Determinants of focused antenatal care service satisfaction in public health facilities in Ethiopia 2018: A mixed study design

Abstract

Ethiopia has been implementing focused antenatal care package to reduce maternal and child deaths. The quality of antenatal care service has not being resolved widely due to unstandardized measurement. Hence, this study assessed determinants of focused antenatal care service satisfaction in Public Health Facilities of West Guji Zone, Ethiopia, 2018. A facility based cross-sectional triangulated with qualitative study design was conducted and multistage sampling techniques was used to select 810 pregnant women in West Guji Zone, from February 5th to 28th, 2018. Key informants were selected purposively for in-depth interview. Internal reliability test checked and Crobach‘s alpha became 86.5%. Data was cleaned, coded, entered to EPI INFO software, and then exported to SPSS version 21 for analysis. Predictors in multivariate logistic regression analysis determined where p value is less than 0.05. Qualitative data were thematically analyzed and triangulated for final conclusion. The overall prevalence of satisfaction was 66%. The predictors of overall satisfaction level were urban resident (AOR=1.91, 95%CI: 1.07-3.35), males’ sex service provider (AOR=0.42, 95%CI: 0.31-0.70), housewife in occupation (AOR=5.81, 95%CI :1.06-31.35), living alone (AOR= 0.16, 95%CI: 0.04-0.71), waiting time 30-60 minutes (AOR= 0.62, 95%CI :0.40-0.99), frequency ANC (AOR= 0.35, 95%CI: 0.16-0.76), care giving approach (AOR= 5.10, 95%CI: 2.10-12.51), and service provider respect (AOR= 2.41, 95%CI: 1.31-4.50). Three-in-ten study women were dissatisfied with the service they received and predicators were rural residence, male service providers, government employees, living alone, 30-60’ waiting time duration, frequency of antenatal care visit, care giving and respectful approach of service provider. Therefore, a multidimensional intervention is crucial to alleviate multifaceted negative outcomes in maternal health. Key words: Antenatal care, child, maternal satisfaction.