Introduction The uptake of Health services, maternal and newborn health care outcomes are dictated by the satisfaction of clients on the service provided. Client satisfaction is one of the vital indicators to measure the quality of service. However, it is not well addressed and little evidence is existed in Ethiopia. Therefore, the purpose of this systematic review aimed to assess the prevalence and determinant of client satisfaction on labor and delivery service in Ethiopia. Methods This study has included published and unpublished articles. The main databases PubMed, Embase, EBSCO, Medline, CINHAL, Poplin, and the search engine like Google and Google scholar were used from June1-30/2020. Studies with observational study design which are conducted in English language and met the eligibility criteria were included in the review. Meta-analyses with random effects were performed. Data synthesis and statistical analysis were conducted using OpenMeta and CMA version 2 software. Results The pooled prevalence of client satisfaction on labor and delivery service in Ethiopia was 73.5% [95% CI [64.9%, 82.1%]. The pooled odds ratio showed a negative association between client satisfaction on labour and delivery service with Promptness of care [OR = 0.25; 95% CI: (0.18, 0.34), P = 0.0001], Free service charge [OR = 0.70; 95% CI: (0.57, 0.86), P < 0.0007], Privacy during examination [OR = 0.25; 95% CI: (0.10, 0.64), P < 0.004], Respectful maternal care [OR = 0.40;95% CI: (0.19, 0.83), P = 0.01], Plan to delivered at health facility [OR = 0.49; 95% CI: (0.37, 0.66), P < 0.00001] and ANC follow-up [OR = 0.39; 95% CI: 0.24, 0.63, P < 0.0001]. Conclusions This review revealed that client satisfaction on labor and delivery service in Ethiopia was 73.5%. Besides poor care of providers on the antepartum, intrapartum and lack compassionate and respectful care affects client satisfaction on labor and delivery service in Ethiopia.

Background: In Ethiopia, maternal death is still high (estimated 412 per 100,000 live births). Partograph is inexpensive and easily applicable health interventions, that can help prevent the majority of maternal and neonatal deaths. However, use of partograph of birth care providers vary throughout the country. Thus, this study is intended to assess magnitude of partograph use and its associated factors among birth care givers in public health institution in Sidama zone, Southern Ethiopia.Objective: To assess magnitude of partograph use and associated factors among obstetric care givers in public health institution in Sidama zone, Southern Ethiopia. Materials and method:Facility based cross-sectional study was conducted from May 1 to 30, 2016. Two stage sampling techniques were used to select participants. Six Woredas and 1 city administration were selected by simple random method and after proportional allocation; a total 286 participants were recruited in the study. Structured and pretested questionnaire was administered to collect data. SPSS Version 20 was employed for data entry and statistical analysis. Logistic regression analyses were used to comprehend the association of different variables.Results: Among total respondents, 94.3% knew what a partograph is and 58.6% defined it correctly. Only 42.9% and 55% of respondents correctly explained the function of alert line and action line respectively. Only 43.9% had good knowledge on appropriate use of partograph. Almost half (51%), 38.2% and 5.7% of the respondents used partograph routinely, sometimes, and occasionally respectfully. Diploma graduates had 3.7 times good level of knowledge compared to graduates of Bachelor of Science (B.Sc.) with (adjusted odds ratio (AOR) =3.7 (1.23-11.33)). There was also statistically significant relationship between the years of service and their knowledge of partograph (AOR=0.25(0.11-0.6)). Conclusion: utilization of partograph identified poor among obstetric care givers in Sidama zone. It needs crucial intervention to avert maternal mortality, thus all responsible bodies have to do much more to improve knowledge and skill gap of professionals and further investigation is recommended in wide range.