Dataset Information

Are we too far from being client centered?

ABSTRACT:

Background

Quality of service provision in health facilities is fundamental to ensure effective care. However, women's actual experience of care is often neglected.

Objective

To assess perceived quality of institutional delivery services and associated factors among women who delivered in public health facilities of Southwest Ethiopia.

Method

Community based cross-sectional study was conducted in three districts of Jimma zone, Southwestern Ethiopia, from February 29 to March 20, 2016. A total of 423 mothers who delivered in public health facilities during the last 12 months were selected to participate in the study. Study participants were identified using simple random sampling procedure. Principal component analysis was used to generate scores for three sub-dimensions of perceived quality. Multiple linear regression analysis was performed to identify predictors of these sub-dimensions.

Results

Perceived quality of institutional delivery services was measured with three dimensions: perceived interpersonal interaction, health care delivery and health facility/structure. We found that perceived quality of interpersonal interaction was negatively affected by educational level (read and write) (β: -0.331, 95% CI: -0.523, -0.140), urban residence (β: -0.485, 95% CI: -0.696, -0.275), antenatal care (less than three visits) (β: -0.238, 95% CI: -0.419,-0.056) and delivery service attended by male provider (β: -1.286, 95% CI: -1.463,-1.109). Perceived quality of health care delivery was negatively associated with still birth (β: -0.642, 95% CI: -1.092,-0.193) and delivery services attended by male provider (β: -0.689, 95% CI: -0.907,-0.472). Urban residence (β: -0.260, 95% CI: -0.515,-0.005), and antenatal care (less than three visits) (β: -0.394, 95% CI: -0.628,-0.161) were negatively associated with perceived quality of health facility/structure.

Conclusion

Overall, the perceived quality of institutional delivery services was low. We recommend that health managers and health care providers jointly work to transform birth care at the health facilities to deliver person-centered care. Addressing the preferences of clients is as important as taking care of structural concerns pinpointed in this study.

SUBMITTER: Erchafo B

PROVIDER: S-EPMC6188795 | biostudies-literature | 2018

REPOSITORIES: biostudies-literature

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Are we too far from being client centered?

Erchafo Belay B Alaro Tesfamichael T Tsega Gebeyehu G Adamu Ayinengida A Yitbarek Kiddus K Siraneh Yibeltal Y Hailu Meaza M Woldie Mirkuzie M

PloS one 20181015 10

<h4>Background</h4>Quality of service provision in health facilities is fundamental to ensure effective care. However, women's actual experience of care is often neglected.<h4>Objective</h4>To assess perceived quality of institutional delivery services and associated factors among women who delivered in public health facilities of Southwest Ethiopia.<h4>Method</h4>Community based cross-sectional study was conducted in three districts of Jimma zone, Southwestern Ethiopia, from February 29 to Marc ...[more]

PMID: 30321212

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Project description:The Nordic countries are among the most digitally advanced societies in the world. Past research suggests that both social support offline and interaction online are linked to adolescent psychological adjustment. However, less is known regarding the complex implications of distinctive sources of social support offline and online interaction for a broader range of indices of adolescent psychosocial well-being, including its contemporary forms such as social media addiction. This study utilized two methodological approaches to examine the social components and determinants of psychosocial well-being (psychosomatic complaints and problematic social media use) among 22,384 Nordic adolescents aged between 11 and 15 years. A variable-centered approach focused on examining perceived support from four sources (family, peers, teachers, and classmates), preference for online interaction, and intensity of online interaction as predictors of psychosocial well-being. Concurrently, a person-centered approach was utilized to explore the subgroups at risk of psychosocial ill-being. In the variable-centered analysis, lower support from family, teachers, and classmates, higher preference for online interaction, and higher intensity of online interaction with "online contacts" (i.e., interaction partners met online) were linked to higher levels of psychosomatic complaints and more problematic social media use. Additionally, lower peer support was associated with increased psychosomatic complaints, while greater intensity of online interaction with "offline contacts" (e.g., close friends, parents) was related to more problematic social media use. The person-centered analysis identified five profiles of adolescents: (1) "Multiply supported online users" (56%), (2) "Primarily (family-peer) supported high online users" (22%), (3) "Non-supported online users" (13%), (4) "Primarily non-supported online users" (5%), and (5) "Non-supported high online users" (4%). Adolescents reporting higher support from multiple sources and moderate online interaction with offline contacts experienced the lowest levels of psychosomatic complaints and the least problematic social media use, while the other profiles exhibited more complex and less optimal psychosocial well-being. In conclusion, these findings suggest that adolescents benefit most from robust social support offline across multiple social networks, but strong support from certain sources (teachers, classmates) can somewhat mitigate the adverse effects of low support from other sources (family, peers). The relationship between online interaction and psychosocial well-being is contingent on the level of social support.

Project description:BackgroundNumerous studies describe the popularity and usefulness of parenting programs. In particular, parenting programs are generally viewed as effective for supporting parents' mental well-being during key transition periods. However, the evidence base for fathers is limited owing to their lack of involvement in parenting programs and scarcity of tailored support.ObjectiveThis paper aimed to describe the co-design process for a universal digital intervention for fathers (fatherli) and the outline of a logic model with its expected outcomes.MethodsFollowing established guidelines for co-designing and developing complex interventions, we conducted a nonsystematic review of the available literature to gather key information, developed market surveys to assess fathers' needs and interests, consulted with key stakeholders to obtain expert opinions, and engaged in a rapid iterative prototyping process with app developers. Each step was summarized, and the information was collated and integrated to inform a logic model and the features of the resulting intervention.ResultsThe steps in the co-design process confirmed a need for and interest in a digital intervention for fathers. In response to this finding, fatherli was developed, consisting of 5 key features: a discussion forum for anyone to post information about various topics (the forum), a socializing platform for fathers to create and engage with others in small groups about topics or points of shared interest (dad hub), a tool for fathers to find other fathers with shared interests or within the same geographic location (dad finder), a resource for fathers to access up-to-date information about topics that interest them (dad wiki), and a portal to book sessions with coaches who specialize in different topics (dad coaching space). The evidence-based logic model proposes that if fatherli is successfully implemented, important outcomes such as increased parental efficacy and mental health help-seeking behaviors may be observed.ConclusionsWe documented the co-design and development process of fatherli, which confirmed that it is possible to use input from end users and experts, integrated with theory and research evidence, to create suitable digital well-being interventions for fathers. In general, the key findings suggest that an app that facilitates connection, communication, and psychoeducation may appeal to fathers. Further studies will now focus on acceptability, feasibility, and effectiveness. Feedback gathered during pilot-testing will inform any further developments in the app to increase its applicability to fathers and its usability.

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Dataset Information

Are we too far from being client centered?

Background

Objective

Method

Results

Conclusion

Publications

Are we too far from being client centered?

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