Assessment of Client Satisfaction on Quality of Antenatal Care Service Provided to Pregnant Women Attending Defense Hospitals, Addis Ababa, Ethiopia.
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Date
2011-05
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Addis Ababa University
Abstract
Background
Maternal mortality occurs from risks attributable to pregnancy and child birth as well as from poor availability and quality of health services. ANC is the key entry point of a pregnant woman to receive quality health service, broad range of health promotion and preventive services which promote the health of the mother and the baby. The UN millennium Development goal (MDG
52000) aims to reduce the number of women who die in pregnancy and childbirth by three-quarters between 1990 and 2015.
Objective- This study aimed on assessing the quality of antenatal care service provision at Defense Hospitals: Addis Ababa and Debrezeit.
Methodology- It was a cross sectional qualitative and quantitative study performed on the antenatal care attendees during the study period. Data collection was performed using structured questionnaire and focus group discussion with clients and facility observation checklist.
Result- Data on clients’ satisfaction on quality of antenatal care were collected from 403 respondents. Findings indicated overall clients’ satisfaction with respect to indicators of quality care was around 85.6%. The odds of satisfaction of women who got information on danger signs were about five times more than those who did not get the information [AOR (95% CI) 4.883(2.007-11.8800)].The qualitative study identified an imbalance
regarding information provision between clients’ expectation and received information and facility observation showed the presence of adequate material and human resource for providing antenatal care.
Conclusion– In general this study has revealed majority of the clients’ were satisfied with the service. Information provided to clients during the antenatal checkup was not as expected by the respondents. The facility observation checklist has revealed adequacy of available material and manpower to provide the necessary ANC.
Recommendation- The high satisfaction level from the antenatal care service in the health institutions should be sustained. The health care providers should be aware of the importance of meeting women’s information needs during antenatal visits and then be prepared to satisfy them by increasing their consultation time and mechanism of providing similar information to clients should be established and strengthen in both hospitals.
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Keywords
Antenatal Care,Pregnant women