An assessment of the quality of delivery care in the Manhyia Kumasi Metropolitan District
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Date
2017-06
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KNUST
Abstract
Background
Maternal mortality contributes to about 20 million death per year despite the completing of
the Millennium Development Goals (MDGs) implementation. According to the World
Health Organization (WHO, 2014), every day, approximately 800 women die from
preventable causes related to pregnancy and childbirth. 99% of these maternal deaths occur
in developing regions particularly Africa and Asia. The Maternal Mortality Ratio (MMR)
of 380 per 100, 000 live births for Ghana is an improvement over the past 20 years but we
still could not reach the target of three quarters reduction by 2015. This study seeks to
investigate the quality of supervised delivery care in the Manhyia Kumasi Metropolitan
District of the Ashanti Region
Methodology
The study is a descriptive cross sectional study using simple convenient sampling. For the
purpose of the research a total of one fifty (150) respondents were interviewed. The
respondents comprised of 140 mothers who have babies aged 0-6 months who delivered
at Manhyia hospital and attending PNC and 10 health workers at the Manhyia labour ward
which included doctors, nurses, midwives, nursing students and midwifery students were
also interviewed after they consented to be part of the study.
Results
Mean ages of our respondents were between 15 – 35 years with majority of them having
secondary school education (45%). All the health workers (100%) in the labour ward
monitor labour with partograph but only 90% of the respondent knew partograph was
started in active phase of labour. 55% believe if initial assessment require referral there
was no need for partograph. 90% believe infection is not a problem in the facility, and all
sharp instruments were disposed using a sharp box. All the labour ward health workers
use clean running water for hand washing.
All labour ward health workers believe that minimal vaginal examination and the use of
chlorhexidine in HIV/ AIDS patients prevents infections, 90% objected to artificial
rupturing of membrane and 70% responded positively to the use of obstetric interventions
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in labour. 73.5% of the staffs welcomed the respondents with a smile whiles 93.9%
listened to their views, about 5.4% of the respondents were verbally abused by staffs with
96.6% sensitive to the plight of the patients. All the skilled staff present in the department
were available for work but 30.6% of the respondents believe they are inadequate for the
work.
The cord was cut after 1-3mins, most babies were dried after delivery and mothers were
encourage to breastfeed within 30 mins. 97.9% of clients were educated on breastfeeding,
83.2% established breast feeding within the first 30 minutes after birth under normal
circumstances.76% of the clients upon orientation from the medical staff implemented the
exclusive 6 months system.
Conclusion
This study has sought to assess the quality of delivery care in the Manhyia district
hospital, Kumasi metropolis. The general over view of the study showed an above
average quality of health care with respect to delivery care.
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