Where do delays occur when women receive antenatal care? A client flow multi-site study in four health facilities in Nigeria

Ghana Medical Journal
Friday E OkonofuaHadiza S Galadanci

Abstract

The objective of the study was to identify where delays occur when women present for antenatal care in four Nigerian referral hospitals, and to make recommendations on ways to reduce delays in the course of provision of antenatal care in the hospitals. Prospective observational study. Four Nigerian (1 tertiary and 3 secondary) Hospitals. Women who presented for antenatal care. A process mapping. The National Health Service (NHS) Institute Quality and Service Improvement Tool was used for the assessment. The time women spent in waiting and receiving antenatal care in various departments of the hospitals. Waiting and total times spent varied significantly within and between the hospitals surveyed. Mean waiting and total times spent were longest in the outpatients' departments and shortest in the Pharmacy Departments. Total time spent was an average of 237.6 minutes. χ2= 21.074; p= 0.0001. There was substantial delay in time spent to receive care by women seeking routine antenatal health services in the four secondary and tertiary care hospitals. We recommend managers in health facilities include the reduction of waiting times in the strategic plans for improving the quality of antenatal care in the hospitals. This should include ...Continue Reading

Citations

May 20, 2021·Health SA = SA Gesondheid·Justine C Baron, Doreen Kaura

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