Abstract
Background Exploring patient satisfaction contributes to provide quality maternity care, but there is paucity of epidemiologic data in Eritrea. Objectives To determine the predictors of women's satisfaction with intrapartum care in Asmara public maternity hospitals in Eritrea. Methods A cross-sectional study among 771 mothers who gave birth in three public Hospitals. Chi-square tests were done to analyze the difference in proportion and logistic regression to assess the predictors of satisfaction with intrapartum care. Results Overall, only 20.8% of the participants were satisfied with intrapartum service. The key predictors of satisfaction with intrapartum care were provision of clean bed and beddings (AOR = 18.87, 2.33–15.75), privacy during examinations (AOR = 10.22, 4.86–21.48), using understandable language (AOR = 8.72, 3.57–21.27), showing how to summon for help (AOR = 8.16, 4.30–15.48), showing baby immediately after birth (AOR = 8.14, 2.87–23.07), control of the delivery room (AOR = 6.86, 2.65–17.75), receiving back massage (AOR = 6.43, 3.23–12.81), toilet access and cleanliness (AOR = 6.09, 3.25–11.42), availability of chairs for relatives (AOR = 5.96, 3.14–11.30), allowing parents to stay during labour (AOR = 3.52, 1.299–9.56), and request for permission before any procedure (AOR = 2.39, 1.28–4.46). Conclusion To increase satisfaction with intrapartum care, maternity service providers need to address the general maternity ward cleanliness, improve the quality of physical facilities, and sensitize health providers for better communication with clients. Policy makers need to adopt strategies that ensure more women involvement in decision making and consideration of privacy and reassurance needs during the whole delivery process.
Highlights
Exploring patient satisfaction contributes to provide quality maternity care, but there is paucity of epidemiologic data in Eritrea
Only 20.8% (n 161) of the participants were satis ed with intrapartum care. is rate was very low compared to study reports from Sri Lanka (48%) [20], Kenya (56%) [21], Cote d’Ivoire (92.5%) [22], or Ethiopia (81.7%) [23]. is variations may be due to a real di erence in the quality of services provided, expectation of mothers, type of health facilities, or a combination of them [1, 9]
Available ndings regarding the association between demographic variables and satisfaction with intrapartum care are mixed, with some studies reporting that age, parity, and marital status were associated with satisfaction with intrapartum care [20, 24, 25]
Summary
Exploring patient satisfaction contributes to provide quality maternity care, but there is paucity of epidemiologic data in Eritrea. To determine the predictors of women’s satisfaction with intrapartum care in Asmara public maternity hospitals in Eritrea. To increase satisfaction with intrapartum care, maternity service providers need to address the general maternity ward cleanliness, improve the quality of physical facilities, and sensitize health providers for better communication with clients. Women’s satisfaction with maternity service is often associated with the quality of intrapartum care, as the nature of the support given during labour and childbirth is re ective of a positive birth experience [2]. Assessing maternal satisfaction helps in the provision of a more responsive and culturally acceptable care which can lead to an increase in service utilization and better outcomes. Satis ed clients are more likely to return in the future [8], adhere to health provider’s recommendations [9], and recommend the institution to their friends and relatives, e ecting an increased demand for the service [10]
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