Antenatal Care Satisfaction in a Developing Country: A Cross-Sectional Study from Nigeria

Onyeajam, Dumbiri J.; Xirasagar, Sudha; Khan, M. Mahmud; Hardin, James W.; Odutolu, Oluwole

doi:10.1596/31346

Cited by 4 publications

(8 citation statements)

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“…This finding was comparable with studies conducted in Nigeria (81.1%), 20 Swedish women (82%) 21 and Gamo-Gofa, Ethiopia (79%). 22 However, the rate was lower than those found in other studies conducted in Nigeria (90% 23 and 98.2% 24 ) and in Addis Ababa, Ethiopia (89.2%). 25 Also, several studies conducted in different parts of Ethiopia indicated a lower rates of client satisfaction: 21.5% in the Gamo Gofa zone, 26 33% in Bursa district, 27 30.4% in Mizan-Aman, 28 60.4% in Jimma zone 29 and 52.3% in Bahir Dar.…”

Section: Discussioncontrasting

confidence: 65%

Antenatal care service satisfaction and its associated factors among pregnant women in public health centres in Hawassa city, Southern Ethiopia

Lire

Megerssa

Asefa

et al. 2021

Proceedings of Singapore Healthcare

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Background: Self-reported client satisfaction is vital in order to address service provider and facility-based factors that can be upgraded to maximise antenatal care (ANC) satisfaction and utilisation in service-providing institutions. Objective: This study aimed to assess ANC service satisfaction and associated factors among pregnant women attending Hawassa city public health centres (HC), Sidama regional state, Southern Ethiopia. Methods: This health facility–based cross-sectional study was conducted on 422 pregnant women from 14 March to 13 April 2017. Exit interview data were collected from pregnant women attending care service at five randomly selected public HC. Results: Overall, 79.2% were satisfied with the ANC service. As per specific components, 74.2% of respondents were satisfied with the information provided, and 74.2% were satisfied with the institution’s health care. Respondents who had received iron tablets were 3.2 times more likely to be satisfied than their counterparts (adjusted odds ratio (AOR)=3.2, 95% confidence interval (CI) 1.7–5.9). Pregnant women who were counselled on human immunodeficiency virus infection and its testing were 4.3 times more likely to be satisfied than those who had not received such counselling (AOR=4.3, 95% CI 2.2–8.4). Also, those women who waited ⩽30 minutes (AOR=2.6, 95% CI 1.2–5.5) and who received information on foetal movement (AOR=3.5, 95% CI 1.8–6.5) were significantly associated with ANC service satisfaction. Conclusion: More than 20% of pregnant women were not satisfied with ANC services. This reflects a need for attention in each aspect of health-care service provision in order to assure client satisfaction.

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Section: Discussioncontrasting

confidence: 65%

Antenatal care service satisfaction and its associated factors among pregnant women in public health centres in Hawassa city, Southern Ethiopia

Lire

Megerssa

Asefa

et al. 2021

Proceedings of Singapore Healthcare

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show abstract

“…In the present study, a correlation coefficient of ≥0.50 was considered acceptable and was well surpassed by the COVID-19 ROP-Scale. The high Pearson's correlation coefficient (0.84) not only indicates a high concurrent validity, but also denotes the importance of responsiveness of physicians in achieving patient satisfaction, as shown by other authors [1,17,18,[22][23][24][25].…”

Section: Interpretation Within the Context Of The Wider Literaturementioning

confidence: 78%

“…The corrected item-total correlation was also calculated. Concurrent validity of the 7-items COVID-19 ROP-Scale was assessed by examining Pearson's correlation between the COVID-19 ROP-Scale score (i.e., the summed score of all items) and overall patient satisfaction, under the assumption that responsiveness would be positively correlated with satisfaction [17,18]. Figure 1 shows the COVID-19 ROP-Scale validation process.…”

Section: Data Management and Analysismentioning

confidence: 99%

Validation of Responsiveness of Physicians Scale (ROP-Scale) for hospitalised COVID-19 patients in Bangladesh

Joarder

Islam

et al. 2022

BMC Health Serv Res

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Background Responsiveness of Physicians (ROP) is defined as the social actions by physicians aimed at meeting the legitimate expectations of healthcare users. Even though patients’ expectations regarding ROP have increased during the COVID-19 pandemic, the psychometrically-validated ROP-Scale is difficult to apply in hospital settings. The goal of this study is to validate the existing ROP-Scale to measure the responsiveness of hospital physicians during the ongoing COVID-19 pandemic in Bangladesh. Methods We conducted a cross-sectional phone survey involving 213 COVID-19 hospital patients, randomly selected from the government database. We applied the Delphi method for content validity, exploratory and confirmatory factor analyses for construct validity, Cronbach’s alpha and corrected item-total correlation for internal consistency reliability, and Pearson’s correlation between the scale and overall patient satisfaction for concurrent validity. Results After removing survey items based on data sufficiency, collinearity, factor loading derived through exploratory factor analysis, and internal consistency, the final version of the COVID-19 ROP-Scale consisted of 7 items, grouped under Informativeness, Trustworthiness and Courteousness domains. The confirmatory factor analysis supported the three domains with acceptable model fit [Root mean squared error of approximation (RMSEA) = 0.028, Comparative fit index (CFI) = 0.997, Tucker-Lewis index (TLI) = 0.994)]. The corrected item-total correlation ranged between 0.45 and 0.71. Concurrent validity was ascertained by the high correlation (0.84) between patient satisfaction and the COVID-19 ROP-Scale. Based on the mean domain score, the highest- and the lowest-scoring responsiveness domains were ‘Trustworthiness’ (7.85) and ‘Informativeness’ (7.28), respectively, whereas the highest- and the lowest-scoring items were ‘Not being involved in illegal activities’ (7.97), and ‘Service-oriented, not business-like attitude’ (6.63), respectively. Conclusions The 7-item COVID-19 ROP-Scale was demonstrated to be feasible, valid, and internally consistent. Therefore, its application can help amend past mistakes in health service provision and improve care for the hospitalised COVID-19 patients or other patients suffering from similar conditions. This study can contribute to the national decision-making regarding hospital care, open up further avenues in the health policy and system research, and eventually improve the quality of care provided to Bangladeshi patients seeking hospital services. Moreover, findings yielded by this study can be incorporated into doctors’ medical education and in-service training.

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“…Patients' satisfaction is related to the extent to which general health care needs and condition-specific needs are met (7,8). The assessment of antenatal care is commonly based on the assessment of the components and quality of services received (7,(9)(10)(11)(12)(13)(14). In recent times, in the assessment of the quality of healthcare, it has become increasingly important to include client's satisfaction as a parameter; hence, healthcare facility performance can be best assessed by measuring the level of patient's satisfaction in addition to other components of quality care (15).…”

Section: Introductionmentioning

confidence: 99%

“…However, it is a wholly subjective assessment of the quality of health care and as such, is not a measure of the final outcome (16). Available studies have shown that the outcome of patients' response to their care is not solely dependent on waiting time but also on policies put in place to maximize patients' satisfaction (8,9).…”

Section: Introductionmentioning

confidence: 99%

Antenatal Clinic Waiting Time, Patient Satisfaction, and Preference for Staggered Appointment–A Cross-Sectional Study

Abdus-Salam

Adeniyi

Bello

2021

Journal of Patient Experience

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Time spent in the antenatal clinic (ANC) is a major disincentive for pregnant women and constitutes a barrier to the utilization of ANC. Long waiting time and poor patient satisfaction may contribute to poor utilization. This study assessed waiting time, patients’ satisfaction, and preference for staggered ANC appointments. A cross-sectional study was conducted; information obtained includes sociodemographic and obstetric characteristics, and time spent at ANC service points. Data were analyzed using International Business Machines (IBM) Statistical Products and Service Solutions (SPSS) software version 23. Descriptive statistics and chi-square test were conducted. Level of significance: P < .05. One hundred and twenty-two participants were interviewed. Mean age was 30.52 (±4.65) years, they were mostly multi-gravid, married, and with tertiary education. Mean time spent in ANC and waiting time were 191 min and 143 min, respectively. Waiting time was longest at doctor's consultation (59 min), laboratory services (38 min), and the cash pay-point (18 min). About 68.9% were satisfied with services and highest at doctors’ consultation. Satisfaction was associated with waiting time of <45 min. Dissatisfaction was high at the cash pay-point (28.7%), followed by the laboratory (16.4%). About 56.5% preferred staggered appointments. Time spent in ANC should be reduced and staggered appointments may be a useful strategy to reduce waiting time and patient load.

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Antenatal Care Satisfaction in a Developing Country: A Cross-Sectional Study from Nigeria

Cited by 4 publications

References 0 publications

Antenatal care service satisfaction and its associated factors among pregnant women in public health centres in Hawassa city, Southern Ethiopia

Antenatal care service satisfaction and its associated factors among pregnant women in public health centres in Hawassa city, Southern Ethiopia

Validation of Responsiveness of Physicians Scale (ROP-Scale) for hospitalised COVID-19 patients in Bangladesh

Antenatal Clinic Waiting Time, Patient Satisfaction, and Preference for Staggered Appointment–A Cross-Sectional Study

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