Maternal Satisfaction on Delivery Service among Postnatal Mothers in a Government Hospital, Mid-Western Nepal

Abstract

Background Maternal satisfaction is one of the most frequently reported outcome measures for quality of care, and it needs to be addressed to improve the quality and efficiency of health care during pregnancy, childbirth, and puerperium to provide quality maternal-friendly services. Objective To find out the maternal satisfaction on delivery service among postnatal mothers in a government hospital, Mid-Western Nepal. Method A descriptive, cross-sectional study was conducted in maternity ward of Bheri Zonal Hospital, Nepal. A total of 178 purposively selected postnatal mothers were interviewed face-to-face using semistructured interview schedules. Analysis and interpretation of the findings were done with the help of descriptive and inferential statistics. Results The study shows that majority (89.88%) of the mothers were satisfied with the delivery service. The level of satisfaction was higher in interpersonal and technical aspects (93.82%) of care than in informative aspects (91.57%) and health facility-related statements (91.01%). There was no statistically significant association between sociodemographic and obstetric characteristics and maternal satisfaction. Although insignificant, postnatal mothers who were illiterate were 2.710 times more likely to be satisfied than who were literate (p=0.475; OR = 2.710; CI = 0.343–21.4), also postnatal mothers up to primary level were 2.850 times more likely to be satisfied than secondary level and above (p=0.241; OR-2.850; CI 0.622–13.056). Also, in this study, postnatal mothers who were multiparous were 2.352 times more likely to be satisfied with the delivery service than primiparous (p=0.111; OR = 2.352; CI = 0.801–6.907). Majority (87.1%) of the mothers would like to receive delivery service next time in the same hospital. Conclusion Majority of mothers were satisfied by the delivery service. Care givers need to fully understand the expectations the mothers have and provide care that is consistent with those expectations. The health system should be devised to increase maternal satisfaction in the health institution and provide maternal-friendly service.

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

“…The probable reason might be due to the fact that educated mothers expect and demand better health care service quality. Moreover, educated mothers might know service quality standards and might compare the services they received with the standard (24). This institution based cross-sectional study depicted that maternal satisfaction on delivery services was signi cantly associated with ANC follow-up which is inline with the ndings of other studies (15,18,23,27).…”

“…The overall satisfaction level of mothers was found to be 65.5% (95% CI = 60.1 -70.2%). The current level of satisfaction was in line with the reports of other similar studies in Amhara region (61.9%) (15) and South Ethiopia (67.9%) (17); The level of maternal satisfaction reported in this study was lower than the ndings of other similar studies in Debremarkos (81.7%) (16); in Assela (80.7%) (18); in Bure (88%) (19); in Bahir Dar(74.9 %)(20); in Hawassa (87.7%)(21); in Wolayta zone(82.9%) (22) in Arba Minch(90.2%)(23) and in Nepal(89.88%) (24). The Current level of maternal satisfaction was also higher than the ndings of other studies in Iran (59.5 %) (25) and Sri Lanka(29.6%) (26).…”

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

“…The current level of satisfaction was in line with the reports of other similar studies in Amhara region (61.9%) (15) and South Ethiopia (67.9%) (17). The level of maternal satisfaction reported in this study was lower than the findings of other similar studies in Debremarkos (81.7%) (16), Assela (80.7%) (18), Bure (88%) (19), Bahir Dar(74.9 %)(20), Hawassa (87.7%)(21), Wolayta zone(82.9%) (22), Arba Minch(90.2%) (23) and Nepal(89.88%) (24).…”

“…The probable reason might be due to the fact that educated mothers expect and demand better healthcare service quality. Moreover, educated mothers might know service quality standards and might compare the services they received with the standards (24).…”

Assessment of service satisfaction and associated status among women who have given birth in Adigrat general hospital, Ethiopia, 2018.

“…This is lower than studies conducted in Mid-Western Nepal (89.88%), Felege Hiwot Referral Hospital Northwest Ethiopia (74.9 %), Wolayita zone, Ethiopia (82.9%), Jimma (77%) and Assela Hospital (80.7%), Debre Markos town, Ethiopia (81.7%), Mekelle, Ethiopia (79.7%), Abrade Swede Memorial Primary Hospital, Ethiopia (88%) and Arbaminch District Southern Ethiopia (90.2%). (11)(12)(13)(14)(15)(16)(17)(18)(19). However, this finding is higher than the study conduct in Amhara Referral Hospitals, Ethiopia (61.9%), in Ethiopia and South Africa (51.9%) and Nairobi Kenya (56%) (20-22).…”