Abstract
Introduction: 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. Method: 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 SPSS version 16. Logistic regression was used to assess the presence of association between dependent and independent variables using SPSS at 95% CI and 5% margin of error. Results: 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), respect full 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. Conclusion and recommendation: Even though most of the participants were satisfied, they still had unmet needs and expectations in the delivery service. 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 a 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.
Highlights
Maternal satisfaction is a means of evaluating quality of maternal health care given in health facilities
There is a 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
The hospital is welcoming, starting from the gate The care providers listen and answer all my questions during delivery All the care given to me was with my consent during labour The care I received was respect full I was counseled about breast feeding, vaccination and others after delivery The health care providers introduced themselves to me During labor and delivery my pain was properly managed
Summary
Maternal satisfaction is a means of evaluating quality of maternal health care given in health facilities. The ratio of maternal mortality in the Sub-Saharan Africa region is one of the highest, reaching 686 per 100,000 live births [1]. In Ethiopia, according to Ethiopian demographic and health survey (EDHS) 2016, the estimated maternal mortality ratio was found to be 412 per 100,000 live births [2]. 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 [4]. Client satisfaction is a subjective and dynamic perception of the extent to which the expected health care is received [5]. It is not important whether the patient is right or wrong, but what is important is how the patient feels [6]
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