http://hdl.handle.net/10311/396 Sat, 11 Jul 2026 08:52:30 GMT 2026-07-11T08:52:30Z http://hdl.handle.net/10311/1277 Assessment of client satisfaction in labor and delivery services at a maternity referral hospital in Ethiopia Melese, T.; Gebrehiwot, Y.; Bisetegne, D.; Habte, D. INTRODUCTION: Patients perception about service quality shapes their confidence with regard to use of the available health care facility. This study is aimed to assess the client`s satisfaction in a maternal health care setting. METHODS: This is an institution based cross sectional descriptive study. A total of 423 postpartum women were interviewed. Data was analyzed using SPSS version 20 statistical package. RESULTS: The proportion of mothers who are completely satisfied with health care ranges between 2.4 to 21%. Pain control was the poorest source of satisfaction with 82% reporting dissatisfaction. Provider's communication with clients yielded complete satisfaction rates ranging between 0.7 to 26%. Inadequate information about the drug prescribed and explanation of procedures to be done to the client were found to be major causes of dissatisfaction. The complete satisfaction rate with environmental factor of the hospital was between 3.3 to 40.2%. Age of the client, educational status, income of the client and client's address away from Addis Ababa were found to be the predictors of client satisfaction. Provider's attitude and communication, as well as longer duration of stay in the ward were independent predictors of client satisfaction. CONCLUSION: Pain management, client privacy and client provider communication need to be addressed to ensure the satisfaction of maternity clients. The clients need to be involved in the management of their own health problems Wed, 01 Jan 2014 00:00:00 GMT http://hdl.handle.net/10311/1277 2014-01-01T00:00:00Z http://hdl.handle.net/10311/438 Freedom of information in the SADC region: implications for development and human rights Mutula, S.M. Abstract Purpose – To argue that developing countries in the Southern African Development Community (SADC) region should embrace the concept of freedom of information to enable better human rights and economic development. Design/methodology/approach – The paper reviews the current situation through discussion of current legislation and proposed policies. Findings – Whereas several theories abound as to why there has been little development in sub- Saharan Africa, this paper discusses the status of freedom of information legislations within the SADC region and the implications for accountability and transparency in the management of public resources. Research limitations/implications – The paper suggests the importance of further research into the importance of freedom of information legislation for economic and human rights development. Practical implications – The paper has practical implication for those considering the potential of freedom of information legislation in developing countries. Originality/value – Freedom of information has largely taken a back seat amidst several social, economic and political reforms that have been instituted collectively or by individual countries. It is the view of this paper that freedom of information provides an important link for the economic, social and political reform initiatives Sun, 01 Jan 2006 00:00:00 GMT http://hdl.handle.net/10311/438 2006-01-01T00:00:00Z http://hdl.handle.net/10311/425 Health worker opionion/perception of health services provided to patients in Selibe Phikwe Ni-Cu mine area, Botswana Ekosse, G.; Jager, L.; Van den Heever, D.J. This study determines the prevalence of types of sicknesses and diseases affecting patients vising health service facilities and the available health services within the Selebi Phikwe Ni-Cu area, Botswana.Through the administration of the questionnaires and structured questions, attempts were made to establish and verify the existing human health problems at the study area by focusing on respiratory tract related symptoms of sicknesses and diseases.With the aid of Statistical Package of Social Sciences (SPSS), interpreted results from respondents indicated that all the health service providers served patients suffering from headaches, persistent coughing, chest pains, lower abdominal pains, pain when passing out urine, genital discharge and diarrhea.Seventy one percent of the health service providers indicated that their patients who suffered from recent loss of body weight, and another 86 % pointed out that their patients had influenza/common cold. Other health complaints reported included unusual spitting, shortness of breath, palpitations, neausea/vomiting, diarrhea, and constipation. Moreover the health service providers indicated that they had patients who suffered from significant illnesses of which some passed away. However, if they are lacking facilities, patients are referred to bigger health service providers in the country. The findings of the study do not general depict demarcating differnces of health status of residents of the study area to those of the control site. A need therefore for further investigations to be conducted to establish relations of mining activities to human health at Selebi Phikwe is called for. Sat, 01 Jan 2005 00:00:00 GMT http://hdl.handle.net/10311/425 2005-01-01T00:00:00Z http://hdl.handle.net/10311/418 Traditional ecological knowledge and community-based natural resource management: lessons from a Botswana wildlife management area Phuthego, T.C.; Chanda, R. The advent of community-based natural resource management (CBNRM) in Botswana in the late 1980s ushered in a new paradigm in natural resource management. The strategy marked a change from state-controlled to community-controlled wildlife management. The expectation is that under community control, local expertise on biodiversity, termed in this paper as traditional ecological knowledge (TEK), plays a significant role that is supposedly facilitated through local institutions and traditional practices. This paper examines the incorporation of TEK in the CBNRM projects in KD 1, which is a controlled-hunting area (CHA) in the north-western part of the Kgalagadi North sub-district, Botswana and illustrates that the projects acknowledge and demonstrate the utility value of TEK in sustainable natural resource management. It concludes that TEK systems and institutions could serve as entry points into sustainable natural resource utilisation and management. This could be achieved through the exploration of cultural practices of the local people and integrating useful aspects into the modern natural resource management expertise. Thu, 01 Jan 2004 00:00:00 GMT http://hdl.handle.net/10311/418 2004-01-01T00:00:00Z