Donabedian Model Essay

Avedis Donabedian developed a framework called the “Donabedian Model” to assess health care services. “Structure”, “Process” and “Outcomes” are three categories wherein information can be drawn from in order to evaluate the quality of care. The Structures of care include the physical and organizational aspects of the care setting. The Processes of care are the methods by which healthcare is provided. The Outcomes contain the effects of health care to the knowledge, behavior, satisfaction and quality of life of a patient. Health promotion interventions such as group health teaching and one-to-one peer counseling about breastfeeding and its timely initiation are fundamental in prenatal teaching and adopting the “Donabedian model” is useful in exploring the difference in the effectiveness of the two interventions.

The Breastfeeding Self-Efficacy Theory developed by Dr. Cindy-Lee Dennis integrating Bandura’s Social Cognitive Theory is the guide for the prenatal breastfeeding health teaching/ counseling in this study. A first time mother’s confidence influenced by her sources of information leads to her ability to breastfeed and predict her behavior to timely initiate

A first time pregnant woman and mother’s physical, social and economic environments are part of the structure category in the model as well as pregnancy risk factors and the health care team involved in the interventions to be employed. System factors include the rural health clinic and its organizational characteristics, the health care system, teaching and research functions and access to the group health teaching and/ or one-to-one peer counseling. The process is the provision of breastfeeding health teaching emphasizing timely initiation of breastfeeding via 2 methods namely: group health teaching and one-to-one peer counseling. In both methods, the concept of self-efficacy will serve as the framework for the educational