Abstract
Background: Patient satisfaction is related to the quality of services received and the extent to which specific needs are met. Satisfied patients are likely to come back for the health services and recommend it to others. Objective: To assess and compare patients’ satisfaction with the quality of prenatal/antenatal care (QPC) services received at a tertiary and secondary health facility in Ibadan, Nigeria. Methods: A comparative cross sectional study used an interviewer administered questionnaire to assess and compare the quality of antenatal care among women who had antenatal care and delivered live baby in two government health facilities—Adeoyo Maternity Hospital (secondary health facility) and University College Hospital (tertiary health facility). A total of 500 women were interviewed within 48 hours post delivery and data obtained was analyzed with SPSS version 20. Results: The mean age was 29.7 (SD = 4.95) years. About half of the respondents had more than four antenatal visits, almost two-thirds (61.4%) were primipara, and 55.6% delivered per vagina. Almost all (98.4%) the women were very satisfied with the QPC received while a little above half (54.0%) received high QPC. Health facility and mode of delivery were found to be significantly associated with the satisfaction of the QPC. Factors predicting high QPC comparing the tertiary and secondary health facility are “availability” (OR = 0.341, 95%CI = 0.173 - 0.672) and “support and respect” (OR = 5.599, 95%CI = 3.621 - 8.659) of health care workers. Conclusion: Though the women were very satisfied with the QPC rendered barely half of them reported high quality QPC and this should be the ultimate aim. Promoting and ensuring high quality of antenatal care in our hospitals will improve the antenatal attendance and hospital deliveries with subsequent reduction in maternal morbidity and mortality.
Highlights
Quality of health care is the degree in the direction of which health services for individuals and populations increase the likelihood of desired health outcomes and are consistent with current professional knowledge and evidence [1]
In Nigeria, maternal health indices have remained poor with maternal mortality ratio of 814 death per 100,000 live births and 61% of pregnant women access antenatal care while only 38% of birth was attended by a skilled birth attendant (SBA) [3] [4]
The overall quality of care received by the women in this study is high with relatively high mean subscale scores of the quality of prenatal/antenatal care (QPC) factors which are similar to that reported by Sword et al, in Australia using the quality of prenatal care questionnaire (QPCQ) [15]
Summary
Quality of health care is the degree in the direction of which health services for individuals and populations increase the likelihood of desired health outcomes and are consistent with current professional knowledge and evidence [1]. In Nigeria, maternal health indices have remained poor with maternal mortality ratio of 814 death per 100,000 live births and 61% of pregnant women access antenatal care while only 38% of birth was attended by a skilled birth attendant (SBA) [3] [4]. Objective: To assess and compare patients’ satisfaction with the quality of prenatal/antenatal care (QPC) services received at a tertiary and secondary health facility in Ibadan, Nigeria. Methods: A comparative cross sectional study used an interviewer administered questionnaire to assess and compare the quality of antenatal care among women who had antenatal care and delivered live baby in two government health facilities—Adeoyo Maternity Hospital (secondary health facility) and University College Hospital (tertiary health facility). Promoting and ensuring high quality of antenatal care in our hospitals will improve the antenatal attendance and hospital deliveries with subsequent reduction in maternal morbidity and mortality
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