Health system responsiveness in maternity care at Hadiya zone public hospitals in Southern Ethiopia: Users' perspectives.

<h4>Background</h4>Health system responsiveness refers to non-financial, non-clinical qualities of care that reflect respect for human dignity and interpersonal aspects of the care process. The non-clinical aspects of the health system are therefore essential to the provision of services...

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Autores principales:	Ritbano Ahmed Abdo, Hassen Mosa Halil, Biruk Assefa Kebede, Abebe Alemu Anshebo, Minychil Demelash Ayalew, Selamu Abose Nedamo, Shamill Eanga Helill
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/c1d25a1c99644a0d8bb474e91c508690
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spelling	oai:doaj.org-article:c1d25a1c99644a0d8bb474e91c5086902021-12-02T20:16:56ZHealth system responsiveness in maternity care at Hadiya zone public hospitals in Southern Ethiopia: Users' perspectives.1932-620310.1371/journal.pone.0258092https://doaj.org/article/c1d25a1c99644a0d8bb474e91c5086902021-01-01T00:00:00Zhttps://doi.org/10.1371/journal.pone.0258092https://doaj.org/toc/1932-6203<h4>Background</h4>Health system responsiveness refers to non-financial, non-clinical qualities of care that reflect respect for human dignity and interpersonal aspects of the care process. The non-clinical aspects of the health system are therefore essential to the provision of services to patients. Therefore, the main purpose of this study was to assess the responsiveness in maternity care, domain performance and factors associated with responsiveness in maternity care in the Hadiya Zone public Hospitals in Southern Ethiopia.<h4>Methods</h4>A hospital-based cross-sectional study was employed on 413 participants using a systematic sampling technique from 1 July to 1 August 2020. An exit interviewer-administered questionnaire was used to collect data. EpiData (version 3.1) and SPSS (version 24) software were used for data entry and analysis, respectively. Bivariate and multivariable logistic regression were computed to identify the associated factors of health system responsiveness in maternity care at 95% CI.<h4>Results</h4>The findings indicated that 53.0% of users gave high ratings for responsiveness in delivery care. In the multivariable logistic regression analysis, mothers aged ≥ 35 (AOR = 0.4; 95% CI = 0.1-0.9), urban resident (AOR = 2.5; 95% CI = 1.5-4.8), obstetrics complications during the current pregnancy (AOR = 2.1; 95% CI = 1.1-3.0), and caesarean delivery (AOR = 0.4; 95% CI = 0.2-0.7) were factors associated with poor ratings for responsiveness in maternity care.<h4>Conclusion</h4>In the hospitals under investigation, responsiveness in maternity care was found to be good. The findings of this study suggest that the ministry of health and regional health bureau needs to pay attention to health system responsiveness as an indicator of the quality of maternity care.Ritbano Ahmed AbdoHassen Mosa HalilBiruk Assefa KebedeAbebe Alemu AnsheboMinychil Demelash AyalewSelamu Abose NedamoShamill Eanga HelillPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 16, Iss 10, p e0258092 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Ritbano Ahmed Abdo Hassen Mosa Halil Biruk Assefa Kebede Abebe Alemu Anshebo Minychil Demelash Ayalew Selamu Abose Nedamo Shamill Eanga Helill Health system responsiveness in maternity care at Hadiya zone public hospitals in Southern Ethiopia: Users' perspectives.
description	<h4>Background</h4>Health system responsiveness refers to non-financial, non-clinical qualities of care that reflect respect for human dignity and interpersonal aspects of the care process. The non-clinical aspects of the health system are therefore essential to the provision of services to patients. Therefore, the main purpose of this study was to assess the responsiveness in maternity care, domain performance and factors associated with responsiveness in maternity care in the Hadiya Zone public Hospitals in Southern Ethiopia.<h4>Methods</h4>A hospital-based cross-sectional study was employed on 413 participants using a systematic sampling technique from 1 July to 1 August 2020. An exit interviewer-administered questionnaire was used to collect data. EpiData (version 3.1) and SPSS (version 24) software were used for data entry and analysis, respectively. Bivariate and multivariable logistic regression were computed to identify the associated factors of health system responsiveness in maternity care at 95% CI.<h4>Results</h4>The findings indicated that 53.0% of users gave high ratings for responsiveness in delivery care. In the multivariable logistic regression analysis, mothers aged ≥ 35 (AOR = 0.4; 95% CI = 0.1-0.9), urban resident (AOR = 2.5; 95% CI = 1.5-4.8), obstetrics complications during the current pregnancy (AOR = 2.1; 95% CI = 1.1-3.0), and caesarean delivery (AOR = 0.4; 95% CI = 0.2-0.7) were factors associated with poor ratings for responsiveness in maternity care.<h4>Conclusion</h4>In the hospitals under investigation, responsiveness in maternity care was found to be good. The findings of this study suggest that the ministry of health and regional health bureau needs to pay attention to health system responsiveness as an indicator of the quality of maternity care.
format	article
author	Ritbano Ahmed Abdo Hassen Mosa Halil Biruk Assefa Kebede Abebe Alemu Anshebo Minychil Demelash Ayalew Selamu Abose Nedamo Shamill Eanga Helill
author_facet	Ritbano Ahmed Abdo Hassen Mosa Halil Biruk Assefa Kebede Abebe Alemu Anshebo Minychil Demelash Ayalew Selamu Abose Nedamo Shamill Eanga Helill
author_sort	Ritbano Ahmed Abdo
title	Health system responsiveness in maternity care at Hadiya zone public hospitals in Southern Ethiopia: Users' perspectives.
title_short	Health system responsiveness in maternity care at Hadiya zone public hospitals in Southern Ethiopia: Users' perspectives.
title_full	Health system responsiveness in maternity care at Hadiya zone public hospitals in Southern Ethiopia: Users' perspectives.
title_fullStr	Health system responsiveness in maternity care at Hadiya zone public hospitals in Southern Ethiopia: Users' perspectives.
title_full_unstemmed	Health system responsiveness in maternity care at Hadiya zone public hospitals in Southern Ethiopia: Users' perspectives.
title_sort	health system responsiveness in maternity care at hadiya zone public hospitals in southern ethiopia: users' perspectives.
publisher	Public Library of Science (PLoS)
publishDate	2021
url	https://doaj.org/article/c1d25a1c99644a0d8bb474e91c508690
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Health system responsiveness in maternity care at Hadiya zone public hospitals in Southern Ethiopia: Users' perspectives.

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