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Quality of Pediatric Healthcare Services and Associated Factors in Felege-Hiwot Comprehensive Specialized Hospital, North-West Ethiopia: Parental Perception

Authors Takele A, Adamu A, Debalkie D

Received 8 June 2020

Accepted for publication 18 August 2020

Published 18 September 2020 Volume 2020:14 Pages 1649—1658

DOI https://doi.org/10.2147/PPA.S264106

Checked for plagiarism Yes

Review by Single anonymous peer review

Peer reviewer comments 2

Editor who approved publication: Dr Johnny Chen


Ayenew Takele Alemu, Ayinengida Adamu Walle, Desta Debalkie Atnafu

Department of Health System Management and Health Economics, School of Public Health, Bahir Dar University, Bahir Dar, Ethiopia

Correspondence: Desta Debalkie Atnafu Email destad2a@gmail.com

Background: Poor quality of pediatric healthcare services at health facilities is a major contributing factor to child morbidity and mortality in low- and middle-income countries, including Ethiopia, and it brings parental dissatisfaction. Eliciting parents’ perception is an important method used to assess functionality or quality of pediatric healthcare services. Thus, the objective of this study was to assess the perceived quality of pediatric healthcare services and to identify factors for it in Felege-Hiwot Comprehensive Specialized Hospital, Northwest Ethiopia.
Methods: A facility-based cross-sectional study was conducted among parents of childhood patients from September 15, 2019 to October 15, 2019; 407 participants were recruited. Stratified random sampling was used to select respondents and data were collected using face-to-face interviews. Frequencies, percentages, and means with standard deviations were used to describe profiles of respondents. Both bi-variable and multivariable logistic regressions were used to model the odds of perceived quality of pediatric healthcare services.
Results: The proportion of perceived quality of pediatric healthcare services was 57.6% (95% CI:52.6– 62.3%). College and above parental education status (AOR=5.22, 95% CI:2.39– 11.38), urban residency (AOR=3.35, 95% CI:1.97– 5.72), outpatient services (AOR=2.52, 95% CI:1.35– 4.71), and surgical illnesses (AOR=2.18, 95% CI:1.28– 3.73) were independent determinants for increased parental lower perceived level of quality. The odd of parental lower perceived level of quality was 2.42-times greater in those parents who did not prefer the hospital for revisiting (AOR=2.42, 95% CI:1.36– 4.30).
Conclusion: Perceived quality of healthcare services in the hospital was low compared to the national plan which reflected that childhood patients did not receive optimal care. Educational status, place of residence, service delivering unit, illness type, and intention of hospital preference were independent determinants for parental perceived quality of pediatric healthcare service delivery. Continuous and periodic parental feedback should be considered in order to assess their satisfaction which in turn is an insight for quality improvement to be taken by the facility managers.

Keywords: perception, quality, pediatric service, Felege-Hiwot Hospital, Ethiopia

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