Antenatal care satisfaction in a developing country: a cross-sectional study from Nigeria

Abstract

BackgroundUtilization of Antenatal Care (ANC) is very low in Nigeria. Self-reported patient satisfaction may be useful to identify provider- and facility-specific factors that can be improved to increase ANC satisfaction and utilization.MethodsExit interview data collected from ANC users and facility assessment survey data from 534 systematically selected facilities in four northern Nigerian states were used. Associations between patient satisfaction (satisfied, not-satisfied) and patient ratings of the provider’s interactions, care processes, out-of-pocket costs, and quality of facility infrastructure were studied.ResultsOf 1336 mothers, 90% were satisfied with ANC. Patient satisfaction was positively associated with responsive service (prompt, unrushed service, convenient clinic hours and privacy during consultation, AOR 2.42, 95% CI 2.05–2.87), treatment-facilitation (medical care-related provider communication and ease of receiving medicines, AOR 2.03, 95% CI 1.46–2.80), equipment availability (AOR 1.10, 95% CI 1.01–1.21), staff empathy (AOR 1.82, 95% CI 1.03–3.23), non-discriminatory treatment regardless of patient’s socioeconomic status (AOR: 1.87, 95% CI 1.09–3.22), provider assurance (courtesy and patient’s confidence in provider’s competence, AOR 1.48, 95% CI 1.26–1.75), and number of clinical examinations received (AOR 1.28, 95% CI 1.10–1.50). ANC satisfaction was negatively impacted by out-of-pocket payment for care (vs. free care, AOR 0.44, 95% CI 0.23–0.82).ConclusionsANC satisfaction in Nigeria may be enhanced by improving responsiveness to clients, clinical care quality, ensuring equipment availability, optimizing easy access to medicines, and expanding free ANC services.Electronic supplementary materialThe online version of this article (10.1186/s12889-018-5285-0) contains supplementary material, which is available to authorized users.

Faktor Ketidakpuasan Ibu Hamil dalam Pelayanan Asuhan Kehamilan

“…terhadap kualitas pelayanan asuhan kehamilan di fasilitas kesehatan yaitu layanan klinik, aksesibilitas klinik dan interaksi dokter yang merupakan kontributor penting untuk kepuasan perawatan prenatal. (Adeyinka et al, 2017;Chemir et al, 2014;Ejigu et al, 2013;Nwaeze et al, 2013;Onyeajam et al, 2018).…”

Gambaran Kelengkapan Antenatal Care Terpadu Di Puskesmas Tepus II Gunungkidul

“…Pelaksanaan Antenatal Care di beberapa Negara dilaporkan masih rendah seperti di beberapa Negara bagian di Nigeria seperti dilaporkan dalam jurnal oleh (Onyeajam, Xirasagar, Khan, Hardin, & Odutolu, 2018). Hal ini ditunjukkan dari kepuasan pasien yang sangat dipengaruhi oleh beberapa faktor yaitu dalam pelayanan seperti jam buka, ruang yang nyaman, pelayanan yang terburu buru dan respon layanan yang cepat, ketersediaan alat, sikap empati, non diskriminatif serta komunikasi pemberi layanan.…”

Determinants of women’s perceived satisfaction on Antenatal care in urban Ghana: A cross-sectional study

“…Studies have suggested that low rate of ANC attendance and institutional delivery in most developing countries are borne by the dissatisfaction pregnant women experience from caregivers [8]. Thus, the quality of ANC services sustainably provided to pregnant women is vital [9].…”

“…Some studies including [9,[14][15][16][17][18][19][20][21][22][23] have reported on direct correlation between antenatal care visits and clients' satisfaction. As reported by [24] in Ghana, the free maternal healthcare policy was irst introduced in September 2003 as a pilot project in the central, upper east, upper west, and the northern regions.…”

“…Among other bene its of the policy is the free National Health Insurance Scheme (NHIS) registration, which offers low-risk pregnancy care undertaken by caregivers and high-risk pregnancy care by consultants and other skilled health personnel [13,21]. The works of [9,21] are revealing as they bring to the fore the realities on the ground on the satisfaction of ANC use among pregnant women in the developing world. However, key components to ANC use including waiting time and trimester variations among respondents are conspicuously missing.…”