Assessment of the Quality of Health Care Rendered to Children Under- Five with Malaria at the Princess Marie Louis Hospital, Accra
Background: In Ghana, there have been gradual declines in malaria mortality over the years, with the
institutional case fatality rate among children under five falling from 14.1% in 2000 to 0.6% in 2012 and recently 0.5% in 2015. it is contended that the amount of resources committed to malaria prevention and case management is higher than the gains made. This has raised concerns about the quality of Intervention delivered to patients with or at risk of malaria While there is increasing policy and research interest in this field, there is little attention paid to the quality of care for under-five children suffering from malaria. This study. thus, assesses the quality of care delivered to children under five with malaria at the Princess Marie Louis hospital.
Methodology: A quantitative approach using cross-sectional survey design was used to examine the
quality of care delivered to children under five diagnosed with malaria A computer generated random sample of 74 staff and 301 parents of children under five who were treated for malaria at the hospital were recruited for the study. The data was statistically analysed with using the Statistical Package for Social Sciences (SPSS) software version 20. Descriptive summary statistics was complemented with regression analysis preceded by Pearson's correlation analyses to draw inferences.
Results: The study showed that overall, inputs availability for standard malaria case management was as high as 81.1% and highest in the area of general inputs such as staff, triaging and basic equipment including weighing scales and thermometers (88.8%) whilst anti-malaria medications was the least available (66.6%.). Also, staff compliance with the Ghana Health Service standard protocols for malaria case management was quite high (89.4%) but less than previously reported rate of 90.8%. Parental caretaker satisfaction (as proxy for patient satisfaction) was also moderate (66.1%) and lower than national average. Finally, technical quality indicators had no significant influence on patient satisfaction as pustulated in quality of care models.
Conclusion: Staff adherence to standard treatment malaria case management protocols is high but
appears to be declining when compared with other studies. Also, anti-malarial availability is much lower than the 98% availability of essential drugs in public health institutions as estimated by the Ghana health service. Addressing these would improve technical quality of care; they may not necessarily impact positively on subjective quality which was moderate and below reported national average. In-depth exploration for innovative and customer-oriented approaches is recommended to boost patient satisfaction.
Quality of Health Care; Children Under- Five; Princess Marie Louis Hospital; Malaria; Ghana; Accra
University of Ghana
Type of publication
Accra - University of Ghana
Added to C-A: 2022-07-14;07:18:51
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