Assessment of Mothers’ Satisfaction on Postnatal Care Given and its Associated Factors Among Mothers Admitted to Postnatal Ward at Public Health Centers and Hospital Setting West Shoa Zone, Oromia, Ethiopia
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Date
2014-01
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Addis Ababa University
Abstract
Background: Postnatal care is one of the most important maternal health-care services for not
only prevention of impairment and disabilities but also reduction of maternal mortality. Studying
patient satisfaction on postnatal service given and its associated factors is key concept in
expressing postnatal care utilization interest, controlling factors that alter utilization and
reduction of maternal mortality since postpartum complications are the leading cause for
maternal mortality. Thus assessment of patient satisfaction is a great input to improve health
service.
Objective: This study was conducted to assess mothers’ satisfaction and its associated factors
on postnatal care given in postnatal ward at public health centers and hospital setting.
Methods: A facility based cross sectional study was conducted using both quantitative and
qualitative method of data collection from March 10-April 10/2014. A sample of 278
respondents in two hospital post natal wards and eight public health center wards were included
in the study. Client satisfaction was measured using a survey instrument adopted from the Jipi’s
postnatal satisfaction with care questionnaire. Collected data was cleaned, edited, coded and
entered in to EPI INFO and exported to SPSS. Multivariate and binary logistic regression was
applied. The degree of association between independent and dependent variables was assessed
using adjusted and crude odds ratio with 95% CI. Statistical significance was set at p < 0.05. For
qualitative study narrative analysis was done.
Result: A total of 278 postnatal mothers from two referral hospitals and eight health centers
were participated in this mixed study design with 176 (98.9%) response rate, 2 (1.1%) of non
response rate. The mean ± SD age of the mothers was 27.4 ± 6.4 years. 113 (40.9%) were with
no formal education. The majority 239(86.6%) were married. 99 (35.9%) were farmer while
63(22.8%) were government employees. About 75.7% mothers needed this pregnancy and from
all respondents 81.9% of them were scored normal living neonate. Based on mean percentage
Version No2, Version Date 01/04/2014
orientation area got least value (74.1%) and on contrary communication area of care scored the
highest mean percentage (91.67%). The dispersions of scores in the area of specific to postnatal
care i.e. (SD=5.22) were more dispersed when compared to other areas of care.
Multivariate logistic regression there is an association between educational status and
satisfaction [AOR=0.46 95%CI: 0.22, 0.91], marital status and satisfaction [AOR=2.7 95%CI:
1.13, 7.3] and monthly income and satisfaction [AOR=2.88 95%CI: (1.14, 7.30)]. From obstetric
characteristics delivery satisfaction is significant to postnatal care satisfaction [AOR=0.023
95%CI: 0.009, 0.056]
Generally
from all, 276, respondents 154 (55.8%) of them were satisfied with care received
during postnatal period and 122 (44.2%) of them were not satisfied with care given.
Conclusion and Recommendation
The presence of unsatisfied patient can be a proxy indicator for the need for quality
improvement.
According to this study educational status, monthly income, and marital status from demographic
variables and delivery satisfaction from obstetric variables were found to be significant.
All concerned bodies should try to give awareness for mothers on postnatal care and prepare
appropriate environment for them to make them happy with care given.
Key words: postnatal care, postnatal care satisfaction, Ethiopia, associated factors, west Shewa
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Keywords
Postnatal care, Postnatal care satisfaction, Ethiopia, Associated factors, West Shewa