Mothers’ Satisfaction with Institutional Delivery Service in Public Health Facilities of Omo Nada District, Jimma Zone

Abstract

Assessment of client satisfaction has become an administrative and a practical reality; it is important measure of the quality of services. Satisfaction studies provide feedback on how well the service is functioning according to clients' perception and what changes might be required to meet clients' expectation. Satisfaction affects service utilization; satisfied mothers will have optimum utilization of delivery service. This study assessed satisfaction with institutional delivery service and factors affecting their satisfaction, among mothers who gave birth in public health centers of Omo Nada district, south west Ethiopia. A facility based cross-sectional study was conducted on 391mothers who gave birth in selected public health centers of Omo Nada district, south west of Addis Ababa. The total sample was allocated to four health centers, based on expected pregnancy in their catchment area. Sample mothers were selected using systematic random sampling, list of mothers registered on delivery registration books of each health center were used as a sampling frame. Pre-tested structured questionnaire was used, 5 data collectors with diploma were recruited. Collected data were entered in to EPIDATA 3.0, and exported to SPSS version 16. Bivariate and multivariate logistic regression analyses were conducted. The overall satisfaction with institutional delivery service was 255(65.2%). Major satisfaction was recorded with supportiveness of the provider and cleanliness of delivery room. According to multivariate logistic regression analysis result, mothers who had ANC follow up had two fold increased satisfaction, [AOR= 2.05, 95% CI 1.33, 4.75]. Those who planned their pregnancy were 2.85 times more likely satisfied than those did not, [AOR=2.85 with 95%CI 1.56, 5.21]. This study showed ANC attendance, utilization of maternity waiting home (MWH) service, planned status of the pregnancy, distance and cleanliness of the toilet during delivery service were significant predicators of mothers' satisfaction with the service. Utilization of MWH and ANC attendance during pregnancy significantly increases mothers' satisfaction with institutional delivery service. On the other hand, mothers with unplanned pregnancy showed decreased satisfaction.

Satisfaction and Associated Factors among Mothers Delivered at Asrade Zewude Memorial Primary Hospital, Bure, West Gojjam, Amhara, Ethiopia: A Cross Sectional Study

“…In this study, the overall satisfaction of mothers on delivery service was found to be 88%, which was comparable to the study conducted in Wolayita Zone (82.9%), Debremarkos town (81.7%) and Assela Hospital (80.7%) [9,11,17]. However, it was higher than the study, which was conducted in Jimma (77%) [19] and Amhara Referral Hospitals (61.9%) [12] in Ethiopia and South Africa (51.9%) and Kenya (56%) in Africa [9,10]. The difference with the above finding may be because of a real difference in the quality of services provided, expectation of mothers or the type of health facilities.…”

“…Studies from developing countries show that satisfaction with services had a negative association with the amount of time women spent at the health facility before childbirth [17]. The educational level of women in different studies and settings has demonstrated positive, negative or nil association with satisfaction during delivery services [18,19]. Other identified factors that influenced satisfaction with childbirth services are: having clean and orderly labour rooms and women-friendly delivery processes, such as having been prepared in advance for what to expect during the labour/postpartum/breast feeding period; involvement in the decision-making process; having a birth plan and being able to follow it; having pain relief during labour; having a birth companion and respectful care providers; receiving help from care providers inperforming self and neonate'scare; and experiencing less symptoms in the postpartum period [20][21][22][23][24][25].…”

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

“…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). ANC follow-up might give mothers a continuum of care from the ante natal to the post-partum period which will grant mothers all the necessary information about birth preparedness and information related to the current pregnancy (28).…”

Women’s satisfaction with existing labour and delivery services in Ethiopia: a systematic review and meta-analysis

“…Concerning sample size, the sample size of the individual studies ranged from 256 to 736. The highest and lowest prevalence (95%) and (19%) of women satisfaction towards existing labour and delivery services were reported in studies conducted in Wolaitta Soddo Town, Southern Nations, Nationalities, and Peoples Region and Addis Ababa, respectively [25][26][27][28][29][30][31][32][33][34][35][36][37][38][39][40][41][42][43] (table 2).…”