SEARCHCROSS-SECTIONALpediatrics, public health

cross-sectional·pediatrics, public health, nutrition, epidemiology, family medicine·PMC10169666

Perceived quality of care for severe acute malnutrition management among caregivers of under-five children with severe acute malnutrition in Addis Ababa, Ethiopia, 2022: a mixed-method study

Frontiers in Public Health · 3 authors, 2 centres

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TL;DR

A convergent mixed-method study of 181 caregivers and 15 healthcare providers in Addis Ababa public health facilities found that overall perceived quality of care for severe acute malnutrition management was 55.80%, indicating low perceived quality. Urban residence, higher education, government employment, readmission, and hospital stays longer than 7 days were significantly associated with perceived low-quality care.

Full summary

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This institution-based convergent mixed-method study assessed perceived quality of care for SAM management among 181 caregivers and 15 healthcare providers in public health facilities in Addis Ababa, Ethiopia. Quantitative data were analyzed using logistic regression, while thematic analysis was applied to qualitative data. The overall perceived quality of care was 55.80% (CI: 48.5–63.10). Among quality dimensions, empathy had the lowest level at 25.41% and safety had the highest at 70.17%. Significantly associated factors with perceived low-quality care included urban residence (AOR = 0.32), college and above education (AOR = 4.42), government employment (AOR = 2.72), readmission (AOR = 0.47), and hospital stays exceeding 7 days (AOR = 2.1). Qualitative findings revealed that lack of support from higher management, inadequate supplements, absence of separate units and laboratory facilities, and staff shortages impeded quality care. The study acknowledges limitations including smaller sample size, inability to fully measure provider competencies, and insufficient attention to technical parameters of care delivery.

STUDY TYPE

cross-sectional

SPECIALTY

pediatrics

SUMMARISED BY

AI pipeline

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100% · A

ORIGINAL PAPER

PMC10169666

Perceived quality of care for severe acute malnutrition management among caregivers of under-five children with severe acute malnutrition in Addis Ababa, Ethiopia, 2022: a mixed-method study

Frontiers in Public Health

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ABSTRACT

Introduction All the factors at the institutional, provider, and client levels have an impact on the quality of care. In low- and middle-income countries, poor quality of severe acute malnutrition (SAM) management at health institutions is a major contributor to child morbidity and mortality. This study aimed to determine the perceived quality of care for SAM management among caregivers of under-five children. Methods This study was conducted in public health facilities that provide inpatient SAM management in Addis Ababa, Ethiopia. An institution-based convergent mixed-method study design was implemented. Quantitative data were analyzed by using a logistic regression model, while thematic analysis was used to analyze the qualitative data. Results A total of 181 caregivers and 15 healthcare providers were recruited. The overall perceived quality of care for SAM management was 55.80% (CI: 48.5–63.10). Urban residence (AOR = 0.32, 95% CI: 0.16–0.66), college and above level education (AOR = 4.42, 95% CI: 1.41–13.86), working as a government employee (AOR = 2.72, 95% CI: 1.05–7.05), readmitted to the hospital (AOR = 0.47, 95% CI: 0.23–0.94), and length of hospital stays >7 days (AOR = 2.1, 95% CI: 1.01–4.27) were found to be significantly associated factors with perceived low-quality care for SAM management. Additionally, lack of support and attention from higher levels of management, and lack of supplements, separate units, and laboratory facilities were among the factors that impede the provision of quality care. Discussion Perceived quality of SAM management services was low against the national goal of quality improvement to meet the expectations of both internal and external clients. Rural residents, those with more educational qualifications, government employees, newly admitted patients, and patients who stayed longer in hospitals were the most unsatisfied groups. Improving support and logistic supply to health facilities, providing client-centered care, and responding to caregivers' demands may help to improve quality and satisfaction.

CITATION EXPORT

Bulcha Guye Adema, Niguse Tadele Atnafu, Feven Mulugeta Ashagre. Perceived quality of care for severe acute malnutrition management among caregivers of under-five children with severe acute malnutrition in Addis Ababa, Ethiopia, 2022: a mixed-method study. Frontiers in Public Health. (2023). https://doi.org/10.3389/fpubh.2023.1089323

AUTHORS

3 · 2 CENTRES

Bulcha Guye Adema, Niguse Tadele Atnafu, Feven Mulugeta Ashagre

1Department of Pediatrics and Child Health Nursing, School of Nursing, College of Health Sciences, Wolaita Sodo University, Sodo, Ethiopia
2Departments of Nursing, School of Nursing and Midwifery, College of Health Sciences, Addis Ababa University, Addis Ababa, Ethiopia