Health Care Characteristics Associated With Women's Satisfaction With Prenatal Care

Handler, Arden; Rosenberg, Deborah; Raube, Kristiana; Kelley, Michele A.

doi:10.1097/00005650-199805000-00008

Cited by 60 publications

(44 citation statements)

References 25 publications

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“…A review on general health services delivery in China reported that many patients complained about unclear information about services they received and a few of them or their relatives had open conflict with health providers [27]. Studies in both industrialised and developing countries have found that good patient-provider interaction was associated with increased women's satisfaction [28,29], which was considered as one of the major factors influencing the use of prenatal care and the effect of care [30]. The lack of clear and effective communication suggested in this study may not only undermine the provider-user relationship, but also potentially affect health seeking behaviour if patients are unwilling to seek care due to lack of trust.…”

Section: Discussionmentioning

confidence: 99%

Utilisation, contents and costs of prenatal care under a rural health insurance (New Co-operative Medical System) in rural China: lessons from implementation

Long

Zhang

Hemminki

et al. 2010

BMC Health Serv Res

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BackgroundIn China, the New Co-operative Medical System (NCMS), a rural health insurance system, has expanded nationwide since 2003. This study aims to describe prenatal care use, content and costs of care in one county where prenatal care is included in the NCMS and two counties where it is not. It also explores the perceptions of stakeholders of the prenatal care benefit package in order to understand the strengths and weaknesses of the approach in the context of rural China and to draw lessons from early implementation.MethodsThis study is based on the data from a cross-sectional survey and a qualitative investigation conducted in 2009. A survey recruited women giving birth in 2008, including 544 women in RC County (which covered prenatal care) and 619, and 1071 in other two counties (which did not). The qualitative investigation in RC included focus group discussions with women giving birth before or after 2007, individual interviews with local policy makers and health managers, NCMS managers and obstetric doctors in township hospitals.ResultsThere were no significant differences in prenatal care use between RC County (which covered prenatal care) and other two counties (which did not): over 70% of women started prenatal visits early and over 60% had five or more visits. In the three counties: a small proportion of women received the number of haemoglobin and urine tests recommended by the national guideline; 90% of women received more ultrasound tests than recommended; and the out-of-pocket expenditure for prenatal care consumed a high proportion of women's annual income in the low income group. In RC: only 20% of NCMS members claimed the reimbursement; the qualitative study found that the reimbursement for prenatal care was not well understood by women and had little influence on women's decisions to make prenatal visits; and several women indicated that doctors suggested them taking more expensive tests.ConclusionsWhether or not prenatal care was included in the NCMS, prenatal care use was high, but the contents of care were not provided following the national guideline and more expensive tests were recommended by doctors. Costs were substantial for the poor.

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Section: Discussionmentioning

confidence: 99%

Utilisation, contents and costs of prenatal care under a rural health insurance (New Co-operative Medical System) in rural China: lessons from implementation

Long

Zhang

Hemminki

et al. 2010

BMC Health Serv Res

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“…In fact, we analyzed the differences between the perspectives of women in the intervention and control clinics, focusing only on those specific aspects that changed as a result of the introduction of the new ANC model (number and spacing of visits, information provided, etc.) Our study did not explore women's satisfaction with any other aspects of ANC such as technical quality, physical environment, access and continuity of the provider [37,38] that were not modified with the intervention, or the differences in users' satisfaction associated with ANC received in different types of facilities (i.e. private or public.)…”

Section: Discussionmentioning

confidence: 99%

Are women and providers satisfied with antenatal care? Views on a standard and a simplified, evidence-based model of care in four developing countries

Langer¹,

Villar

Romero

et al. 2002

BMC Women's Health

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BackgroundThis study assessed women and providers' satisfaction with a new evidence-based antenatal care (ANC) model within the WHO randomized trial conducted in four developing countries. The WHO study was a randomized controlled trial that compared a new ANC model with the standard type offered in each country. The new model of ANC emphasized actions known to be effective in improving maternal or neonatal health, excluded other interventions that have not proved to be beneficial, and improved the information component, especially alerting pregnant women to potential health problems and instructing them on appropriate responses. These activities were distributed within four antenatal care visits for women that did not need any further assessment.MethodsSatisfaction was measured through a standardized questionnaire administered to a random sample of 1,600 pregnant women and another to all antenatal care providers.ResultsMost women in both arms expressed satisfaction with ANC. More women in the intervention arm were satisfied with information on labor, delivery, family planning, pregnancy complications and emergency procedures. More providers in the experimental clinics were worried about visit spacing, but more satisfied with the time spent and information provided.ConclusionsWomen and providers accepted the new ANC model generally. The safety of fewer visits for women without complications with longer spacing would have to be reinforced, if such a model is to be introduced into routine practice.

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“…The client satisfaction survey was an adaptation of a client satisfaction survey used in the United States for prenatal clinic visits (Handler, Rosenberg, Raube, & Kelley, 1998). Again, we consulted with Malawian clinical experts to determine appropriateness of the items for health workers in Malawi.…”

Section: Methodsmentioning

confidence: 99%

Impact of a Peer-Group Intervention on Occupation-Related Behaviors for Urban Hospital Workers in Malawi

Chimango¹,

Kaponda²,

Jere³

et al. 2009

Journal of the Association of Nurses in AIDS Care

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Using a pre- and post-test design with no control group, we evaluated the impact of a peer group intervention on work-related knowledge and behavior for health workers at an urban hospital in Malawi. We surveyed unmatched random samples of health workers, observed workers on the job, and interviewed clients about hospital services at baseline and at 6 months after the intervention. Universal precautions (UP) knowledge, reported hand washing, and reported client teaching were significantly higher at the final evaluation. The outcome differences remained robust in multivariate analyses with controls for demographic factors of age, gender, education, food security, and job category. Observations found consistently greater use of UP, more respectful interactions, and more client teaching at final evaluation. Patient surveys reported more discussion with health workers about HIV at the final evaluation. Peer-group interventions can prepare health workers in Malawi for HIV prevention and offer a potential model for other African countries.

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Health Care Characteristics Associated With Women's Satisfaction With Prenatal Care

Abstract: Knowledge of the care characteristics that impact low-income pregnant women's satisfaction can be utilized to alter service delivery to increase use of prenatal care and ultimately to improve perinatal outcomes.

Cited by 60 publications

References 25 publications

Utilisation, contents and costs of prenatal care under a rural health insurance (New Co-operative Medical System) in rural China: lessons from implementation

Utilisation, contents and costs of prenatal care under a rural health insurance (New Co-operative Medical System) in rural China: lessons from implementation

Are women and providers satisfied with antenatal care? Views on a standard and a simplified, evidence-based model of care in four developing countries

Impact of a Peer-Group Intervention on Occupation-Related Behaviors for Urban Hospital Workers in Malawi

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