Quality of Pediatric Healthcare Services and Associated Factors in Felege-Hiwot Comprehensive Specialized Hospital, North-West Ethiopia: Parental Perception

Figures & data

Figure 1 Schematic diagram of sample size allocation into service delivering units of pediatrics department, FHCSH, 2019.

Table 1 Socio-Demographic Characteristics of Respondents Involved in Perceived Quality Assessment of Pediatric Healthcare Services at FHCSH, September 2019 (n=401)

Characteristics		Frequency (n)	%
Gender	Male	155	38.7
	Female	246	61.3
Age (in years)	Mean	33.76±8.69
Relationship to child	Mother	228	56.9
	Father	152	37.9
	Others*	21	5.2
Educational status	No formal education	129	32.2
	1–6 Grade	77	19.2
	Primary completed	56	14.0
	Secondary completed	60	15.0
	College/university graduated	79	19.7
Occupation	Farmer	164	40.9
	Housewife	81	20.2
	Merchant	56	14.0
	Employee	75	18.7
	Laborer	25	6.2
Marital status	Single	27	6.7
	Married	353	88.0
	Divorced	12	3.0
	Widowed	9	2.2
Religion	Orthodox Christian	367	91.5
	Muslim	31	7.7
	Protestant	3	0.7
Place of residence	Rural	212	52.9
	Urban	189	47.1

Note: Others* for relationship include: brother/sister, grandmother/grandfather, legal adopters, guardians, etc.

Table 2 Patient-Related Characteristics During Perceived Quality Assessment of Pediatric Healthcare Services at FHCSH, September 2019 (n=401)

Characteristics		Frequency (n)	%
Gender	Male	208	51.9
	Female	193	48.1
Service receiving unit	Outpatient (OPD)	168	41.9
	Emergency (OPD)	93	23.2
	Neonatal (NICU)	92	22.9
	Inpatient (IPD)	48	12.0
Contact history of hospital	Yes	196	48.9
	No	205	51.1
Frequency of hospital visit	Once	205	51.1
	Twice	109	27.2
	Three times or more	87	21.7
Diseases type	Medical	260	64.8
	Surgical	73	18.2
	Orthopedics & related	33	8.3
	Mental & related	35	8.7
Payment status	Free	269	67.1
	Paying	132	32.9

Table 3 Subscale and Overall Level of Perceived Quality in Pediatrics Healthcare Service at FHCSH, September 2019 (n=401)

Components	No. of Items	Mean Likert Scale	Total Score Range	Total Mean Score	Cut-Off Point	Quality Level, n (%)
						High Q	Low Q
Tangibility	8	2.77	8–40	22.16	24	134 (33.4)	267 (66.6)
Empathy	7	3.23	7–35	22.58	21	247 (61.6)	154 (38.4)
Efficiency	7	3.05	7–35	21.34	21	199 (49.6)	202 (50.4)
Safety	8	3.23	8–40	25.83	24	255 (63.6)	146 (36.4)
Overall PQ	30	3.06	30–150	91.91	90	230 (57.6)	171 (42.4)

Table 4 Multivariable Binary Logistic Regression Analysis for Factors Associated with Parental Lower Perception of Quality in Pediatrics Healthcare Services in FHCSH, September 2019

Characteristics	Perceived Quality		OR (95% CI)		P-value
	Low	High	COR	AOR
Educational Status
No formal education	28	101	1
1–6 Grade	28	49	2.06 (1.10–3.85)	1.53 (0.78–2.99)	0.22
Primary Completed	21	35	2.16 (1.09–4.30)	1.37 (0.63–2.95)	0.42
Secondary Completed	35	25	5.05 (2.60–9.80)	3.27 (1.52–7.04)	0.003**
College/University	58	21	9.96 (5.19–19.10)	5.22 (2.39–11.38)	<0.001***
Place of residence
Urban	117	72	4.87 (3.18–7.48)	3.35 (1.97–5.72)	<0.001***
Rural	53	159	1
Service Units
OPD	80	88	1.91 (1.12–3.50)	2.52 (1.35–4.71)	0.004**
ETAT	44	48	1.92 (1.06–3.24)	2.33 (1.15–4.74)	0.019*
IPD	16	32	1.60 (0.67–3.79)	1.75 (0.74–4.14)	0.29
NICU	30	63	1
Diseases category
Surgical & related	56	50	1.78 (1.14–2.78)	2.18 (1.28–3.73)	0.004**
Medical & related	114	181	1
Preference to revisit
No	58	32	3.22 (1.97–5.26)	2.42 (1.36–4.30)	0.003**
Yes	112	199	1
Payment status
Free	130	139	2.15 (1.38–3.35)	1.37 (0.76–2.47)	0.30
Paying	40	92	1

Notes: *Statistically significant at P-value≤0.05; **Significant at P-value≤0.01; ***Significant at P-value≤0.001.