Maternal Satisfaction on Delivery Care Services and Associated Factors Among Mothers who Gave Birth in the University of Gondar Teaching and Referral Hospital, Northwest Ethiopia

Abstract

Introduction: Maternal satisfaction on delivery services is an important indicator for assessment of the quality of care. Quality of delivery care is the degree to which maternal health services for individuals and populations increase the likelihood of timely and appropriate treatment for the purpose of achieving desired outcomes. The use of services and outcomes are the result not only of the provision of care but also of women’s experience of that care. Therefore, investigating women’s experience or satisfaction on delivery care is of paramount importance to enhance the services utilization. Methods: An institution based cross-sectional study design was used. Data were collected using structured and pretested questionnaire from 403 mothers who were recruited by simple random sampling technique. Multivariable binary logistic regression was used to identify variables associated with maternal satisfaction on delivery services on the basis of adjusted odds ratio (AOR) with 95% confidence interval (CI) and a p – value less than 0.05. Results: The current study found that 78.2%, 65.5%, 64.3%, 49.9% and 44.7% of the mothers who gave birth at the University of Gondar teaching and referral hospital were satisfied on physicians’ communication, health care services, physicians’ attitude, privacy and sanitation condition of the health institution respectively. The overall satisfaction of mothers on delivery services was found to be 65.5%. Maternal satisfaction was statistically associated with diploma and above education [AOR = 0.29, 95% CI = (0.13, 0.66)]; secondary and/or primary education [AOR = 0.42, 95% CI = (0.20, 0.90)]; Antenatal care (ANC) follow-up in the current pregnancy [AOR = 4.47, 95% CI = (1.77, 11.27)] and short waiting time [AOR =1.85, 95% CI = (1.19, 2.88)].Conclusion: This study revealed that the overall satisfaction of mothers on delivery service was found to be suboptimal. Physicians’ communication, health care services and physicians’ attitude were areas where the highest proportion of mothers satisfied. On the other hand, the highest proportion of mothers was dissatisfied on sanitation condition. Educational status, ANC follow-up and waiting time were found to be statistically associated with maternal satisfaction on delivery services.

A systematic review and meta-analysis of women’s satisfaction with skilled delivery care and the associated factors in Ethiopia

“…The prevalence of maternal satisfaction ranges from 18% 11 to 95%, 14 which shows a great variation across different geographical areas and periods. Regarding the associated factors, several factors such as maternal age, 12,15–19 residence place, 14,19–22 educational status, 1,12,14,16,17,23–27 Ante-Natal Care (ANC) utilization, 6,12,14,15,18,21,24,26 status of pregnancy, 12,14,18,25,28,29 maternal outcome, 25,28,30,31 presence of waiting area, 18,22,28,32 presence of a clean toilet, 12,18,22,27,33 having a plan to delivery at health facility, 1,3,12,17,22,26,34,35 waiting time to be seen by obstetric caregivers(OCGs), 1,12,…”