首页> 外文期刊>Journal of Ayub Medical College >QUALITY ASSESSMENT OF FOCUSED ANTENATAL CARE SERVICE DELIVERY IN TERTIARY CARE HEALTH FACILITY
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QUALITY ASSESSMENT OF FOCUSED ANTENATAL CARE SERVICE DELIVERY IN TERTIARY CARE HEALTH FACILITY

机译:三级医疗卫生机构集中进行的航空照护服务质量评估

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Background: Regardless of high maternal deaths in Pakistan, only 37% of pregnant women make four or more antenatal care visits during pregnancy. This proportion has further been diverged between urban and rural. About 62% of women visit clinics for WHO recommended sets of antenatal care (ANC) check-ups in urban as compared to 26% women in rural areas. This study was conducted with the aim to assess quality of Focused ANC service delivery in terms of examination, screening, treatment, counselling and to determine variation in service delivery with provider’s clinical qualification and expertise. Methods: Cross sectional study design was used. Data was collected from pregnant women when they were visiting hospital for their antenatal visits. Direct observation was also made regarding provision of services. Results: Out of 278, 55% of study women were in 28–33 years age group and 21.2% made at least one visit. While 42.8% reported more than one visit, 98.9% received tetanus toxoid, 82% received proper screening. Counselling was done mostly regarding nutrition and self-care (42.8%), and significant association (p-value <0.05) was observed between provider’s clinical qualification and provision of services such as for screening and counselling. Conclusion: The delivery of antenatal care services to pregnant women varied to some extent. Most of the routine investigation services were in accordance with recommended standards of optimal quality with little divergence from guidelines such as screening for HIV and syphilis. Better quality services were being provided to private participants in terms of counselling and danger sign screening.Keywords: Antenatal care; FANC service delivery; Maternal mortality; Optimal Quality
机译:背景:不管巴基斯坦的孕产妇死亡率很高,只有37%的孕妇在怀孕期间进行四次或更多次产前检查。这个比例在城乡之间进一步有所不同。约有62%的妇女在城市就诊,接受WHO推荐的一系列产前保健检查,而农村地区的妇女为26%。进行这项研究的目的是从检查,筛查,治疗,咨询等方面评估重点ANC服务交付的质量,并根据提供者的临床资格和专业知识确定服务交付的差异。方法:采用横断面研究设计。孕妇在去医院进行产前检查时收集了数据。还直接观察了提供服务的情况。结果:在278名患者中,有55%的研究女性处于28-33岁年龄段,而21.2%的女性至少进行了一次访视。 42.8%的患者报告了一次以上的就诊,98.9%的患者接受了破伤风类毒素的治疗,82%的患者接受了适当的筛查。咨询工作主要涉及营养和自我保健(42.8%),并且观察到提供者的临床资格与筛查和咨询等服务之间存在显着关联(p值<0.05)。结论:对孕妇的产前保健服务有所不同。大多数常规调查服务均符合推荐的最佳质量标准,与指南(如筛查HIV和梅毒)的差异很小。在咨询和危险标志筛查方面向私人参与者提供了更好的服务。 FANC服务交付;孕产妇死亡率;最佳品质

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