Abstract
BackgroundMothers’ satisfaction with care during childbirth is indicators of the quality care which affects skilled birth attendance. Negative client’s experiences at health facilities cause them to delay or avoid seeking care, which highlights services providers should consider and act on the expectations and experiences of women and their families. Though there are few studies conducted in Ethiopia on maternal satisfaction with Labor and Delivery (LAD) services, there is no study conducted in the study area. Therefore the study aims to assess the mother’s satisfaction with existing LAD services and associated factors at all levels of health care in the West Shewa zone.MethodsAn institution-based cross-sectional study was conducted at public health facilities in West Shewa zone, Central Ethiopia. A systematic sampling technique was used to select 560 respondents by using their delivery registration number and data were collected through face to face interview. Mothers were considered satisfied if they responded satisfied/very satisfied with 75% or more of the questions assessing satisfaction. Binary and multivariable logistic regression analysis was used to identify associated factors.ResultsThe overall proportion of mothers who were satisfied with the current LAD care services were 60.8%. The main areas of dissatisfaction were; accessibility and cleanness of toilets/shower 72.6%, overall cleanness of the facility/including waiting-area 40.1% and presence of support a person during birth 38.0%. The presence of cultural practices (AOR = 2.5), discussion on the place of delivery with health worker during ANC (AOR = 1.75), providers asks for consent before procedure (AOR = 2.77), encouraging companion to remain with mother (AOR = 2.22), never leave mother alone or unattended (AOR = 2.56), giving periodic updates on status and progress of labor (AOR = 2.04) and explaining what is being done and to expect during LAD (AOR = 2.20) were factors identified to be significantly associated with satisfaction on LAD services.ConclusionThe overall satisfaction of mothers with LAD services at public health facilities in the West-Shewa zone was relatively low. Presence of cultural practices, discussion on the place of delivery, asking for consent before the procedure, encouraging companion to remain with mothers and explaining what is being done were factors identified. Therefore, all stakeholders have to emphatically work on those identified factors to improve mothers’ satisfaction with LAD services.
Highlights
Mothers’ satisfaction with care during childbirth is indicators of the quality care which affects skilled birth attendance
Mothers satisfaction with labor and delivery care services in west Shewa zone In this study, the proportion of mothers who were satisfied with the Labor and Delivery (LAD) care services received from health facilities in West Shewa zone was 339(60.8%)
This study identified that those mothers who gave birth at facilities where there are cultural practices like coffee and porridge were 2.5 times more likely to be satisfied than those where there is no (AOR = 2.5, 95% Confidence Interval (CI): 1.28, 4.94) and those who had discussed on the place of delivery with health worker during Ante Natal Care (ANC) were almost two times more likely to be satisfied than those who did not (AOR = 1.75, 95% CI: 1.03, 2.96)
Summary
Mothers’ satisfaction with care during childbirth is indicators of the quality care which affects skilled birth attendance. Though there are few studies conducted in Ethiopia on maternal satisfaction with Labor and Delivery (LAD) services, there is no study conducted in the study area. The study aims to assess the mother’s satisfaction with existing LAD services and associated factors at all levels of health care in the West Shewa zone. Though there is progress on maternal mortality, an estimated 295,000 maternal deaths occurred in 2017, with an overall Maternal Mortality Ratio (MMR) of 462 in low-income countries versus 11 per 100,000 live births in high-income countries. Ethiopia is among the fifteen countries which were identified as very high or high alert areas of global maternal deaths by world health organization [1,2,3]. According to Ethiopian demographic and health survey 2016, MMR dropped from 676 in 2011 to 412 deaths per 100,000 live births in 2016 [5]
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