Effect of results-based financing on maternal health services: examining quality of care and patients’ satisfaction.

Andrew, Remmy

dc.creator	Andrew, Remmy
dc.date	2021-02-25T10:07:54Z
dc.date	2021-02-25T10:07:54Z
dc.date	2020
dc.date.accessioned	2022-10-20T14:03:23Z
dc.date.available	2022-10-20T14:03:23Z
dc.identifier	Andrew, A. (2020). Effect of results-based financing on maternal health services: examining quality of care and patients’ satisfaction (Master dissertation). The University of Dodoma, Dodoma.
dc.identifier	http://hdl.handle.net/20.500.12661/2813
dc.identifier.uri	http://hdl.handle.net/20.500.12661/2813
dc.description	Dissertation (MSc Public Health)
dc.description	In 2007 the World Bank launched Results-based financing (RBF) in order to improve the quality of health services. Since its introduction, RBF has gained much attention among countries with limited resources for health. Tanzania introduced RBF in 2015 to incentivize improved quality of services at participating health facilities. Through RBF, health facilities are expected to be having improved availability of essential health commodities for maternal health care and clients satisfied with the services provision, which predetermine the quality of care. This study was conducted to determine the effects of RBF on quality of maternal health services and level of patients’ satisfaction between RBF and non RBF regions in Tanzania. A quasi-experimental study was conducted in Shinyanga and Singida regions of Tanzania from July 2020 to August 2020. Structured questionnaire were administered to 260 women who were receiving obstetric services from 37 health facilities. The facilities were also assessed for provision of quality of maternal health services. Chi square tests and independent t tests were used to analyze data in SPSS. The 13 hospitals and health centers which were on RBF program (Mean = 71.6±4.23) compared to 11 hospitals and health centers which were not in RBF program (Mean = 45.96±3.11) demonstrated significantly (p<0.05) higher quality assessment scores, t (258) = 7.470, p = 0.001 at 95% CI. There was no significant (p>0.05) relation between region of respondent and satisfaction on clinical maternal services, χ2 = 1.057, p-value = 0.304. Quality of maternal health services in RBF region was significantly higher than in non RBF region. Also patients from RBF region had significantly higher satisfaction rate to non-clinical services than patients from non RBF region. However, there was no significant difference in satisfaction to clinical services between two regions.
dc.language	en
dc.publisher	The University of Dodoma
dc.subject	Maternal health services
dc.subject	Maternal health
dc.subject	Patients’ satisfaction
dc.subject	Maternal care
dc.subject	Health services
dc.subject	Maternal health care
dc.subject	Health facilities
dc.subject	Health care
dc.subject	Child mortality
dc.subject	Health care providers
dc.subject	Child health services
dc.subject	Kangaroo mother care
dc.subject	Maternal deaths
dc.subject	Perinatal deaths
dc.title	Effect of results-based financing on maternal health services: examining quality of care and patients’ satisfaction.
dc.type	Dissertation