Abstract
Introduction: In Africa, poor working conditions affect the motivation of health care providers. The objective is to study midwives’ professional satisfaction on the technical quality of emergency obstetric care in Senegal. Material and Methods: This was a prospective study of 16 hospitals in Senegal. The job satisfaction of midwives was measured during a personal interview. The instrument used was validated in Senegal and Mali. Other data collected relate to professional and institutional characteristics. A treatment observation grid was used to measure the quality of obstetric care in labour wards. Mixed-model linear regression was used to estimate the effect of satisfaction on the quality of obstetric care. Results: A total of 65 midwives were interviewed and 325 patients observed. The average quality score was 8.7 ± 1.7. The satisfaction scores ranged from 42.2 ± 17.4 (salary) to 76.7 ± 12.1 (morale satisfaction). A positive and significant correlation was found between quality of care and management (cc = 0.56), remuneration (cc = 0.40), task (cc = 0.32), workload (cc = 0.24) and training (cc = 0.29). The linear mixed model shows that salary (β = 0.40), continuing education (β = 0.17) and management style (β = 0.42) improved the quality of care. Association between moral satisfaction and quality care was negative (β = ﹣0.53). Conclusion: The satisfaction of health professionals is a major determinant of the quality of obstetric care. Its inclusion in the fight against mortality has become imperative in developing.
Highlights
In Africa, poor working conditions affect the motivation of health care providers
The satisfaction of health professionals is a major determinant of the quality of obstetric care
Of the 24 hospitals enrolled in the QUARITE trial in Senegal, 18 district or regional hospitals outside the capital were included inthe study
Summary
The objective is to study midwives’ professional satisfaction on the technical quality of emergency obstetric care in Senegal. A treatment observation grid was used to measure the quality of obstetric care in labour wards. Mixed-model linear regression was used to estimate the effect of satisfaction on the quality of obstetric care. The linear mixed model shows that salary (β = 0.40), continuing education (β = 0.17) and management style (β = 0.42) improved the quality of care. Association between moral satisfaction and quality care was negative (β = −0.53). Conclusion: The satisfaction of health professionals is a major determinant of the quality of obstetric care. Maternal mortality is a major public health problem in sub-Saharan Africa (SSA) where. Most maternal deaths are preventable but difficult to predict because they can occur in any pregnant woman. The orientation of programs towards improving intra-partum care would significantly reduce maternal mortality [2]
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