Evaluating factors that influence skilled delivery utilization under service level agreement at Likuni Hospital in Malawi
Loading...
Date
2021-10-18
Authors
Journal Title
Journal ISSN
Volume Title
Publisher
Kamuzu University of Health Sciences
Abstract
Type of study.
This is a descriptive quantitative type of research. Quantitative research deals with quantifying
and descriptively analysing variables to find out factors influencing skilled delivery utilisation in
hospitals under Service Level Agreement. Cross-sectional study design will be used in this study
as it is not time-consuming for students since participants are followed only once. Problem statement.
According to data from Likuni Mission Hospital, there has been an increase in the attendance of
antenatal clinic (ANC), delivery and postnatal check-ups with the introduction of SLA but there
is a decrease in the number of those who come to the hospital for delivery comparing to those
who come for ANC. Objectives.
Broad objective.
To evaluate factors that influence utilization of skilled delivery under Service Level Agreement
(SLA) at Likuni Mission Hospital by pregnant mothers from villages under Malili Traditional
Authority in Lilongwe rural.
Specific objectives.
1) To identify sociodemographic factors among mothers of Malili TA that influence access
to skilled delivery under service level agreement at Likuni Mission Hospital.
2) To evaluate the level of knowledge among mothers on the use of skilled delivery under
service level agreement at Likuni Mission Hospital.
3) To evaluate health service factors that affect the use of skilled delivery services at Likuni
Mission Hospital from mothers of Malili villages.
iv. Methodology.
A quantitative cross-sectional design will be used to collect data from participants. These
participants will be sampled using the cluster method whereby villages will be identified
according to their Village Development Committee (VDCs) which are 17 in total and
systematically will select 8 out of them. These 8 VDCs will be a good number to give
generalizable results for the study. When collecting data a questionnaire will be used after
translating it into Chichewa which is the participants’ mother language. This will be piloted at
Nsewa village before the actual data collection. Interviews using the formulated close-ended
questionnaire will be conducted on mothers who delivered between 2017 and 2021 from the
selected VDCs.
v. Expected findings and their dissemination.
There is an expectation that mothers have knowledge on SLA with some barriers to utilisation of
skilled service delivery under SLA. The findings of the study will be instrumental in developing
strategies that will increase skilled hospital service delivery among communities served by
Likuni Mission Hospital. The study findings will also help in the formulation or review of SLA policies in order to achieve increased care accessibility by underprivileged communities.
Stakeholders of Likuni mission hospital will be able to intervene on the problems identified
hence increasing the number of mothers accessing skilled health services thereby reducing
maternal morbidity and mortality rate. This will also indirectly reduce the neonatal mortality
rate. Results will be disseminated to the Kamuzu University of Health Sciences and the host
Likuni Mission Hospital. The findings will also be published in a peer’s review journal.