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The health sector occupies an enormously important position in ensuring sustainable overall socio-economic advancement in developing countries. Healthy people make a healthy nation and also contribute to economic growth. Satisfaction is the contentment one feels when one has fulfilled a desire, need, or expectation. Poor quality is costly -to clients, to programmes and to the society overall. People's perception about quality of care often determines whether they seek and continue to use services. This study evaluated the level of patient's satisfaction in gynaecological practice at the state specialist hospital Akure. This study is a descriptive cross-sectional study. Questionnaires of the Likert-like form was used to obtain information from consenting patients on various factors that determines or have effect on their level of satisfaction while accessing gynaecological care services at the gynaecology clinic of State Specialist Hospital, Akure. Systematic sampling method was used to recruit patients by selecting every second patient serially as they present. Three hundred and eight consenting gynaecological patients were recruited into the study. Data was analysed with the Statistical Package for Social sciences (SPSS) 20.0. Majority of the respondents 295 (95.7%) were satisfied with the morning time clinic schedule. More percentage of respondents were very satisfied with attending doctor being male (52.9%) than if the attending doctor was female (26.3%). Most patients (53.3%) were not satisfied with having to go outside the hospital to get some of their investigations done. Most patients (44.6%) were not satisfied with the level of availability of drugs in the hospital as they still go out to buy drugs. Vast majority of the respondents (89.2%) were either satisfied or very satisfied with the behavior and competence of the attending doctors and nurses. In conclusion, client's satisfaction is reflected by their happy expression about the care they receive, where and how they access the care. There is need for health care givers to continue and improve on aspects of care that gives patients satisfaction and discourage those that make the patients dissatisfied.

It is pertinent for the pregnant woman to understand the concept of what she is embarking on. Antenatal care is a specialized form of health care given to pregnant women in order to have safe delivery for both mother and child. Pregnant women need to be informed of the meaning and importance of Antenatal Care and the need for them to avail themselves of the opportunity in order to benefit from expert monitoring of the progress of pregnancy, prompt identification of anything that may jeopardize the outcome of the pregnancy and access to skilled personnel at delivery. This study assessed the level of awareness of pregnant women about pregnancy and antenatal care at the time of booking in their first pregnancy. This is a descriptive cross-sectional study. Questionnaires were used to obtain information on the level of awareness of primigravid women about pregnancy. A simple structured questionnaire was used to get the consented pregnant women's awareness or otherwise about basic pregnancy issues and antenatal care. The questionnaire was administered by research assistants already trained with the questionnaire. Data was fed into and analyzed with the Statistical package for Social Sciences (SPSS) version 20.0. Proportions were calculated using percentages and cross tabulation of variables to find out relationship and statistical significance by chi-square. Majority, 110 (34.7%), of the respondents were booked at 8 to 16 weeks gestation. Majority of respondents were aware of doing basic investigations like PCV (98.1%), HIV (94.3%) and Hepatitis B (85.8%) in pregnancy. Majority of the respondents 259 (78.9%) know that high blood pressure of pregnant mother can affect the baby. One hundred and seventy-eight respondents (56.2%) said they do not know that previous caesarean section has effect on subsequent deliveries. Majority of the respondents 278 (87.7%) knew that they will start immunization for their babies at birth. In conclusion, there is fair awareness of basic pregnancy issues and antenatal care among pregnant women. Notable area of inadequate knowledge is the impact of caesarean section on subsequent pregnancies. It is recommended that all efforts must be made to ensure that discussions about pregnancy and antenatal care with women starts at younger age as early as in the secondary school days to prepare them for the eventuality of pregnancy, its care and childbirth. The health education aspect of antenatal care should be well organized to fill all information gaps for the pregnant women.

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