Mothers' satisfaction with referral hospital delivery service in Amhara Region, Ethiopia

Abstract

BackgroundA woman's satisfaction with the delivery service may have immediate and long-term effects on her health and subsequent utilization of the services. Providing satisfying delivery care increases service utilization. The objective of this study is to assess the satisfaction of mothers with referral hospitals' delivery service and identify some possible factors affecting satisfaction in Amhara region of Ethiopia.MethodsA hospital-based cross-sectional survey that involved an exit interview was conducted from September to November 2009 in three referral hospitals in Ethiopia. A total of 417 delivering mothers were enrolled in the study. Client satisfaction was measured using a survey instrument adopted from the Donabedian quality assessment framework. We collect data systematically from every other postnatal woman who delivered in the referral hospitals. Multivariate and binary logistic regression was applied to identify the relative effect of each explanatory variable on the outcome (satisfaction).ResultsThe proportion of mothers who were satisfied with delivery care in this study was 61.9%. Women's satisfaction with delivery care was associated with wanted status of the pregnancy, immediate maternal condition after delivery, waiting time to see the health worker, availability of waiting area, care providers' measure taken to assure privacy during examinations, and amount of cost paid for service.ConclusionsThe overall satisfaction of hospital delivery services in this study is found to be suboptimal. The study strongly suggests that more could be done to assure that services provided are more patient centered.

Institutional Delivery Service Utilization and Associated Factors among Women of Child Bearing Age at Boset Woreda, Oromia Regional State, Central Ethiopia

“…This finding is consistent with other studies, which indicate that women are more likely to utilize professional assistance for their first births [28,33,34,37]. Study done in Kenya and others reported better institutional delivery among women with lower parity [31,36,38]. This may be because of pregnancy complication fear for those with less experienced or bad experience of previous parity.…”

“…This finding was lower than the study done in Oromia Region Asella Hospital which was 80.7% [29], and Gamogofa 79.1% [30] but higher than Amhara region, 61.9% [31]. The deference may be due to the fact the Addis Ababa is big city in which more staffed, motivated service providers and equipped facility.…”

Satisfaction with childbirth services provided in public health facilities: results from a cross- sectional survey among postnatal women in Chhattisgarh, India

“…For example, a Swedish study ( n  = 2762) reports that younger women had more negative expectations related to childbirth and they experienced more pain and lack of control during labour compared with older women [11], while a Brazilian survey ( n  = 15,688) showed no age-related difference in women’s satisfaction with childbirth services [12]. Studies from low- and middle-income countries show that satisfaction with services had a negative association with the amount of time women spent at the health facility before childbirth [5,13,14]. The educational level of women – in different studies and settings – has demonstrated positive, negative or nil association with satisfaction with childbirth services [4,12,15].…”

Patients' Satisfaction and Associated Factors Among Outpatient Department at Wolaita Sodo University Teaching Hospital, Southern Ethiopia: A Cross Sectional Study

“…Overall satisfaction level:75%and above response rate of the five satisfaction measuring items were categorized as "satisfied" and those who were satisfied in less than 75% of the five satisfaction measuring items were categorized as "unsatisfied" (15).…”

“…Scores are added, with the maximum possible score being 50 and the minimum 10. Perceived empathy was categorized as indicating low (10)(11)(12)(13)(14)(15)(16)(17)(18)(19)(20)(21)(22)(23)(24), medium (25-37) and high (38-50) (16).…”