Abstract
Maternal satisfaction is a means of evaluating quality of maternal health care given in health facilities. The objective was to assess the level of maternal satisfaction and associated factors at Asrade Zewude Memorial Primary Hospital. Cross-sectional study was conducted on 420 clients by systematic sampling method from February 8, 2017 to September 25, 2017. Structured questionnaire that was prepared by Ethiopian Federal Ministry of Health was used. Pre-testing was done prior to the actual data collection process on a sample of 20 respondents and modified accordingly. The study was approved by Asrade Zewude Memorial Primary Hospital Senior Management Committee. The collected data were checked for completeness and consistency before being coded, entered and analyzed using Statistical Package for the Social Sciences (SPSS) version 16. Logistic regression was used to assess the presence of association between dependent and independent variables using SPSS at 95% confidence interval (CI) and 5% margin of error. The study revealed that level of satisfaction among delivering mothers was 88%. Educational level (AOR=2.15, 95% CI=[1.02-3.71]), access to ambulance service (AOR=3.15, 95% CI=[1.02-3.78]), respectful delivery service (AOR=6.85, 95% CI=[4.35-6.95]), welcoming hospital environment (AOR=3.09, 95%CI=[2.30-2.69]), proper labor pain management (AOR=4.51, 95% CI=[3.12-5.01]) and listening to their questions (AOR=3.95, 95% CI=[2.35-4.36]) were independent predictors for maternal satisfaction. Even though most of the participants were satisfied, they still had unmet needs and expectations in the delivery service provider. The identified main determinants were level of education, access to ambulance service, welcoming hospital environment, proper pain management and listening to their questions. Therefore, there is need to improve the care given to maternity and appropriate strategy should be designed to address the unmet needs of mothers delivered in the hospital. Key words: Maternal satisfaction, associated factors, delivery, West Gojjam Zone, Ethiopia.
Highlights
About 800 women die from pregnancy or labor related complications around the world every day
This study aimed to assess women‟s satisfaction with an institutional delivery service using a standardized scale with an intent to potentially use the findings in advocacy for service improvement
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%) (Lumadi and Buch, 2011; MesfinTafa, 2014; Geerts et al, 2017)
Summary
About 800 women die from pregnancy or labor related complications around the world every day. In Ethiopia, according to 2016 Ethiopia Demographic and Health Survey (EDHS), the estimated maternal mortality ratio was found to be 412 per 100,000 live births (World Health Organization, 2013). The World Health Organization promotes skilled attendance at every birth to reduce maternal mortality and recommends that women‟s satisfaction be assessed to improve the quality and effectiveness of health care (World Health Organization (WHO) 2004). Client satisfaction is a subjective and dynamic perception of the extent to which the expected health care is received (Larrabee and Bolden, 2001). It is not important whether the patient is right or wrong, but what is important is how the patient feels (Jatulis et al, 1997)
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