Client Satisfaction with Delivery Care Service and Associated Factors in the Public Health Facilities of Gamo Gofa Zone, Southwest Ethiopia:In a Resource Limited Setting

Abstract

Background. Ensuring patient satisfaction is an important means of secondary prevention of maternal mortality. This study presents findings from a multidimensional study of client satisfaction from the Gamo Gofa Zone in Southwest Ethiopia. Methods. A facility based cross-sectional study using exit interviews was conducted from 2014. Client satisfaction was measured using a survey adopted from the Donabedian quality assessment framework. Thirteen health institutions were randomly sampled of 66 institutions in Gamo Gofa Zone. Logistic regression was used to determine predictors of client satisfaction. Results. The overall satisfaction level of the clients in this study was 79.1% with (95% CI; 75–82). Women attending health centres were more likely satisfied than women attending hospitals (χ 2 = 83.7, df = 12, P < 0.001). The proportion of women who complained about an unfriendly attitude or unresentful care from health workers was higher in the hospitals (χ 2 = 27.4, df = 1, P < 0.001). The presence of support persons during child birth improved client satisfaction (AOR = 6.23 95% CI; 2.75–14.1) and women who delivered with caesarean section are four times more likely satisfied than those who deliver vaginally (AOR 3.6 95% CI; 1.44–9.06). Client satisfaction was reduced if the women had to pay for the services (AOR = 0.27 95% CI; 0.09–81). Conclusions. The study shows that overall satisfaction level is good. More emphasis should be put on giving women friendly care, particularly at the hospitals.

Institutional Delivery Service Utilization and Associated Factors among Women of Child Bearing Age at Boset Woreda, Oromia Regional State, Central Ethiopia

“…This finding was lower than the study done in Oromia Region Asella Hospital which was 80.7% [29], and Gamogofa 79.1% [30] but higher than Amhara region, 61.9% [31]. The deference may be due to the fact the Addis Ababa is big city in which more staffed, motivated service providers and equipped facility.…”

Delivery service satisfaction and associated factors among mothers who gave birth at West Shewa Zone public hospitals, Ethiopia

“…The study revealed that, the overall delivery service satisfaction of mothers was 82.1%. This finding is comparable with studies conducted at Serbian public Hospitals (81%), Wolaita Hospital, Ethiopia (82.3%), Assela hospital Ethiopia (80.7%), Gamo-Gofa Zone, South Ethiopia (79.1%) and Debremarkos Hospital, North west Ethiopia 81.7% [22][23][24][25][26].This may be due to similarities of these hospitals by patient load, number of health professionals and infrastructures.…”

Satisfaction of Caretakers on Community Based Newborn Care and Its Predictors in Boloso Sore District, Southern Ethiopia

“…The proportion of caretakers satisfaction in current finding was lower than many other studies in Ethiopia: four major regions (82.9%) [26], Arba Minch in south (90.2%) [29], Jimma in south west (79.4%) [40], Gamo Gofa in south (79.1%) [41], Debre Markos in North (81.7%) [42], West-Arsi in central (74.6%) [31], and Wolaita in south west (82.9%) [32]. The difference might be due to difference in sample size and study population as this study used only population at community level, and the disparities in socio-economic status of the respondents and level of health facilities.…”