Users’ opinion about antenatal visits quality: implementation research in Nampula, Mozambique
Notice bibliographique
Résumé
Background: Access to and quality of maternal and child health services are essential to reduce morbidity and mortality in these groups, which are extremely high in Africa, including Mozambique. The reasons for this are complex but one important factor is the availability of efficient, timely, patient centred antenatal care for all pregnant women. Antenatal visits are important, and they should be performed as early as possible during pregnancy. To contribute to reduce maternal and new-born mortality rates in Nampula, the Faculty of Health Sciences at Lúrio University and the University of Saskatchewan, carried out an implementation research, including training activities for local health units’ professionals in maternal and child health care. This research will assess the impact of health professionals training in maternal and child health, on the quality of services of antenatal visits at the Marrere Health Centre in Nampula, Mozambique. Methods: Descriptive, quantitative pre-post study, applying three cross-sectional surveys on user’s opinion about antenatal visit quality. The baseline surveys included a sample of women in antenatal consultation (with a 10% margin error and 90% confidence interval) and for post surveys, after completion of four and eight professional training modules, the samples were calculated with a 95% confidence interval and a 5% margin of error. The three groups of different subjects underwent a private survey, using a five-point Likert scale, after signing an informed consent form. The surveys were entered into a database, and analysed to assess frequency, percentage, average and standard deviation. This research was approved by the Lúrio University and the University of Saskatchewan’ Bioethics Committees. Results: 309 pregnant women were surveyed during antenatal visits, and the principles of good care assessment shows a positive evolution about communication and information; some shortcomings persist. Regarding labour conditions and new-born care, we see a positive evolution, such as with receiving information about the right they have to a companion during childbirth (72.9%, namely a traditional birth attendant) and the importance to start breastfeeding in the first hour following delivery (88.7%). Pregnant women globally rated their experience in antenatal consultation in 2019 as excellent (42.5%) and good (48%). The evolution of this service, however, was unfavourable in terms of privacy. Conclusion: Antenatal visits quality at Marrere Health Centre, in the users’ opinion, improved and health professionals are practising according to the national Ministry of Health protocol, yet with some deficiencies in information and communication, to overcome by continuous professional development. The women’ low level of schooling, needs an information campaign on sexual and reproductive health and family planning, widely disseminated in rural communities and among most disadvantaged populations.
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Comment cette classification a été obtenuedéplier
Prédiction distillée sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Apprise à partir de 10 348 étiquettes directes de Codex et de 10 348 étiquettes directes de Gemma. Le mode candidate est l'union des têtes enseignantes seuillées; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont ni des étiquettes humaines ni des étiquettes directes de modèles de pointe.
Scores Codex et Gemma par catégorie
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,005 | 0,001 |
| Méta-épidémiologie (sens strict) | 0,000 | 0,000 |
| Méta-épidémiologie (sens large) | 0,000 | 0,000 |
| Bibliométrie | 0,001 | 0,000 |
| Études des sciences et des technologies | 0,000 | 0,000 |
| Communication savante | 0,000 | 0,000 |
| Science ouverte | 0,000 | 0,000 |
| Intégrité de la recherche | 0,000 | 0,002 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,000 | 0,000 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule tête enseignante, pas un consensus.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».