Maternity service quality is essential to reduce maternal and new-born morbidity and mortality (extremely high in Africa, including Mozambique). In Mozambique, maternal mortality rate is 451.6 maternal deaths per 100000 live births (2017). The reasons for this are complex, but one important factor to reduce this burden is ensuring the quality of maternity services, with the availability of efficient care, to improve institutional deliveries. To contribute to reduce maternal and new-born mortality rates in Natikiri, Nampula, the Lúrio University and the University of Saskatchewan, carried out an implementation research, including training activities for health professionals in maternal and child health care. We planned a mid-project evaluation, to assess the impact of the trainings, on the quality of services at Marrere Hospital Maternity.
Quantitative pre-post study, applying two cross-sectional surveys about maternity service quality, one of the surveys being conducted after five health professionals’ trainings and the other after six more trainings. The two surveys included samples of post-partum women in the maternity, calculated with a 10% margin error and 90% confidence interval for the first survey, and with a 7% margin error and 95% confidence interval for the second. The surveys were entered into REDCap and analysed to assess frequency, percentage, mean and standard deviation. This research was approved by the Institutional Committees of Bioethics at Lúrio University and at the University of Saskatchewan.
116 post-partum women were surveyed at the maternity, assessing standards of patient centred care during delivery labour. Most areas showed no improvement. Some positive improvements were: delivering women were given the option to have a person of their choice to accompany them during labour (75%), notably a traditional birth attendant (34%), and they had continuous support from an health professional (68%). But many shortcomings persisted in areas of privacy (33%), and confidentiality (57%).
The quality of patient centred care at Marrere General Hospital Maternity, did not improve with health professionals training. Decreasing the large turnover rate, and reviewing health professionals learning styles, promoting continuous professional capacity building, would be the next steps to improve quality of patient centred care.
This study was not registered in any data base.