JURNAL INTERNASIONAL KEBIDANAN 2020-2023 UNIVERSITAS KEDOKTERAN GUILAN VOLUME 30 ISSUE 2.
JOURNAL OF HOLISTIC NURSING OF MIDWIFERY.
Clients' Perception Toward Quality of Postnatal Care in The Gaza Strip, Palestine: A Direction for Health Policy Change"

JURNAL INTERNASIONAL KEBIDANAN 2020-2023 UNIVERSITAS KEDOKTERAN GUILAN VOLUME 30 ISSUE 2.
JOURNAL OF HOLISTIC NURSING OF MIDWIFERY.
Clients' Perception Toward Quality of Postnatal Care in The Gaza Strip, Palestine: A Direction for Health Policy Change"

Quality of postnatal care, Assessment, Women

Introduction: Most maternal and neonatal deaths occur during the postnatal period.
Therefore, the quality of care provided by healthcare professionals at this critical time is
crucial in reducing complications, morbidity, and mortality rates.
Objective: The present study aimed to determine the perceptions of Palestinian women
living in the Gaza Strip considering the quality of care they received in the early postpartum
period.

Materials and Methods: An analytical cross-sectional study was conducted using a self-
administered questionnaire developed by the researchers. A total of 200 pregnant women

were selected by convenience sampling method from 4 governmental hospitals in the
Gaza Strip, Palestine providing postnatal care. Descriptive statistics, including frequency,
mean, and standard deviations, were used to describe the variables. Analysis of Variance
(ANOVA) and Independent Samples t-test was used to compare the collected mean scores.
Results: The study participants rated the postnatal services they received as high-quality
care. High mean scores were achieved for all study domains. The “quality of postnatal care
provided by midwives” received the highest Mean±SD score of 4.16±0.60, followed by the
domain “quality of postnatal baby care” with a Mean±SD score of 3.89±0.85. The other two
domains of “quality of provided health education” and “quality of provided communication
and psychological support” received the lowest mean scores of 3.81 with standard deviations
of 0.90 and 0.80, respectively. Patient-perceived postnatal care quality was not affected by
many variables, such as age, parity, and gravidity. It was only affected by the subjects’ level of
education (P=0.001) and the place of delivery (P=0.017).
Conclusion: The obtained results posed a challenge for healthcare policymakers and
professionals working in maternity departments. A new policy and leadership directions
are required in this critical and vulnerable clinical area. To improve the quality of postnatal
care, health policymakers must collaborate with midwifery staff. It is important to identify
and eliminate any barriers that impede the provision of better care. This will be reflected by
reducing maternal and neonatal morbidity and mortality rates and reducing the number of
hospitalization days.

Areefa SM Alkasseh , Samar Mwaafy , Nasser Abu-El-Noor , Mysoon Abu-El-Noor

April 2020, Volume 30, Number 2

PERI IRAWAN

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