UTILIZATION OF DONABEDIAN MODEL IN EVALUATION OF MATERNAL AND CHILD HEALTHCARE QUALITY SERVICE
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ABSTRACT
Several efforts aimed at improving maternal health indices in Nigeria, have not yielded much fruit, as women are still dying from pregnancy related causes. This raises some doubts over the possibility of achieving the Millennium Development Goal (MDG) 5 by 2015, if the provision of quality maternal health care services starting from the Primary Health Care (PHC) level is not scaled up. A cross- sectional descriptive study was carried out at the primary health care level in Ile-Ife Local Government Area. A total of two hundred and eighty (280) women attending maternal health services at the primary health care facilities in the local government area were selected by multistage sampling technique from four primary health care facilities and were studied. Data was collected from them using pretested semi structured interviewer-administered client exit questionnaires. The mean age of the respondents was 29.2±5.9 years. Majority of the clients were married and attained at least secondary level of education. One hundred and sixty eight (60.0%) of the women studied accessed antenatal care services, 70 (25.0%) of them accessed post natal care services, 26 (9.3%) utilised delivery services and the remainder 16 (5.7%), other services. Generally, the quality of maternal health services provided in the health facilities studied was poor. The level of clients’ satisfaction was high and may be attributed to affordable cost of services rendered, good staff attitude and perception of waiting time which was fair. However there is need to improve the quality of maternal health services through upgrading of these facilities, employing and training of health personnel, improving the supply of equipment, drugs and supplies particularly for providing essential obstetric care, and basic amenities both for clients and the staff.
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