Abstract
BackgroundThe 2005 report of United Nations Millennium Project of Transforming Health Systems for women and children concluded that universal access to Emergency Obstetric and New born Care could reduce maternal deaths by 74 %. Even though some studies investigated quality of Emergency Obstetric and New born Care in different parts of the world, there is scarcity of data regarding this issue in Ethiopia, particularly in Jimma zone. Therefore, the aim of this study was to assess satisfaction with Emergency Obstetric and new born Care services among clients using public health facilities in Jimma zone, Southwest Ethiopia.MethodsA facility-based cross sectional study was conducted in Jimma Zone from April 01–30, 2014. The data were collected by interviewing 403 clients, who gave birth in the past 12 months prior to data collection in 34 randomly selected public health facilities. The collected data were entered by using Epi-info version 3.5.4 and analysed using SPSS version 20.0. Linear regression analysis was done to ascertain the association between covariates and the outcome variable, and finally the results were presented using frequency distribution tables, graphs and texts.ResultsThe overall mean client satisfaction with Emergency Obstetric and New born Care services in this study was 79.4 %; 95 % CI (75 %, 83 %). The result of linear regression analysis revealed that a unit decrease in satisfaction to availability of drugs and equipment, decreased overall clients’ satisfaction by 0.23 unit 95 % CI (0.15, 0.31).ConclusionsThe level of clients’ satisfaction with Emergency Obstetric and New born Care services was low in the study area. Factors such as availability of essential equipment and drugs, health workers’ communication, health care provided, and attitude of health workers had positive association with client satisfaction with Emergency Obstetric and New born Care services. This in turn could affect utilization of Emergency Obstetric and New born Care services and play a role in contribution to maternal and new born mortality. Therefore, the efforts of health facilities leaders and health care providers towards improvement of quality of care could contribute more for better maternal satisfaction.
Highlights
The 2005 report of United Nations Millennium Project of Transforming Health Systems for women and children concluded that universal access to Emergency Obstetric and New born Care could reduce maternal deaths by 74 %
Emergency Obstetric and Newborn Care (EmONC) refers to a set of life saving interventions or signal functions used to treat direct obstetric complications that make up approximately 70–80 % of maternal deaths globally
One in every 17 Ethiopian children dies before the first birthday while one in every 11 children dies before the fifth birthday
Summary
The 2005 report of United Nations Millennium Project of Transforming Health Systems for women and children concluded that universal access to Emergency Obstetric and New born Care could reduce maternal deaths by 74 %. The aim of this study was to assess satisfaction with Emergency Obstetric and new born Care services among clients using public health facilities in Jimma zone, Southwest Ethiopia. Emergency Obstetric and Newborn Care (EmONC) refers to a set of life saving interventions or signal functions used to treat direct obstetric complications that make up approximately 70–80 % of maternal deaths globally. Despite the medical and public health advances of the past century, globally each year more than 287000 women die from complications related to pregnancy and child birth, and approximately 7.6 million children, including 3.1 million new born die from diseases that are preventable or treatable with existing interventions [2]. Neonatal mortality rate is 37 deaths per 1,000 live births, post-neonatal mortality rate is 22 deaths per 1,000 live births, and the prenatal mortality rate is 46 per 1,000 pregnancies [4]
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