Browsing by Author "Manda, Eddie"

Now showing 1 - 1 of 1
  • Thumbnail Image
    Item
    Restricted
    Quality of basic maternal and neonate care signal function and clients perceived care in health facilities in Malawi:
    (Kamuzu University of Health Sciences, 2021-08-11) Manda, Eddie
    Study type: This is a secondary data analysis of national health facility surveys using Malawi 2013-2014 Service Provision Assessment Survey data for 960 health facilities in Malawi. Background: Global campaign for facility delivery has been an idea supported by many countries. However, an increase in volume of health-care facility deliveries might not reduce maternal or newborn mortality if quality of care is insufficient. There is little systematic evidence for the quality at health facilities caring for women and newborn babies in low-income countries like Malawi. This study is going to analyze the quality of basic maternal and neonatal care functions and its association with patients perceived quality of care received during antenatal care services in health-care facilities in Malawi. Objective: The main objective of this study is to determine quality of basic maternal and neonatal care, during routine delivery, emergency obstetric care, emergency neonatal care and client perceived quality of care during antenatal care services using the SPA data collected in 2013-2014 in 960 health facilities in Malawi. Setting: This is a secondary data analysis that will include data from 632 health facilities across Malawi that Malawi SPA survey of 2013-2014 captured its data on maternal delivery and newborn care and antenatal care services. Method: This is a secondary data analysis study which is going to use data from the Malawi Service Provision Assessment (SPA) survey of 2013-2014 done regularly by Demographic Health Survey to collect data on resource availability. The DHS and SPA are cross-sectional, nationally-representative surveys. Detailed reports on each national DHS and SPA, describing details of sampling, fieldwork, and characteristics of respondents can be obtained from the DHS website (measuredhs.com). In this study, we are going to explore whether facilities have the necessary signal functions for providing emergency and basic maternal and newborn care, and antenatal care (ANC) using descriptive and multivariate regression. We are also going to explore differences by type of facility (hospital, center or other) and by private and public facilities. Finally, we are going to explore patient’s satisfaction and its association with quality of services received. Expected findings and their dissemination: The quality of basic maternal and neonatal care signal function in both government and private owned health facilities (primary, secondary and tertiary) in Malawi will be determined. In this analysis, the association between women’s reports of their care and observed indicators of care during labor and delivery will also be determined. The results of the study will be presented to the College of Medicine Research Committee through submitted dissertation and will also be submitted to the Malawi Medical Journal for possible publication. The results will also be presented to the Ministry of Health through National Research Council. The results will also be releases as a thesis and will be stored and displayed at the college of medicine library.