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Development of guidelines to improve the quality of the choice on termination of pregnancy services in public health facilities in the Tshwane district in Gauteng province
The development of guidelines to improve the quality of CTOP services in public health facilities remains very important in ensuring the continuous provision of quality CTOP services. The assessment of the quality of CTOP services in public health facilities has been seriously neglected. The obje...
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| Format: | Thesis |
| Language: | English |
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University of Pretoria
2018
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| _version_ | 1867613459799080960 |
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| access_status_str | Open Access |
| author2 | Mulaudzi, Fhumulani Mavis |
| author_browse | Mulaudzi, Fhumulani Mavis |
| author_facet | Mulaudzi, Fhumulani Mavis |
| collection | Thesis |
| dc_rights_str_mv | © 2018 University of Pretoria. All rights reserved. The copyright in this work vests in the University of Pretoria. No part of this work may be reproduced or transmitted in any form or by any means, without the prior written permission of the University of Pretoria. |
| description | The development of guidelines to improve the quality of CTOP services in public health
facilities remains very important in ensuring the continuous provision of quality CTOP
services. The assessment of the quality of CTOP services in public health facilities has
been seriously neglected. The objectives of the study were to assess, determine and
evaluate the quality of CTOP services in public health facilities using the Donabedian
model of quality care. The purpose of the study was to develop guidelines to improve
the quality of CTOP services in public health facilities.
A quantitative, non-experimental, cross-sectional survey research design was used to
achieve the objectives of the study. The study was conducted in two phases. During the
first phase, the objectives of the study were to assess, determine and evaluate the
quality of CTOP services in public health facilities using the Donabedian model of
quality care. Quantitative data was collected from 104 participants comprising of facility
and quality managers, registered professional nurses and midwives and the post-CTOP
clients from the eight public health facilities involved in the study. Questionnaires were
used to collect data. The findings confirmed the challenges experienced by healthcare
professionals and clients in the CTOP clinics. The study revealed the inadequate
infrastructural challenges, lack of ablution facilities, lack of rest rooms for clients post
termination of pregnancy, lack of privacy, overcrowding of clients, clients not honoring
follow up dates, lack of proper referral routes and repeat CTOP requests. In the second phase, guidelines to improve the quality of CTOP services in public health
facilities were developed based on the findings of phase one. Modified Delphi technique
method was used to develop and refine the guidelines to improve the quality of CTOP
services in public health facilities. Three rounds were used to finalize the guidelines by a
panel of six experts involved in CTOP and reproductive health services. Further
research using other models of quality care is recommended. |
| format | Thesis |
| id | oai:repository.up.ac.za:2263/67848 |
| institution | University of Pretoria (South Africa) |
| language | English |
| last_indexed | 2026-06-10T12:36:29.578Z |
| license_str | Other — see source repository |
| provenance_str_mv | Harvested via OAI-PMH from UPSpace — University of Pretoria Institutional Repository |
| publishDate | 2018 |
| publishDateRange | 2018 |
| publishDateSort | 2018 |
| publisher | University of Pretoria |
| publisherStr | University of Pretoria |
| record_format | dspace |
| source_str | UPSpace — University of Pretoria Institutional Repository |
| spelling | oai:repository.up.ac.za:2263/67848 Development of guidelines to improve the quality of the choice on termination of pregnancy services in public health facilities in the Tshwane district in Gauteng province Mulaudzi, Fhumulani Mavis lillianj.nkosi@gmail.com Peu, Mmapheko Doriccah Nkosi, Lillian Jabu Unrestricted UCTD Public health facilities CTOP Guidelines SDG-03: Good health and well-being The development of guidelines to improve the quality of CTOP services in public health facilities remains very important in ensuring the continuous provision of quality CTOP services. The assessment of the quality of CTOP services in public health facilities has been seriously neglected. The objectives of the study were to assess, determine and evaluate the quality of CTOP services in public health facilities using the Donabedian model of quality care. The purpose of the study was to develop guidelines to improve the quality of CTOP services in public health facilities. A quantitative, non-experimental, cross-sectional survey research design was used to achieve the objectives of the study. The study was conducted in two phases. During the first phase, the objectives of the study were to assess, determine and evaluate the quality of CTOP services in public health facilities using the Donabedian model of quality care. Quantitative data was collected from 104 participants comprising of facility and quality managers, registered professional nurses and midwives and the post-CTOP clients from the eight public health facilities involved in the study. Questionnaires were used to collect data. The findings confirmed the challenges experienced by healthcare professionals and clients in the CTOP clinics. The study revealed the inadequate infrastructural challenges, lack of ablution facilities, lack of rest rooms for clients post termination of pregnancy, lack of privacy, overcrowding of clients, clients not honoring follow up dates, lack of proper referral routes and repeat CTOP requests. In the second phase, guidelines to improve the quality of CTOP services in public health facilities were developed based on the findings of phase one. Modified Delphi technique method was used to develop and refine the guidelines to improve the quality of CTOP services in public health facilities. Three rounds were used to finalize the guidelines by a panel of six experts involved in CTOP and reproductive health services. Further research using other models of quality care is recommended. em2026 Nursing Science PhD Unrestricted SDG-03: Good health and well-being 2018-12-05T08:05:31Z 2018-12-05T08:05:31Z 2009/08/18 2018 Thesis Nkosi, LJ 2018, Development of guidelines to improve the quality of the choice on termination of pregnancy services in public health facilities in the Tshwane district in Gauteng province, PhD Thesis, University of Pretoria, Pretoria, viewed yymmdd <http://hdl.handle.net/2263/67848> S2018 http://hdl.handle.net/2263/67848 en © 2018 University of Pretoria. All rights reserved. The copyright in this work vests in the University of Pretoria. No part of this work may be reproduced or transmitted in any form or by any means, without the prior written permission of the University of Pretoria. application/pdf University of Pretoria |
| spellingShingle | Unrestricted UCTD Public health facilities CTOP Guidelines SDG-03: Good health and well-being Development of guidelines to improve the quality of the choice on termination of pregnancy services in public health facilities in the Tshwane district in Gauteng province |
| title | Development of guidelines to improve the quality of the choice on termination of pregnancy services in public health facilities in the Tshwane district in Gauteng province |
| title_full | Development of guidelines to improve the quality of the choice on termination of pregnancy services in public health facilities in the Tshwane district in Gauteng province |
| title_fullStr | Development of guidelines to improve the quality of the choice on termination of pregnancy services in public health facilities in the Tshwane district in Gauteng province |
| title_full_unstemmed | Development of guidelines to improve the quality of the choice on termination of pregnancy services in public health facilities in the Tshwane district in Gauteng province |
| title_short | Development of guidelines to improve the quality of the choice on termination of pregnancy services in public health facilities in the Tshwane district in Gauteng province |
| title_sort | development of guidelines to improve the quality of the choice on termination of pregnancy services in public health facilities in the tshwane district in gauteng province |
| topic | Unrestricted UCTD Public health facilities CTOP Guidelines SDG-03: Good health and well-being |
| url | http://hdl.handle.net/2263/67848 |