Quality health care delivery at health facilities in the Ministry of Health and social services in Namibia

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Date
2017
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Abstract
A quantitative and descriptive study was used to determine quality health care delivery at health facilities in the Ministry of Health and Social Services in Namibia (MoHSS). The purpose of the study was to identify the challenges within the health facilities as basis for development of quality improvement training programme for health professionals. A checklist was administered to determine the present situation of quality health care / service delivery at health care facilities. The target population were the managers in leadership positions, such as deputy permanent secretary, undersecretary, directors, pharmacist, medical superintends, principle medical officers, medical officers, health programme officers, matrons, senior officers and others. A total of twenty-one (n = 21) participants were purposively selected, which comprised managers in leadership (n=6) from the MoHSS head office and regional health directorates (regional management teams). (n=15) from the health facilities, Apart from the demographic data, participants were given opportunity to rate quality health care delivery on Likert’s scale with scores ranged from strongly disagree; disagree, agree and do not know on the following variables, such as policies and guidelines; leadership; human, physical, material and financial resources; patient safety, information as well as monitoring and evaluation. The Statistic Package for Social Sciences (SPSS) software was used for data analysis. Data were presented in percentages, figures and tabular formats. To ensure reliability, items in the checklist were tested using the Cronbach alpha coefficient for multiple items measured on the Likert’s scale. It was indicated that the items from one to forty (1-40) provided a value of 0.95 while the rest of items (measures) was 0.88. For validity, content, criterion and construct were used. The findings of this objective revealed some ambiguities in the availability of policies and guidelines, leadership to facilitate care delivery, health system infrastructure, patient safety, as well as research and information to facilitate quality health delivery.
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Keywords
Quality health care, Delivery and health facilities
Citation
Amukugo, H.J., & Nangombe, J.P. (2017). Quality health care delivery at health facilities in the Ministry of Health and social services in Namibia. Nursing & Care Open Access Journal, 2(1), 1-14.