Quali-quantitative study on healthcare for children below the age of 3 at health establishments in nine underdeveloped regions of Peru

Authors

  • Luis Germán Cordero Muñoz Programa de Apoyo a la Reforma del Sector Salud (PARSALUD II). Lima, Perú. Universidad Peruana Cayetano Heredia. Lima, Perú.
  • Cecilia Montes Jave Programa de Apoyo a la Reforma del Sector Salud (PARSALUD II). Lima, Perú. Asociación “Incluir sin Fronteras”. Lima, Perú.
  • José Enrique Velásquez Hurtado Programa de Apoyo a la Reforma del Sector Salud (PARSALUD II). Lima, Perú. Universidad Peruana Cayetano Heredia. Lima, Perú.
  • Yuleika Rodríguez Calviño Programa de Apoyo a la Reforma del Sector Salud (PARSALUD II). Lima, Perú.
  • Walter Eduardo Vigo Valdez Programa de Apoyo a la Reforma del Sector Salud (PARSALUD II). Lima, Perú.
  • Ángel Martín Rosas-Aguirre Universidad Peruana Cayetano Heredia. Lima, Perú.

DOI:

https://doi.org/10.17843/rpmesp.2016.331.1922

Keywords:

Growth and development, Child care, Quality of health care, Qualitative research, prevention & control

Abstract

Objectives. To assess five elements of healthcare quality (physical space, equipment, personnel, waiting time, and counseling) in growth and development services (GDS) at 18 healthcare establishments in nine regions of Peru with high rates of poverty. Materials and methods. A quali-quantitative study was carried out in the Amazonas, Apurímac, Ayacucho, Cajamarca, Cusco, Huánuco, Huancavelica, Puno, and Ucayali regions, that included direct observation (DO) during medical assistance in GDS, focus groups (FG, one user per healthcare establishment), and in-depth interviews (IDI) with healthcare workers (two per healthcare establishment). Results. There were 18 DOs carried out to assess environment and equipment, 23 DOs of complete service shifts, 67 accompaniments to users during medical assistance in GDS, 18 FGs (118 participating mothers), and 36 IDIs. Both mothers and healthcare professionals agreed that there were limitations in infrastructure, equipment, materials, and personnel that impacted quality medical assistance in GDS. Delays in medical assistance, failure to comply with schedules, and lack of friendliness when providing medical care were the aspects that produced the greatest user dissatisfaction. Only 24.3% of the total amount of time spent at the healthcare establishment corresponded to beneficial activities for the user, although the Health Department was meeting the objective to promote improvement of childcare practices. Conclusions. The study was useful in identifying weaknesses and strengths that may help redirect GDS efforts within the framework of policies aimed at strengthening first-class medical assistance.

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Published

2016-02-19

Issue

Section

Original Article

How to Cite

1.
Cordero Muñoz LG, Montes Jave C, Velásquez Hurtado JE, Rodríguez Calviño Y, Vigo Valdez WE, Rosas-Aguirre Ángel M. Quali-quantitative study on healthcare for children below the age of 3 at health establishments in nine underdeveloped regions of Peru. Rev Peru Med Exp Salud Publica [Internet]. 2016 Feb. 19 [cited 2024 Jun. 19];33(1):21-3. Available from: https://rpmesp.ins.gob.pe/index.php/rpmesp/article/view/1922

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