Client satisfaction with services provided at the antenatal care centres of BRAC

BRAC has implemented the Women's Health and Development Programme (WHDP) in the northern and central rcgi.oni of Bangladesh to reduce maternal and child death. Among the various components of the programme, organization of antenatal care centres (ANCC) is an important activity. This study me...

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Autores principales: Afsana, Kaosar, Chowdhury, Amr
Formato: Research report
Lenguaje:English
Publicado: BRAC Research and Evaluation Division (RED) 2019
Materias:
Acceso en línea:http://hdl.handle.net/10361/12895
id 10361-12895
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spelling 10361-128952019-11-11T21:01:18Z Client satisfaction with services provided at the antenatal care centres of BRAC Afsana, Kaosar Chowdhury, Amr Client satisfaction Antenatal care centres (ANCC) BRAC Health, Nutrition, and Population Program (BRAC) Primary health care -- Bangladesh. BRAC has implemented the Women's Health and Development Programme (WHDP) in the northern and central rcgi.oni of Bangladesh to reduce maternal and child death. Among the various components of the programme, organization of antenatal care centres (ANCC) is an important activity. This study measured satisfaction of the pregnant with the services provided at the ANCCs in three thanas ofBogra region. A total of 33 ANCCs was observed for a study which assessed competence of the programme organizers (POs ). Two pregnant women who received services from the 33 ANCCs were randomly selected. Following their attendance at the ANCCa, women were interviewed at home by the experienced field workers to know their satisfaction with services. Field activities were carried out Wlder meticulous supervision of a medical doctor. Client satisfaction was measured by focusing on eight quality aspects which include overall quality, accessibility, availability, cost, interpersonal relations, competence of the programme organizers (PO), faciJities and continuity of care. Satisfaction was ranked according to the proportion of women satisfied, i.e., higher the proportion more is the rank. Satisfaction ranged from high to low with the eight quality aspects. The overall quality, facilities and accessibilities arc ranked at the top, which are related to the structural quality. The bottom five ranks reflect the process of antenatal care as wen as the socio-psychological factors of the clients. A vast difference was observed . ~ between the top and lowest rank.. It is indicated by the fact that women's satisfaction with the continuity of care (64%) was very low in comparison to satisfaction with the o~ quality (98%). This finding gives some impression about women's view on the quality of care. Further, women put few suggestions in order to improve services offered at the ANCC., such as improvement of the physical facilities, availability of medicine at the ANCC8 and treatment of the • complicated cases. With reference to women's view about the quality and women'a suggestions to improve the services, some recommendations were made to further improve the quality of care. Suggestions inelude women's awareness about pregnancy related problems should be raised through health education as wen as fonnal education; interactions with the clients needs to be strengthened to avail services of the ANCCs and the trained traditional birth attendants (TBAs); the POs should be more skiJlcd in attending the complicated cases; more medicine needs to be available in the ANCCs; rewarding the efforts of the POs and TBAs needs to be considered. 2019-11-11T05:05:59Z 2019-11-11T05:05:59Z 1996-08 Research report Afsana, K., & Chowdhury, A. (1996, August). Client satisfaction with services provided at the antenatal care centres of BRAC. Research Reports (1996): Health Studies, Vol - XX, 66–85. http://hdl.handle.net/10361/12895 en application/pdf BRAC Research and Evaluation Division (RED)
institution Brac University
collection Institutional Repository
language English
topic Client satisfaction
Antenatal care centres (ANCC)
BRAC
Health, Nutrition, and Population Program (BRAC)
Primary health care -- Bangladesh.
spellingShingle Client satisfaction
Antenatal care centres (ANCC)
BRAC
Health, Nutrition, and Population Program (BRAC)
Primary health care -- Bangladesh.
Afsana, Kaosar
Chowdhury, Amr
Client satisfaction with services provided at the antenatal care centres of BRAC
description BRAC has implemented the Women's Health and Development Programme (WHDP) in the northern and central rcgi.oni of Bangladesh to reduce maternal and child death. Among the various components of the programme, organization of antenatal care centres (ANCC) is an important activity. This study measured satisfaction of the pregnant with the services provided at the ANCCs in three thanas ofBogra region. A total of 33 ANCCs was observed for a study which assessed competence of the programme organizers (POs ). Two pregnant women who received services from the 33 ANCCs were randomly selected. Following their attendance at the ANCCa, women were interviewed at home by the experienced field workers to know their satisfaction with services. Field activities were carried out Wlder meticulous supervision of a medical doctor. Client satisfaction was measured by focusing on eight quality aspects which include overall quality, accessibility, availability, cost, interpersonal relations, competence of the programme organizers (PO), faciJities and continuity of care. Satisfaction was ranked according to the proportion of women satisfied, i.e., higher the proportion more is the rank. Satisfaction ranged from high to low with the eight quality aspects. The overall quality, facilities and accessibilities arc ranked at the top, which are related to the structural quality. The bottom five ranks reflect the process of antenatal care as wen as the socio-psychological factors of the clients. A vast difference was observed . ~ between the top and lowest rank.. It is indicated by the fact that women's satisfaction with the continuity of care (64%) was very low in comparison to satisfaction with the o~ quality (98%). This finding gives some impression about women's view on the quality of care. Further, women put few suggestions in order to improve services offered at the ANCC., such as improvement of the physical facilities, availability of medicine at the ANCC8 and treatment of the • complicated cases. With reference to women's view about the quality and women'a suggestions to improve the services, some recommendations were made to further improve the quality of care. Suggestions inelude women's awareness about pregnancy related problems should be raised through health education as wen as fonnal education; interactions with the clients needs to be strengthened to avail services of the ANCCs and the trained traditional birth attendants (TBAs); the POs should be more skiJlcd in attending the complicated cases; more medicine needs to be available in the ANCCs; rewarding the efforts of the POs and TBAs needs to be considered.
format Research report
author Afsana, Kaosar
Chowdhury, Amr
author_facet Afsana, Kaosar
Chowdhury, Amr
author_sort Afsana, Kaosar
title Client satisfaction with services provided at the antenatal care centres of BRAC
title_short Client satisfaction with services provided at the antenatal care centres of BRAC
title_full Client satisfaction with services provided at the antenatal care centres of BRAC
title_fullStr Client satisfaction with services provided at the antenatal care centres of BRAC
title_full_unstemmed Client satisfaction with services provided at the antenatal care centres of BRAC
title_sort client satisfaction with services provided at the antenatal care centres of brac
publisher BRAC Research and Evaluation Division (RED)
publishDate 2019
url http://hdl.handle.net/10361/12895
work_keys_str_mv AT afsanakaosar clientsatisfactionwithservicesprovidedattheantenatalcarecentresofbrac
AT chowdhuryamr clientsatisfactionwithservicesprovidedattheantenatalcarecentresofbrac
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