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      Patient Preference and Adherence (submit here)

      This international, peer-reviewed Open Access journal by Dove Medical Press focuses on the growing importance of patient preference and adherence throughout the therapeutic process. Sign up for email alerts here.

      34,896 Monthly downloads/views I 2.314 Impact Factor I 3.8 CiteScore I 1.14 Source Normalized Impact per Paper (SNIP) I 0.629 Scimago Journal & Country Rank (SJR)

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      Maternal Satisfaction with Delivery Services of Government Hospitals in Ambo Town, West Shoa Zone, Oromia Region, Ethiopia, 2020

      research-article
      Author(s): 1 , 2 , 2
      Publication date (Electronic):
      Journal: Patient preference and adherence
      Publisher: Dove
      Keywords: maternal, satisfaction, Ambo town, Ethiopia

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          Abstract

          Background

          Maternal satisfaction with delivery service is used to measure the ability of services provided to meet consumers’ expectations. Satisfying women with the care given during labor and delivery helps to develop a positive childbirth experience and a favorable attitude towards motherhood. There were limited studies that assessed maternal satisfaction in Ethiopia, and this study aimed to assess delivery service satisfaction and its associated factors among mothers who gave birth at public hospitals of Ambo town, West Ethiopia.

          Methods

          Institutional-based cross-sectional study was conducted on 384 women, from April 20 to May 20, 2019, in public hospitals of Ambo town. The study participants were selected by systematic random sampling method and interviewed using structured questionnaires. The data were checked, coded and entered into Epi info version 7, and then exported to SPSS version 20 for analysis. Multivariable logistic regression analysis was performed to identify predictors of maternal satisfaction. A variable with a P value of less than 0.05 was considered statistically significant.

          Results

          A total of 384 study participants were involved, making a response rate of 100%. Out of 384 mothers who participated in the study, 322 (83.9%) were satisfied with the delivery service, and 62 (16.1%) were unsatisfied with the delivery service. Monthly income less than 650 ETB (AOR=0.46, 95% CI: 0.22, 0.94) was associated with decreased maternal satisfaction. On the other hand, normal birth outcome (AOR=4.409, 95% CI: 1.453, 13.375) and maintenance of mothers’ privacy (AOR = 8.405, 95% CI: 1.74,29.59) were associated with increased maternal satisfaction with delivery services.

          Conclusion

          The level of maternal satisfaction with the delivery services in this study was moderate. Monthly income, maternal birth outcome and maintenance of privacy were significantly associated with maternal satisfaction.

          Most cited references25

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          Please understand when I cry out in pain: women's accounts of maternity services during labour and delivery in Ghana

          Lucia D'Ambruoso, Mercy Abbey, Julia Hussein (2005)
          Background This study was undertaken to investigate women's accounts of interactions with health care providers during labour and delivery and to assess the implications for acceptability and utilisation of maternity services in Ghana. Methods Twenty-one individual in-depth interviews and two focus group discussions were conducted with women of reproductive age who had delivered in the past five years in the Greater Accra Region. The study investigated women's perceptions and experiences of care in terms of factors that influenced place of delivery, satisfaction with services, expectations of care and whether they would recommend services. Results One component of care which appeared to be of great importance to women was staff attitudes. This factor had considerable influence on acceptability and utilisation of services. Otherwise, a successful labour outcome and non-medical factors such as cost, perceived quality of care and proximity of services were important. Our findings indicate that women expect humane, professional and courteous treatment from health professionals and a reasonable standard of physical environment. Women will consciously change their place of delivery and recommendations to others if they experience degrading and unacceptable behaviour. Conclusion The findings suggest that inter-personal aspects of care are key to women's expectations, which in turn govern satisfaction. Service improvements which address this aspect of care are likely to have an impact on health seeking behaviour and utilisation. Our findings suggest that user-views are important and warrant further investigation. The views of providers should also be investigated to identify channels by which service improvements, taking into account women's views, could be operationalised. We also recommend that interventions to improve delivery care should not only be directed to the health professional, but also to general health system improvements.
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            Client satisfaction and quality of health care in rural Bangladesh.

            Hernán J. Aldana Marcos, H Piechulek, A Sabir (2000)
            To assess user expectations and degree of client satisfaction and quality of health care provided in rural Bangladesh. A total of 1913 persons chosen by systematic random sampling were successfully interviewed immediately after having received care in government health facilities. The most powerful predictor for client satisfaction with the government services was provider behaviour, especially respect and politeness. For patients this aspect was much more important than the technical competence of the provider. Furthermore, a reduction in waiting time (on average to 30 min) was more important to clients than a prolongation of the quite short (from a medical standpoint) consultation time (on average 2 min, 22 sec), with 75% of clients being satisfied. Waiting time, which was about double at outreach services than that at fixed services, was the only element with which users of outreach services were dissatisfied. This study underscores that client satisfaction is determined by the cultural background of the people. It shows the dilemma that, though optimally care should be capable of meeting both medical and psychosocial needs, in reality care that meets all medical needs may fail to meet the client's emotional or social needs. Conversely, care that meets psychosocial needs may leave the clients medically at risk. It seems important that developing countries promoting client-oriented health services should carry out more in-depth research on the determinants of client satisfaction in the respective culture.
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              Mothers' satisfaction with referral hospital delivery service in Amhara Region, Ethiopia

              Azmeraw Tayelgn, Desalegn T Zegeye, Yigzaw Kebede (2011)
              Background A woman's satisfaction with the delivery service may have immediate and long-term effects on her health and subsequent utilization of the services. Providing satisfying delivery care increases service utilization. The objective of this study is to assess the satisfaction of mothers with referral hospitals' delivery service and identify some possible factors affecting satisfaction in Amhara region of Ethiopia. Methods A hospital-based cross-sectional survey that involved an exit interview was conducted from September to November 2009 in three referral hospitals in Ethiopia. A total of 417 delivering mothers were enrolled in the study. Client satisfaction was measured using a survey instrument adopted from the Donabedian quality assessment framework. We collect data systematically from every other postnatal woman who delivered in the referral hospitals. Multivariate and binary logistic regression was applied to identify the relative effect of each explanatory variable on the outcome (satisfaction). Results The proportion of mothers who were satisfied with delivery care in this study was 61.9%. Women's satisfaction with delivery care was associated with wanted status of the pregnancy, immediate maternal condition after delivery, waiting time to see the health worker, availability of waiting area, care providers' measure taken to assure privacy during examinations, and amount of cost paid for service. Conclusions The overall satisfaction of hospital delivery services in this study is found to be suboptimal. The study strongly suggests that more could be done to assure that services provided are more patient centered.
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                Author and article information

                Journal
                Journal ID (nlm-ta): Patient Prefer Adherence
                Journal ID (iso-abbrev): Patient Prefer Adherence
                Journal ID (publisher-id): PPA
                Journal ID (pmc): ppa
                Title: Patient preference and adherence
                Publisher: Dove
                ISSN (Electronic): 1177-889X
                Publication date (Electronic): 22 July 2020
                Publication date Collection: 2020
                Volume: 14
                Pages: 1225-1235
                Affiliations
                [1 ]School of Nursing and Midwifery, Institute of Health Sciences, Ambo University Referral Hospital , Ambo, Ethiopia
                [2 ]School of Nursing and Midwifery, Institute of Health Sciences, Wollega University , Nekemte, Ethiopia
                Author notes
                Correspondence: Muktar Abadiga Email muktarabadiga@gmail.com
                Article
                Publisher ID: 251635
                DOI: 10.2147/PPA.S251635
                PMC ID: 7383021
                PubMed ID: 32801653
                SO-VID: 7a4c8824-4625-4965-96e3-48992084d7a9
                Copyright © © 2020 Gejea et al.
                License:

                This work is published and licensed by Dove Medical Press Limited. The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution – Non Commercial (unported, v3.0) License ( http://creativecommons.org/licenses/by-nc/3.0/). By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. For permission for commercial use of this work, please see paragraphs 4.2 and 5 of our Terms ( https://www.dovepress.com/terms.php).

                History
                Date received : 27 February 2020
                Date accepted : 26 June 2020
                Page count
                Figures: 1, Tables: 5, References: 31, Pages: 11
                Funding
                Funded by: Wollega University for the requirement of a master's degree
                This study was funded by the Wollega University for the requirement of a master's degree. The funding organization has no role in designing and organization of the study, data collection and analysis, and result writing.
                Categories
                Subject: Original Research

                ScienceOpen disciplines: Medicine
                Keywords: maternal,satisfaction,ambo town,ethiopia
                Data availability:
                ScienceOpen disciplines: Medicine
                Keywords: maternal, satisfaction, ambo town, ethiopia

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