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 Methods This study has included published and unpublished articles.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: Worldwide life-threatening complications during pregnancy, accounts15% of expected births. However basic emergency obstetric and newborn cares prevent 40% of intrapartum related neonatal deaths and maternal mortality. Providers skilled in emergency obstetric and newborn care (EmONC) services are essential, particularly in countries with a high burden of maternal and newborn mortality. Therefore, the purpose of this study is to assess the situation on current evidence on EmONC in primary health care unit of Gedeo zone, SNNPR, 2017.Method: A facility based cross-sectional assessment was conducted in twenty randomly selected primary health care facilities from six Woreda of Gedeo zone in 2018, south region, Ethiopia. The data was collected by structured questionnaire through face to face interviewing technique and observations were done. Fourteen providers participated in EmONC knowledge assessment. All the data were collected using standard tools which were modified in to country context and descriptive statistics were used.Result: There was 57 full time providers working in the labour ward and only eight were midwifes. None of the Primary health care facilities had functional operating oxygen source. Only 15% and 20% of primary health care facilities were reliable access to telephone and clean water access. Majority of the provider had poor knowledge on how to manage postpartum hemorrhage and labour through using partograph. Conclusion and Recommendation:Shortage of essential drugs, medical equipment, midwives, poor knowledge and skill of health care provider and lack of clean water and electricity had influence on service performance of EmONC in Gedeo Zone.