Impact of Accreditation Approach in Promotion of Health Care Services Delivered in Rwinkwavu District Hospital in Rwanda
DOI:
https://doi.org/10.53819/81018102t2558Abstract
Healthcare accreditation programs have been adopted internationally to maintain quality and safety of services, predominantly initiated by governments in the 2000s. Rwanda has begun this process; however, limited research exists on staff perceptions regarding accreditation impact and implementation barriers. The study targeted all 65 Rwinkwavu District Hospital staff, including management committee members, paraclinical workers, doctors, nurses, and midwives. A sample of 39 respondents was drawn using the Yamane formula with simple random sampling. Closed-ended questionnaires and observation were employed, with validity and reliability tested, and data analyzed using SPSS V21.Findings showed that 92.3% of staff were satisfied with the record system and the majority held positive perceptions overall. All respondents (100%) perceived lack of finance, behavior change, and inadequate training as barriers to accreditation implementation. Additionally, 69.9% had positive perceptions regarding building infrastructure availability, and 82.9% acknowledged that strong leadership was necessary. Overall, 71.4% held positive perceptions while 38.6% held negative perceptions. Gender was significantly associated with staff perception (χ²=5.215, p=0.002), as was age (χ²=7.878, p=0.005). The study recommends enhancing community participation in health management committees, encouraging internal self-assessments, and establishing performance tracking tools aligned with Hospital Accreditation Standards.
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