Reducing waiting time among pregnant women attending antenatal care clinic at Alexandria University Hospital, Egypt: quality improvement project

Abstract

ABSTRACTIntroduction Antenatal Care (ANC) is crucial for preventing maternal morbidity and death. WHO guidelines published in 2016 recommended that women should attend eight ANC visits as a minimum throughout pregnancy. This research aims at boosting pregnant women satisfaction with the ANC in a public health care facility and thus their willingness to comply with treatment and care. Objectives of this study were to assess the current state of ANC visits system inside Alexandria Main University Hospital (AMUH) and to examine the outcome of appointment scheduling approach on waiting time and utilization of ANC.Methods A prospective survey with pre & post intervention (quasi-experimental study). The study took place between Jan 2023 and April 2023. All expectant mothers who showed up for their regularly scheduled antenatal appointment were advised and invited to take part in the study. The study enrolled pregnant females who were eligible and gave their verbal consent. Pregnant women seeking emergency medical attention and pregnant women who refused to participate in the study were among the exclusion criteria. A purposive sampling technique was used to enroll pregnant women. When they arrived at the clinic, pregnant women who were eligible for the study were recognized and given counseling regarding the study’s goals and the extent of their participation. Prior to enrollment in the study, oral informed permission was obtained from each participant.Results The findings of the study imply that patient experience is a crucial factor in and of itself, and that it may significantly influence utilization patterns.Discussion By practically applying QI tools a sound effective outcomes can be reached. However, patient engagement & effective communication with stakeholders are cornerstones for sustainability of any project and to ensure continuous commitment and leadership support.

Keywords

• Antenatal care
• quality improvement
• waiting time
• preganancy