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|Title: ||Quality of postnatal care up to discharge in Mulago Hospital|
|Authors: ||Ogwang, Alfred Francis|
|Keywords: ||Postnatal care|
Maternal health services
|Issue Date: ||Jul-2005 |
|Abstract: ||The most neglected problem in the health care delivery system of most developing countries is postnatal services and yet a number of serious complications and the majority of maternal deaths occur during the postnatal period, especially in developing countries.
Objectives: The objective of the study was to assess the quality of postnatal care up to discharge in Mulago hospital.
Study design: A cross - sectional descriptive study.
Study site: Mulago Hospital
Method: The participants were postnatal mothers with their babies and health workers who provide postnatal services. Using a systematic sampling method data was collected using a questionnaire by exit interviews of 384 postnatal mothers, a checklist, Key informants and FGDs.
Results: Before discharge 48.7 % babies and 40.6 % of the mothers had not been examined, most of the examination done was in labour ward. Health workers tended to concentrate on baby's sex and examination of mothers who had caesarean birth. 49.2% of the babies and 43.9 % of the mothers examined had not been given information. Participants who had formal education and caesarean birth better understood instructions on how to take medication [Odds Ratio (OR) = 6.42, (95 % Confidence interval 1.36-33.86)] and [Odds Ratio (OR) = 2.25, (95 % Confidence interval 1.10- 6.08)] respectively. Mother's perception of quality of postnatal care was more geared towards the care for the baby, danger signs that can occur to the baby and the mother in the postnatal period and accessing family planning services. 96.1 % of the participants were satisfied with the overall quality of postnatal care / services.
Conclusions and recommendations: Generally patients were satisfied with the quality of postnatal care provided in Mulago Hospital. However the quality of care provided was poor. To improve the quality of postnatal care there is need to de-congest the wards and organise up dates inform of CME.|
|Description: ||A dissertation submitted to School of Graduate Studies in partial fulfillment of the requirements for the award of the degree of Master of Medicine in Obstetrics and Gynaecology of Makerere University|
|Appears in Collections:||Theses & Dissertations (Health-Sciences)|
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