Assessing the Availability of Water, Sanitation and Hygiene (Wash) Services and Patient Satisfaction in Health Facilities in Ga West Municipality of Greater Accra Region
Loading...
Date
2020-11
Authors
Journal Title
Journal ISSN
Volume Title
Publisher
University of Ghana
Abstract
Introduction: There is a paucity of research on the level of patient satisfaction with water, sanitation and hygiene (WASH) services in Ghanaian health facilities.
Objectives: This study aimed to assess WASH facilities in selected health facilities in the Ga West Municipality of the Greater Accra region and to ascertain patient satisfaction with these services.
Methods: An analytical cross-sectional design was used to collect data from patients aged 18 years and above accessing healthcare in 8 selected health facilities in the Ga West Municipal of the Greater Accra Region. The 428 patients were selected via consecutive sampling from all selected facilities simultaneously to meet the facility-specific sample sizes. Administrators in each of the surveyed health facilities also provided general information about the facility. A checklist was used to assess the WASH services in the selected health facilities. Data was managed and analyzed using STATA version 16 using mean gap sore between patients expectation and what they perceived to measure patients satisfaction. Multiple logistic regression was used to determine factors associated with patients’ satisfaction.
Results: The level of WASH services in health facilities in the municipality vary with higher level of services for water and hand hygiene than sanitation and waste management services. On the other hand, the level of patients’ satisfaction with the WASH services in health facilities in the municipal was low (percentage = 21.7%; 95% CI = 17.9% - 25.9%). The place of residence patients, rural areas (aOR = 5.13; 95% CI = 1.83 – 14.39; p = 0.002), patients who visit private health facilities (aOR = 0.003; 95% CI = 0.0004 – 0.02; p < 0.001) and level of health facilities; level 2 (aOR = 228.32; 95% CI = 62.03 – 840.40; p < 0.001) and level 3 (aOR = 4.31; 95% CI = 1.70 – 10.94; p = 0.002) health facilities were factors significantly associated with patient satisfaction with WASH services in the health facilities.
Conclusion: The level of WASH services in the health facilities surveyed ranged from limited to basic services when compared to the JMP WASH service ladder. Overall patient satisfaction with WASH services in health facilities in the municipality was low. The WASH in HCF Technical Guidelines developed by the Ghana Health Services should be implemented particularly for new upcoming facilities and old facilities should be renovated to meet the said WASH standards.
Keywords: Water, Sanitation, Hygiene, WASH Services, Patient Satisfaction, Healthcare Facilities
Description
MA. Public Health
Keywords
Ghana, Water, Sanitation, Hygiene, Ga West Municipality, WASH services, Patient Satisfaction, Healthcare facilities