Health Service Delivery and Maternal Survival at Banadir Hospitals for 2001 — 2010 in Mogadishu, Somalia

Abstract This study was set out to establish the relationship between health service delivery and maternal survival at Banadir hospitals for 2001 up to 2010 in Mogadishu, Somalia the study wanted to establish the foUowing to determine the trend and level of health service delivery for 2001 to 2010 at Banadir Hospitals, to establish the trend and the level of maternal survival-for 2001 to 2010 at Banadir Hospitals, and to investigate the relationship between the health service delivery and maternal survival for 2001 to 2010 at Banadir Hospitals in Mogadishu, Somalia. Using a quantitative approach and exposit facto design, data on Health service delivery and maternal survival were collected from trusted sources using data record sheets. Data were analyzed at bivariate level using correlation and regression analysis. The computed {t-value =45.9195] is exceeds [t-value =1.83] at 0.05 level of significance and 9 degrees of freedom. Then the null hypothesis that a health service delivery is equal to zero is rejected and accepts the alternative hypothesis that the mean is not zero at 0.05 level of significance. The computed (P-value = 0.0000) < (p= 0.05). Thus, the mean (1001.5) is significantly greater than zero at 5% level of significance. This implies that rate of health service delivery of Banadir hospitals in Mogadishu Somalia is very high. The computed t-value=13.7312 and tabulated t-value at 0.05 level of significance and 9 degrees of freedom is t =1.83. Since (t~ =13.7312) > (ttabl.83) then null hypothesis that Maternal survival is equal or less than zero is vi rejected at 0.05 level of significance. Since P=0.0000 then mean of Maternal survival is greater than zero at 5% level of significance. Maternal survival is the dependent variable; of particular interest is which independent variable has correlation with maternal survival. In this case it is professional 95.6%. A change in maternal surv~,al is explained 74% by changing Beds delivery, a change in maternal survival is explained 83.4% by changing Ambulances, and a change in maternal survival is explained 85.7% by changing X ray. The strongest correlation among the independent variables is between Ambulances and x-rays (0.922) was called multicollinearity. The four independent variables explain 92.28% of the variation in maternal survival. We were considered for each independent like a unit change in maternal survival was caused changing by professionals of 116.4912, reduction in maternal survival was caused changing by ambulances of 12.644427, reduction in maternal survival was caused changing, by Beds delivery of 4.126387, and a unit change in maternal survival was caused changing by x-rays. The recommendations and suggestions for further studies arise from study findings above. Enhancement and training with Somalis health sector have to skill with health personality, the government of Somalia should encourage to the hospital according all requirement through minster of health and the central Bank of Somali reduce at least to lO% to encourage the investment like supply of Banadir hospitals.

TABLE OF CONTENTS

Preliminary pages

Declaration A ii

Declaration B iii

Dedication iv

Acknowledgment v

Abstract vi

Table of contents vii

List of table xii

List of figures xii

List of acronyms xiii

Chapter Page

One THE PROBLEM AND ITS SCOPE 1

Background of the Study 1

Statement of the Problem 5

Purpose of the Study 6

Research Objectives 7

Research Questions 7

Null Hypothesis 7

VII I

Scope of the study 7

Significance of the Study 8

Operational Definitions of Key Terms 9

Two REVIEWOF RELATED LITERATURE 10

Concepts, Ideas, Opinions from Authors/Experts 10

Theoretical Prospective 23

Related Study 26

Three METHODOLOGY 40

Research Design 40

Research Population 40

Target population 41

Sample Size 41

Sampling Procedure 41

Research Instrument 42

Data Gathering Procedures 42

Data Analysis 43

Ethical Considerations 44

Limitations of the Study 45

ix

Four PRESENTATION, ANALYSIS AND INTERPRETATION OF DATA

Trend and Level of Health service Delivery 46

Trend and Level of Maternal survival 52

Rebtionship between Health service and Maternal Survival 57

Five FINDINGS, CONCLUSIONS, RECOMMENDATIONS 69

Findings 69

Conclusions 74

Recommendations 75

Request letter 76

Transmitter letter 77

References 78

Appendices 81

Appendix I - Clearance from Ethics Committee 84

Appendix III - Informed Consent 86

Appendix III - Research Instrument 87

Appendix IV - Proposed Data Presentation Tables/Graphs 88

Appendix V - Correlation and Regression Analysis Tables 89

Appendix VI - Proposed Budget 90

Appendix VII - ResearcherTs Curriculum Vitae 91