ABSTRACT
Background: Medical termination of pregnancy is defined as “willful termination of pregnancy before the age of viability of the foetus. The objective was to study the socio-demographic & obstetric profile and the reasons for procuring an abortion & choice of health care provider. Methods: A Cross-sectional study was done in urban slum in Jamnagar municipal corporation area by using 30 clusters sampling technique. Every women in the reproductive age group (15-49 years) was included in the study till the sample size of 15 was completed in each cluster and thus total 450 women were interviewed. 48 women out of the total of 450 ever married women in the reproductive age group who had ever undergone induced abortion were studied in detail Results: In the present study out of 450 eligible women, 48 (10.67%) had undergone an induced abortion and once only. 72.91% (35/48) of the women belonged to the age group 25-34 years and 89.59% (43/48) of the women were Hindus. Almost half of the total women (45.83%) had primary education, higher proportion of women were housewife 77.09% (37/48). According to Modified Prasad’s classification, 54.17 % of women belonged to lower social class (IV and V). One third (33.33%) of the women who underwent MTP had 1 living child. Majority 79.16% of the women preferred government hospital and in 45.83% cases both husband and wife acted as decision maker for MTP. Most common reason given for terminating the pregnancy was “birth spacing”. (52.09%) Other reasons given were, “family completed” (22.91%), “medical” (14.58%) & social (4.17%). Majority of the women (70.83%) accepted post abortion contraception. Conclusion: There is need to counsel women of reproductive age group that MTP is not a way to control unwanted birth and it is not free from risk. They should be motivated for various methods of contraception.
ABSTRACT
Background: Patient satisfaction is deemed to be one of the important factors which determine the success of health care facility. The real challenge is not getting ready with mere requirements, but also delivers services ensuring good quality. Thus, there is a need to assess the health care systems regarding patient satisfaction as often as possible. Aims & Objective: To measure the patients’ satisfaction towards health care services. Material and Methods: A randomly selected 100 patients were interviewed by using pre-structured questionnaires at the end of their O.P.D. visits for 5 days from 16th- 20th January, 2012 at Civil Hospital, Surendranagar. While analysing, they were grouped into categories like availability of services, clinical care, waiting time and cost. Results: The overall opinion about the efficiency of hospital was satisfactory in 92% of patients. 68% respondents said that the time of coming to hospital and consulted by doctor was too long. Although in 75% of patients the time devoted by doctor was only between 0-5 min., the communication and explanation of disease by doctors were found satisfactory in 80% and 91% respectively. The need of investigations was necessary as per 90% of patients. Time required to locate and get medicines from pharmacy was satisfactory in nearby all patients. Conclusion: According to patient’s opinion, the study revealed that the degree of satisfaction was mild to moderate with respect to waiting time and availability of specialist in the hospital, which need to be further explored and corrected.