Quality of Antenatal Care Services and Factors Influencing Maternal Satisfaction in Public Health Facilities of Wolkite Town, Gurage Zone, Southern Ethiopia
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Date
2023-06-23
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Addis Ababa University
Abstract
Although antenatal care (ANC) coverage in Ethiopia is increasing, the quality of ANC remains low. It is believed that increasing number ANC contact by itself is not enough to change current maternal health status and that the quality of ANC service can have important impact in the heath of mothers and new born.
Objective: To assess quality of antenatal care services and factors influencing maternal satisfaction in Wolkite town public health facilities Methods: The study was carried out in Wolkite town the administrative center of the Gurage zone located 155 km west of capital city of the country, Addis Ababa. A facility-based cross sectional study design was conducted. The study populations were all pregnant women who attended the service in data collection period. Sample size was 409. A pretested structured questionnaire was used. Data entry, coding, cleaning was done by Epi-Info and the analysis was done by using SPSS version 26. Binomial and multinomial logistic regression analyses were conducted to examine the association between the socio-demographic, obstetric factors, process aspects of quality and maternal satisfaction. Ethical clearance was taken from the school of Public Health of Addis Ababa University research ethics committee
Result: Out of 409 sampled pregnant women attending ANC clinic 398 (97.3%) were responded. About 48% % of respondent were satisfied with ANC services. Residence (AOR = 5.839 95% CI 3.175, 10.739), pregnancy status (AOR = 6.216 95% CI 2.943, 13.127), frequency of ANC visit (AOR = 1.804 95% CI 1.056, 3.082), counseling on nutrition (AOR = 2.875 95% CI 1.709, 4.835), prevention of mother to child transmission (PMTCT) of HIV(AOR = 2.337 95% CI 1.427, 3.827) and birth preparedness and complication readiness (BPCR) (AOR = 2.426 95% CI 1.341, 4.389)and provision of iron (AOR= 2.816 95% CI 1.249, 6.350) had an association with maternal satisfaction.
Conclusion: Generally, maternal satisfaction with antenatal care services in this study was low. Absence of clean latrine & adequate water supply was the main reason stated by respondents. Effort should be made to improve accessibility of safe and potable water supply
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Keywords
Wolkite; Antenatal care