A Study on the Quality of Care Assessment of Hiv/Aids Patients : Current School News

A Study on the Quality of Care Assessment of Hiv/Aids Patients in Gwamna Awan General Hospital, Kakuri Kaduna State

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A Study on the Quality of Care Assessment of Hiv/Aids Patients in Gwamna Awan General Hospital, Kakuri Kaduna State.

ABSTRACT

The study was carried out at Mallam (Dr) Gwamna Awan General Hospital Kakuri, Kaduna with the aim of improving the quality of services rendered to HIV/AIDS patient and to determine the factors affecting utilization and patient satisfaction with available services.

Assessment of quality from the perspective of healthcare provider and managers, and thus, the study was conducted from 25th April – 27th May 2011.

The study was a cross-sectional descriptive study that looked at the structural dimension of quality care, providers, managers and client dimensions of quality of HIV/AIDS services.

A checklist adapted from the minimum requirements for a primary health centre developed by the National Primary Healthcare Development Agency was used in assessing the health resources available for HIV/AIDS health services in Gwamna Awan General Hospital Kakuri, Kaduna. All the providers present were included in the study to heir their view on various perspective of care.

In addition, a total of 402 client selected by stratified sampling with proportionate allocation were interviewed using a questionnaire.

The results from the study showed 78.03% of client interviewed rated the quality of care good, 61.69% of respondents rated the availability of facilities.

TABLE OF CONTENTS

Title – – – – – – – – – – i
Dedication – – – – – – – – – – ii
Declaration – – – – – – – – – – iii
Certification – – – – – – – – – – iv
Acknowledgment – – – – – – – – – v
Abstract – – – – – – – – – – vi
Table of Contents – – – – – – – – – vii
List of Tables – – – – – – – – – – viii
List of Figures – – – – – – – – – – ix

Chapter One

1.0 Introduction – – – – – – – – – 1
1.1 Justification – – – – – – – – – 4
1.2 Problem of statement – – – – – – – – 5
1.3 General Aims – – – – – – – – 7
1.4 Specific Objective – – – – – – – – 7
1.5 Scope of the study – – – – – – – – 7

Chapter Two

2.1 Literature review – – – – – – – – 10
2.11 Evolution of quality assurance in health care industry – – – 10
2.3 Perspective of quality of care – – – – – – – 12
2.13 Quality dimensions – – – – – – – – 16
2.131 Quality assurance – – – – – – – – 16
2.132 Quality control – – – – – – – – 17
2.133 Total quality management (TQM) – – – – – – 17
2.14 Tools for measuring quality of HIV/AIDS care – – – – 17
2.141 The quote document – – – – – – – – 18
2.2.3 Availability of equipment, drugs and supplies – – – – 27

Chapter Three

3.1 Background to the study area – – – – – – – 30
3.2 Sampling techniques – – – – – – – – 33
3.3 Sampling size determination – – – – – – – 33
3.4 Methods of data collection – – – – – – – 34
3.5 Data analysis – – – – – – – – – 36
3.6 Ethical issues – – – – – – – – – 37

Chapter Four

4.1 Quality of care in the perspective of the client – – – – 38
4.2 Distribution of socio-demographic date of participant – – – 39

Chapter Five

5.1 Discussion – – – – – – – – – 61
5.2 Quality of care in the perspective of the client – – – – 61
5.3 In the perspective of the OPD staff – – – – – – 63
5.4 In the perspective of the Health Manager – – – – – 64
5.5 Comparing the quality of care in perspective of the clients, and the health
manager and the health care provider- – – – – – 66

Chapter Six

6.1 Conclusions and recommendations – – – – – – 68
6.2 Conclusions – – – – – – – – – 68
References – – – – – – – – – – 71
Appendix – – – – – – – – – – 75

INTRODUCTION

Quality means different things to different people. English dictionaries have defined quality differently ranging from valued commodity, conforming to specifications, doing right things at the right time etc.1 Quality of care is defined as the ability of the health care to meet the needs of the users and service provides in an equitable and acceptable manner at affordable cost all the time, within the resources available and in line with the existing policies.

It is of immense interest to note that quality can be improved without necessarily injecting additional human or material resources. A high quality of care is essential to improve utilization of healthcare service in order to reduce the prevalence of diseases and health problems in the society, especially that today clients are more aware of their rights, quality and cost of care.

The provision of care depends on the availability of users/clients. Without patronage, services will be useless even if provided free. Consequently, satisfaction is of paramount importance. The provision of service is highly associated with the provider and the material resources available to him.

In short, to provide quality service requires: Financial resources, which is a fundamental requirement; adequate human resources including their knowledge skill and competence and reasonable staff attitude, adequate material resources like essential drugs, laboratory services and equipment. These are the essential ingredients of quality of care, which guarantee client satisfaction.

Achievement of quality of care is simply by translating the various processes into desirable outcomes. In other words, it is the process of transformation of client wants, needs and expectation within an organization which the patient derives satisfaction.5 In most developing countries, quality of health care has become a very important issue. Patients demanded to be informed, they have started to ask questions and begun to challenge the information given to

 

them by the health care provider’s. The health care system is publicly criticized and challenged. Health care costs are increasing too rapidly. For these, reasons productivity and quality are major problems and have become the focus of attention.

Under the prevailing condition of ever increasing health care cost, and reduction rate of economic growth, hospitals as the main spenders within the health system are in the limelight.

REFERENCES

New Oxford Dictionary, 8th ed, pp

Haran D. Getting to trip with quality in Jigawa, 1st quarter report 2004, 4

Haran D. Getting to trip with quality in Jigawa, 1st quarter report 2004, 7

Huezo C. and Diaz S. (1993): Quality of care in family planning: client rights and providers needs a duances in contraception a (13-134)

US Government Guideline on Total Quality Management for Senior Managers and Policy – Makers (1997)

Albin (2000) Quality definition by different groups. Hospital  management international. P-83-85

Aguilar M. C. (1994) measuring the performance of hospitals and health centers. WHO/SHS/DHS 94.2

Alan R. N. (1985); Measuring performance and improving quality, Hospital Management International 81-82

Bruce S and Frederick M. H. (1997) AIDS Clinical Care P-14-17

Bello U. (1994) effect of inadequate funding of the health sector on health

Epidermiological fact sheet Nigeria, update 2004. Geneva: UNAIDS 2004

UNAIDS/WHO. Report on the global HIV/AIDS epidemic 2008. Geneva

The Population Council, Inc. 2007. The experience of married adolescent girls in Northern Nigeria:

Leatherman S. and Mc Carthy D.(2002): Improving quality of health care services. P-33- 43

park, kumar, text book of preventive and social medicine, 18thed. History of medicine 23

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