Maternal Satisfaction with Delivery Services of Public Health Centers in Addis Ababa, Ethiopia, 2017 Gc
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Date
2017-06
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Addis Ababa University
Abstract
Background:Accessibility of maternal services alone cannot guarantee usage by
womenneither does the use of maternal health services guarantee optimal out comes for
women.Maternal satisfaction with delivery services affects selection of birthplaces, helps
to identify gaps between the actual health care and the desired health care outcomes and
assists policy makers in developing interventions based on findings.
Objective:The aim of the study was to assess the level of maternal satisfaction with
delivery services and identify factors affecting the level of maternal satisfaction in public
health centers of Addis Ababa, Ethiopia, 2017 GC.
Methods:Institution based cross sectional quantitative and qualitative study was
conducted from April12 to May 20, 2017. Multi stage sampling method was used to
select 461 mothers from 20 health centers. Interviews using a structured questionnaire
wereused to collect the quantitative data. And data was entered using Epi –info 7 and
analyzed using SPSS version 20. Bivariate and multivariate logistic regressions were
applied at 95% CI.For the qualitative part of the study, in depth interviews were used for
data collection and thematic analysis was used to generate themes.
Result:This study’s finding indicated an overall maternal satisfaction level of 82%.
Women who were satisfied by respectfulness of the staff were 8.7 times more satisfied
with the overall services than those who weren’t AOR(95%CI) 8.712(2.171,34.961).
Mothers who received cognitive care were 18.6 times more satisfied than those who
didn’t AOR(95%CI) 18.611(2.658,30.294). Mothers who were satisfied with the sex of
the health workers who attended their deliveries were 10.7 times more satisfied than
those who weren’t AOR(95%CI) 10.742(3.218,35.866).Mothers who felt like their
babies received adequate care were 38.8 times more satisfied than those who didn’t.
Conclusion: Cognitive care, competency, respectfulness, neonatal care and satisfaction
with the sex of health workers were important predictors of maternal satisfaction.
Recommendation:Addis Ababa city administration health bureau, health facility
managers and health workers should work together on identified factors to improve
maternal satisfaction.
Key words: Maternal satisfaction, delivery services, public health center
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Keywords
Maternal satisfaction, Delivery services, Public health center