Pregnant Women Level of Satisfaction on Quality of Care in Reproductive and Child Health clinic at Huruma Designated District Hospital in Rombo District, Kilimanjaro Region, Tanzania

Background: The clients’ level of satisfaction is an important measure in assessing the quality of health care services provided in health facilities, and is important in enhancing the utilisation of health care services.Objectives: This study aimed to determine pregnant women’s level of satisfaction on the quality of care in the Reproductive and Child Health (RCH) clinic at Huruma Designated District Hospital, Rombo Kilimanjaro.Methodology: A cross-sectional study was conducted from May to June 2018 using the Donabediean model. Using systematic sampling, 270 pregnant women were selected to participate in the study. Data was collected using a pre-tested Service Quality(SERVQUAL) questionnaire. Descriptive statistics were performed using univariate and bivariate analysis, and one sample t-test to compare mean gap scores. The principal component analysis was employed to identify key items that measure the quality of care. A p-value of <.05 was considered statistically significant.Results: Overall, pregnant women’s level of satisfaction on the quality of care in the Reproductive and Child Health clinic at Huruma DDH was 48.5%. The overall mean gap score (±SD) for the level of satisfaction was -0.53 (±1.69) signifying dissatisfaction with the quality of care. The overall level of satisfaction was associated with level of education (p<.001), occupation (p=.003), residence (p=.035).The levels of dissatisfaction in the 5 service dimensions were: empathy (-0.05), responsiveness (-0.09), assurance (-0.10), tangible (-0.13), and reliability (-0.17).Conclusion: Overall, pregnant women were dissatisfied with the quality of care provided. Pregnant women who are educated, being employed, and residing in Rombo were more likely to report dissatisfied with the quality of care. To improve the quality of care, lack of adequate staff and inadequate knowledge of the staff at RCH, and improvement in staff-clients interactions, and keeping scheduled appointments need to be improved

Impregnation of Silver Nanoparticles onto Polymers Based on Sugarcane Bagasse for the Remediation of Endocrine Disruptor–Bisphenol A from Water

This present study introduces a contemporary innovation of synthesized polymer–silver nanoparticle nanocomposite adsorbent based on sugarcane bagasse (AgNP-SB-βCD) for the sequestration of emerging micropollutant–bisphenol A from water matrix. Batch adsorption mode was carried out to assess the effectiveness of AgNP-SB-βCD nanocomposites towards eliminating bisphenol A (BPA). Characterization techniques including SEM, FTIR, and XRD have confirmed the successful incorporation of silver nanoparticles (AgNPs) onto bagasse–polymer. At 25°C, pH 7, and contact time of 120 min, the nanocomposites had a maximum uptake capacity of 158.4 mg g-1on BPA. The equilibrium isotherm of BPA on AgNPs-SB-βCD has fitted effectively with Langmuir model while the adsorption kinetics conformed to pseudo-second order. The adsorption phenomenon was controlled mainly by physisorption (via host–guest inclusion van der Waals bonding and pore filling effect). In addition, oxidative degradation of BPA by AgNPs-SB-βCD could marginally contribute the removal of BPA due to oxidative dissolution of AgNPs at pH 7. The thermodynamic results substantiate the spontaneity and exothermic behaviors of the adsorption phenomenon. The polymeric nanocomposite adsorbent was regenerated five times (using 75% ethanol) without considerable loss of its adsorption capacity. This authenticates its reusability and consistency performances; accordingly, it can be a market competitor adsorbent for the treatment of water contaminated with BPA