Abstract
Background Antenatal care service satisfaction is a measure of the degree to which a woman seeking care is happy with the antenatal care service provided to her. Thus, this systematic review and meta-analysis aims to identify factors that determine antenatal care service satisfaction among women in Ethiopia. Methods PubMed, Hinari, and Google Scholar were systematically searched for eligible studies. In addition, national university digital libraries were also searched. The Joanna Briggs Institute's (JBI) critical appraisal tools were used to assess the quality of the included articles. The Cochrane Q-statistics and I2 tests were used to assess heterogeneity among the included studies. Publication bias was assessed using Egger's test. Joanna Briggs Institute Critical Appraisal Checklist for Analytical Cross-Sectional Studies. The extracted data were analyzed using STATA version 14 software and the results were presented using the forest plot. Results Of the 274 articles identified through the systematic search of the literature, 13 studies fulfilling the inclusion criteria were included in this meta-analysis. First antenatal care visit (AOR: 0.62 and 95% CI: 0.40, 0.96), women waited <60 min (AOR: 1.87 and 95% CI: 1.40–2.50), women whose privacy was maintained (AOR: 3.91 and 95% CI: 1.97–7.77), women treated respectfully (AOR: 5.07 and 95% CI: 2.34–10.96), and unplanned pregnancies (AOR = 0.28 and 95% CI: 0.10–0.77) were significantly associated with antenatal care service satisfaction. Conclusion The study assessed the determinants of antenatal care service satisfaction in Ethiopia. First antenatal care visit, waiting time (<60 min) to see the care provider, maintenance of privacy, respectful treatment, and pregnancy unplanned were found to be determinants of antenatal care service satisfaction. Counseling a woman to comply with a minimum required antenatal care visits and compassionate and respectful maternity care will increase maternal satisfaction with the antenatal care services.
Highlights
Patient satisfaction is a measure of the degree to which a health care seeking client or patient is happy with the care given by health care providers
It is the care that enhances the likelihood for the pregnant woman to regularly go for check-ups to assess risks, to screen for and treat antenatal conditions, to enhance the effective management of obstetric emergencies during the childbirth process, and to encourage postpartum care that is important for detecting and treating postpartum complications [6]. e use of skilled maternity care can be deterred by the fear of disrespecting and mistreatment in maternity care providing health facilities [7]
163 articles were excluded due to duplication. e titles and abstracts of the remaining 111 articles have been screened and 41 articles that do not meet the inclusion criteria were removed. e remaining 70 articles were screened in full, and 30 articles that were found to be outside the study area were removed. e full text of the remaining 40 articles were assessed in detail against the eligibility criteria, and 27 articles were excluded as they did not have any important information
Summary
Patient satisfaction is a measure of the degree to which a health care seeking client or patient is happy with the care given by health care providers. Antenatal care service satisfaction is a measure of the degree to which a woman seeking care is happy with the antenatal care service provided to her. Us, this systematic review and meta-analysis aims to identify factors that determine antenatal care service satisfaction among women in Ethiopia. Of the 274 articles identified through the systematic search of the literature, 13 studies fulfilling the inclusion criteria were included in this meta-analysis. E study assessed the determinants of antenatal care service satisfaction in Ethiopia. First antenatal care visit, waiting time (
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