Friday E Okonofua1,2, Rosemary N Ogu3,4, Lorretta F Ntoimo5, Mohammed Gana6, Ola N Okike7, Adetoye Durodola8, Hadiza S Galadanci9. 1. Department of Obstetrics & Gynaecology, University of Benin, Benin City, Nigeria. 2. University of Medical Sciences, Ondo, Ondo State, Nigeria. 3. Department of Obstetrics & Gynaecology, University of Port Harcourt, Port Harcourt, Rivers State, Nigeria. 4. Centre of Excellence in Reproductive Health CERHI, University of Benin, Benin City, Nigeria. 5. Federal University Oye Ekiti, Oye Ekiti, Nigeria. 6. General Hospital Minna, Niger State, Nigeria. 7. General Hospital Karshi, Abuja FCT Nigeria. 8. General Hospital Ijaye, Abeokuta, Ogun State, Nigeria. 9. Aminu Kano Teaching Hospital, Kano, Kano State, Nigeria.
Abstract
OBJECTIVES: The objective of the study was to identify where delays occur when women present for antenatal care in four Nigerian referral hospitals, and to make recommendations on ways to reduce delays in the course of provision of antenatal care in the hospitals. DESIGN: Prospective observational study. SETTING: Four Nigerian (1 tertiary and 3 secondary) Hospitals. PARTICIPANTS: Women who presented for antenatal care. INTERVENTIONS: A process mapping. The National Health Service (NHS) Institute Quality and Service Improvement Tool was used for the assessment. MAIN OUTCOME MEASURES: The time women spent in waiting and receiving antenatal care in various departments of the hospitals. RESULTS: Waiting and total times spent varied significantly within and between the hospitals surveyed. Mean waiting and total times spent were longest in the outpatients' departments and shortest in the Pharmacy Departments. Total time spent was an average of 237.6 minutes. χ2= 21.074; p= 0.0001. CONCLUSION: There was substantial delay in time spent to receive care by women seeking routine antenatal health services in the four secondary and tertiary care hospitals. We recommend managers in health facilities include the reduction of waiting times in the strategic plans for improving the quality of antenatal care in the hospitals. This should include the use of innovative payment systems that excludes payment at time of service delivery, adoption of a fast-track system such as pre-packing of frequently used commodities and the use of new tech informational materials for the provision of health education. FUNDING: The Alliance for Health Policy and Systems Research, World Health Organization, Geneva; Protocol ID A65869.
OBJECTIVES: The objective of the study was to identify where delays occur when women present for antenatal care in four Nigerian referral hospitals, and to make recommendations on ways to reduce delays in the course of provision of antenatal care in the hospitals. DESIGN: Prospective observational study. SETTING: Four Nigerian (1 tertiary and 3 secondary) Hospitals. PARTICIPANTS: Women who presented for antenatal care. INTERVENTIONS: A process mapping. The National Health Service (NHS) Institute Quality and Service Improvement Tool was used for the assessment. MAIN OUTCOME MEASURES: The time women spent in waiting and receiving antenatal care in various departments of the hospitals. RESULTS: Waiting and total times spent varied significantly within and between the hospitals surveyed. Mean waiting and total times spent were longest in the outpatients' departments and shortest in the Pharmacy Departments. Total time spent was an average of 237.6 minutes. χ2= 21.074; p= 0.0001. CONCLUSION: There was substantial delay in time spent to receive care by women seeking routine antenatal health services in the four secondary and tertiary care hospitals. We recommend managers in health facilities include the reduction of waiting times in the strategic plans for improving the quality of antenatal care in the hospitals. This should include the use of innovative payment systems that excludes payment at time of service delivery, adoption of a fast-track system such as pre-packing of frequently used commodities and the use of new tech informational materials for the provision of health education. FUNDING: The Alliance for Health Policy and Systems Research, World Health Organization, Geneva; Protocol ID A65869.
Authors: Peter O Nkwo; Lucky O Lawani; Agozie C Ubesie; Vincent A Onodugo; Herbert A Obu; Josephat M Chinawa Journal: Ann Med Health Sci Res Date: 2015 Jan-Feb
Authors: Friday E Okonofua; Lorretta Favour C Ntoimo; Bola F Ekezue; Victor Ohenhen; Kingsley Agholor; Brian Igboin; Kenneth Maduako; Wilson Imongan; Yagana Gidago; Hadiza Galadanci; Rosemary Ogu Journal: Glob Health Action Date: 2020-12-31 Impact factor: 2.640