
healthcare services in Nigeria.
1.8 Operational Definition of Terms
Quality
of Care: Care rendered to women during pregnancy, childbirth, and
post-delivery in healthcare facilities in Ile-Ife based on Donabedian
Model of quality care, this include the structure, process and outcome
of Maternal and Child Health Care services.
Maternal and Child
Healthcare: This is the care rendered to a pregnant woman from the time
of conception to the delivery of the baby and care of the baby from
birth to 2year in healthcare facilities in Ile-Ife .
Health
Professionals: These are Midwives, Nurses, Community Health officers and
Community Health Extension workers that provides Maternal and Child
Healthcare services in healthcare facilities in Ile-Ife by the virtue of
their training or qualifications.
Nursing Mothers: Women with
babies 0-1year old who have received care during conception, delivery of
the baby, after delivery, family planning, immunizations, care of the
baby and attends immunization clinic at the time of the study in
selected health facilities in Ile-Ife.
Healthcare Facilities: These
are Primary Healthcare Centers (PHCs) and Secondary health facilities
(General Hospitals and Comprehensive Health Centers) in Ile-Ife.
Donabedian
Model: This is the conceptual model of quality care developed by Avedis
Donabedian in 1966, reviewed in 1980 and 1988. The model was developed
to assess quality of care in clinical practice; it has three categories
in which information could be gathered for evaluating quality of
healthcare services which are structure, process and outcome.
Structure:
This is the physical facilities, human and material resources available
in primary and secondary healthcare facilities for maternal and child
healthcare services in Ile-Ife.
Process: This is the care and all
actions rendered in Maternal and Child health services by the healthcare
professionals. It contains all acts of maternal and child healthcare
delivery (i.e. antenatal, intra-natal, postnatal care, neonatal and
children care etc.) in healthcare facilities in Ile-Ife and interactions
between health personnel and clients including relationships and
respectful maternity care in the course of interactions.
Outcome:
This is the effects of maternal and child healthcare services measured
by mother’s satisfaction of the care received in Primary and secondary
Healthcare facilities in Ile-Ife.
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