PDF(Pubmed)
Abstract：
Antenatal care (ANC) is a critical intervention, and providing high-quality care results in positive maternal and neonatal outcomes. A facility-based cross-sectional study design was used among 4 public health facilities in Dessie Town, and 421 pregnant mothers were selected by a systematic random sampling technique. Data were collected using observation and interview through a pretested questionnaire, then entered and analyzed using EpiData 4.7 and SPSS 26. Finally, predictors of the quality of the ANC service were identified using multivariate logistic regression. Overall, 270 women (64%) were satisfied with ANC services in this study. Only 49 (70%) attributes of structural quality and 32 items (69.56%) of process quality attributes were met, which is inadequate and needs improvement. Mothers aged 20 to 24 (AOR = 3.067; 95% CI = 1.416, 6.641); mothers who took 30 min and more to get to the health facility (AOR = 2.745; 95% CI = 1.475, 5.111); mothers who had a choice of care providers (AOR = 2.829; 95% CI = 1.676, 4.777); merchants (AOR = 2.310; 95% CI = 1.077, 4.955); and farmers (AOR = 2.111; 95% CI = 1.138, 3.8) were positive predictors of women\'s satisfaction with ANC services. Although ANC client satisfaction was good, structure-quality attributes and process-related quality were inadequate and needed significant improvement. This implies that urgent interventions are needed to improve process and input quality attributes.
摘要：
产前保健(ANC)是一项关键的干预措施，并提供高质量的护理可带来积极的孕产妇和新生儿结局。在Dessie镇的4个公共卫生设施中使用了基于设施的横断面研究设计，通过系统随机抽样技术选择了421名孕妇。通过预先测试的问卷，使用观察和访谈收集数据，然后使用EpiData4.7和SPSS26进行输入和分析。最后,使用多变量逻辑回归确定ANC服务质量的预测因子.总的来说,在这项研究中，270名女性(64%)对ANC服务感到满意。仅满足结构质量属性49项(70%)和工艺质量属性32项(69.56%),这是不够的，需要改进。20至24岁的母亲（AOR=3.067；95％CI=1.416，6.641）；花了30分钟或更长时间才能到达医疗机构的母亲（AOR=2.745；95％CI=1.475，5.111）；有选择的护理提供者的母亲（AOR=2.829；95％CI=1.676，4.777）；商人（AOR=2.310％CI=1.111，95％尽管ANC客户满意度很好，结构质量属性和过程相关质量不足，需要显著改进。这意味着需要采取紧急干预措施来改善流程和输入质量属性。
