Determinants of Antenatal Care Service Satisfaction among Women in Ethiopia: A Systematic Review and Meta-Analysis

Abstract

Background. Antenatal care service satisfaction is a measure of the degree to which a woman seeking care is happy with the antenatal care service provided to her. Thus, this systematic review and meta-analysis aims to identify factors that determine antenatal care service satisfaction among women in Ethiopia. Methods. PubMed, Hinari, and Google Scholar were systematically searched for eligible studies. In addition, national university digital libraries were also searched. The Joanna Briggs Institute’s (JBI) critical appraisal tools were used to assess the quality of the included articles. The Cochrane Q-statistics and I2 tests were used to assess heterogeneity among the included studies. Publication bias was assessed using Egger’s test. Joanna Briggs Institute Critical Appraisal Checklist for Analytical Cross-Sectional Studies. The extracted data were analyzed using STATA version 14 software and the results were presented using the forest plot. Results. Of the 274 articles identified through the systematic search of the literature, 13 studies fulfilling the inclusion criteria were included in this meta-analysis. First antenatal care visit (AOR: 0.62 and 95% CI: 0.40, 0.96), women waited <60 min (AOR: 1.87 and 95% CI: 1.40–2.50), women whose privacy was maintained (AOR: 3.91 and 95% CI: 1.97–7.77), women treated respectfully (AOR: 5.07 and 95% CI: 2.34–10.96), and unplanned pregnancies (AOR = 0.28 and 95% CI: 0.10–0.77) were significantly associated with antenatal care service satisfaction. Conclusion. The study assessed the determinants of antenatal care service satisfaction in Ethiopia. First antenatal care visit, waiting time (<60 min) to see the care provider, maintenance of privacy, respectful treatment, and pregnancy unplanned were found to be determinants of antenatal care service satisfaction. Counseling a woman to comply with a minimum required antenatal care visits and compassionate and respectful maternity care will increase maternal satisfaction with the antenatal care services.

Understanding Antenatal Care Service Quality for Malaria in Pregnancy through Supportive Supervision Data in Tanzania

“…Although we have no data on client perceptions of how they were treated, most reported satisfaction with provider communication. However, a multicountry meta-analysis found that the first ANC visit was associated with greater client satisfaction 30 ; by targeting new ANC clients, MSDQI may overestimate client satisfaction.…”

Holistic antenatal care during pregnancy: A systematic review

“…According to [20], concerns were made about the staff members' lack of courtesy. A further obstacle that has been identified as discouraging pregnant women from accessing ANC is the staff members' disrespect towards them [22]. As such, midwives should welcome pregnant women positively and use the appointment system to commence making amends.…”

Satisfaction with Antenatal Care Services and Its Associated Factors among Pregnant Women at Public Health Centers of Lemi Kura Sub-City, Addis Ababa, Ethiopia, 2022

“…Satisfaction with antenatal care services is affected by different dimensions such as structure (physical environment and availability of adequate human resources, medicines, and supplies), process (interpersonal behavior, privacy, promptness, cognitive care, perceived provider competency, and emotional support), and outcome (health status of the mother and fetus) [19]. It is also associated with sex of the health-care provider; the religion, educational status, residence, ethnicity, and age of the mother; history of antenatal care; waiting time; transportation; distance of health facility from home; type of pregnancy; and history of abortion [19][20][21][22][23][24].…”

“…Satisfaction with antenatal care services among pregnant women at different parts of Ethiopia ranges from 33.4% to 83.9% [23]. This shows that the quality of antenatal care services is inconsistent and varied.…”