Nursing and Midwifery

Permanent URI for this community

https://rscarchive.kuhes.ac.mw/handle/20.500.12988/356

Browse

Browsing Nursing and Midwifery by Author "Kuseni Sumani, Woneckilly"

Now showing 1 - 1 of 1
  • Thumbnail Image
    Item
    Restricted
    Evaluating factors that influence skilled delivery utilization under service level agreement at Likuni Hospital in Malawi
    (Kamuzu University of Health Sciences, 2021-10-18) Kuseni Sumani, Woneckilly
    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.