Assessment of Prenatal Care Process Based on Donabedian Model in Mashhad Health Centers

Document Type : Original Article


1 Lecturer of Midwifery, Faculty of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran.

2 M.Sc. Student of Midwifery, Faculty of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran.

3 Associate Professor of Biostatistics, Faculty of Health, Mashhad University of Medical Sciences, Mashhad, Iran.


Introduction: Assessment the quality of prenatal care can determine current status and be aware of effectiveness of measures taken in order to improve the quality of cares. Donabedian model is a good model of care in the health care field. Based on Donabedian model, the process of care is an important part of the trend of providing and receiving services that can assessed in technical and interpersonal interactions parts. The aim of this study was to assess the situation of presented prenatal care based on Donabedian model.
Methods: This descriptive study was conducted on 320 women who referred to health centers for taking prenatal care in Mashhad, Iran, 2012. Method of sampling was multi-stage. Data was collected using a questionnaire contain information of care providers and participants and an observation checklist based on Donabedian model that divided into two parts of technical and interpersonal interactions. Data were analyzed using SPSS software version 16, Kruskal-Wallis and Chi-square. P value less than 0.05 was considered significant.
Results: The overall mean of the process of care was 47.92±8.70. Results of divided of care process into two parts technical performance and interaction interpersonal showed that the average scores of technical performance was 23.2±4.71 and the interaction interpersonal scores was 22.76±5.02. Results of the study showed that the status care providing process was intermediate in 93.7% of cases.
Conclusion: Given the current level of quality of care, increasing the number of care providers per population covered in health cares, sensitization of prenatal care and giving information seems to be necessary.