Browsing by Author "Assusi, Mildred Edna"

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    The perceived impact of a student-led domiciliary midwifery care on patient-centered care: A mixed methods inquiry into postnatal mothers’ experiences
    (Elsevier, 2026-02-09) Aleni, Mary; Epuitai, Joshua; Akao, Mary Grace; Ayiasi, Richard Mangwi; Assusi, Mildred Edna; Andru, Monicah; Otim, Douglas Tonny; Kakyo, Tracy Alexis
    Background Domiciliary midwifery care focuses on providing pregnancy, labor, and postpartum care in women’s homes rather than in health facilities, yet this model of care remains underexplored in Uganda. Purpose To examine the experiences of postnatal mothers with a student-led domiciliary midwifery care and its influence on patient-centered care. Materials and Methods We conducted a sequential explanatory mixed-methods design among postnatal mothers who had received student-led domiciliary midwifery care. Quantitative data were collected using a patient-centered care (PCC) scale, while qualitative data were collected using in-depth interview. Qualitative data were analyzed using content analysis based on the PCC constructs, while quantitative data were summarized using descriptive statistics. Results Mothers experienced moderate levels of PCC after completing the student-led domiciliary midwifery care (Mean 3.46 ± 0.704) and were satisfied with the care provided (Mean 4.19 ± 0.804). Respect for patients’ preferences, values, and needs scored highest among the PCC constructs (Mean 4.03 ± 0.94), whereas continuity and transition of care scored lowest (Mean 2.92 ± 1.06). Client’s experience of domiciliary care was shaped by skepticism toward new model of care, the familiarity of home setting versus hospital settings, and care provided by male students. Conclusion Student-led domiciliary midwifery care had a moderate effect on PCC, with most postnatal women satisfied with the care. The Findings highlight the need to raise community awareness about domiciliary midwifery and the importance of integrating mothers’ experiences into curriculum design.
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    The state of patient-centered care and associated factors at a large referral hospital in Northwestern Uganda: Perceptions of patients
    (Elsevier, 2024-11-07) Aleni, Mary; Mwebesa, Edson; Twesigye, Deus; Andru, Monicah; Assusi, Mildred Edna; Atuhairwe, Irene; Nsubuga, Allan G.; Ewing, Helen; Roepke, Abbey
    Background: A Patient-Centered Care (PCC) approach to health service delivery is considered one of the essential domains of healthcare quality. This has been shown to improve patient satisfaction with health services and patient outcomes, but it has not been fully embraced in many low and middle income countries. Purpose: To evaluate patients’ perceptions of PCC and identify the factors influencing perceived PCC at a large referral hospital in Northwestern Uganda. Materials and Methods: We conducted a descriptive cross-sectional correlational study. Four hundred and eighty (480) patients or their attendants participated in the study. Data was collected using an interviewer administered questionnaire. Statistical analysis was applied at univariate, bivariate and multivariate levels using Stata V.14 to assess the state of PCC, patient perceptions and factors associated with perceived PCC. Results: Sixty five percent (64.8 %) of the participants perceived they received PCC. Most of the dimensions of PCC were rated high on a 5-point Likert scale, with respect for patient’s values and preferences ranked highest; mean score of 3.9 (SD = 0.9) and coordination of care ranked lowest, mean score of 3.5 (SD = 0.9). Being outpatient, single or never in union had a reduced perception score of PCC. Patients who had heard of PCC had a higher perception of PCC. Conclusion: Patient-Centered Care was rated optimally at ARRH. All the PCC dimensions were rated highly except coordination of care and information, education and communication which could be improved by building the capacity of health workers in effective communication and coordination of health care services.