Client satisfaction on maternal and child health services in rural Bengal

Das, Palas; Basu, Mausumi; Tikadar, T; Biswas, Gokul Chandra; Mridha, Prakash; Pal, Ranabir

doi:10.4103/0970-0218.74344

Cited by 45 publications

(39 citation statements)

References 1 publication

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“…The difference between the number of users of government and private facilities was found to be significant in our study. Similar findings have been reported from other Indian states (Kumari et al, 2009; Patro et al, 2008; Das et al, 2010) and neighbouring countries (Aldana et al, 2001; Fisher, 1971) as well where the use of government facilities is limited to maternal and child health services with low levels of satisfaction.…”

Section: Discussionsupporting

confidence: 88%

Client satisfaction with quality of health care in a rural area in Southern India

Ganguly¹,

Sharma²

2014

J. Public Health Epidemiol.

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Background Client satisfaction is an important method to assess the pattern of utilization of health care services amongst all sectors indirectly reflecting on the quality of services. Most of the clients prefer private over government services due to multiple reasons. Aim To assess the level of satisfaction of patients attending rural government and private health facilities in rural Andhra Pradesh. Methods Ten villages were randomly selected from the field practice area of a teaching medical institution, and all patients who visited any facility during the past three months were interviewed using a semi-structured questionnaire focusing on access to care, competence of the providers, quality and cost of the services and overall satisfaction with the services. Data was analysed using Microsoft Access software. Results One hundred and eight clients who visited different facilities for common ailments, chronic diseases, maternal and child health services were interviewed. The average time to reach the facility was 52.23 ± 44.52 minutes. The average waiting time was 34.25 ± 42.47 minutes. More than 80% were satisfied with the clinic hours, cleanliness and comfort of the facility, and privacy maintained during examinations. 40% were satisfied with the cost of services. Conclusion The client satisfaction with different health care providers in rural areas of Andhra Pradesh is high. Clients expect the quality of services to be better; nevertheless they continue to use the available services without complaining much.

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Section: Discussionsupporting

confidence: 88%

Client satisfaction with quality of health care in a rural area in Southern India

Ganguly¹,

Sharma²

2014

J. Public Health Epidemiol.

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“…Privacy during institutional delivery, including antenatal and postnatal check-ups was ranked highly by women as well as providers, particularly ‘being shielded’ from other labouring women [27,45,49–51]. Space constrained labour-rooms and obstructions caused by the use of curtain in attending to multiple women simultaneously have been cited as potential reasons that providers do not use curtains for privacy [11,52–54].…”

Section: Discussionmentioning

confidence: 99%

Do women’s perspectives of quality of care during childbirth match with those of providers? A qualitative study in Uttar Pradesh, India

Bhattacharyya

Srivastava

Saxena

et al. 2018

Global Health Action

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Background: Persistently high maternal mortality levels are a concern in developing countries. In India, monetary incentive schemes have increased institutional delivery rates appreciably, but have not been equally successful in reducing maternal mortality. Maternal outcomes are affected by quality of obstetric care and socio-cultural norms. In this light there is need to examine the quality of care provided to women delivering in institutions. Objective: This study aimed to examine pregnant women’s expectations of high-quality care in public health facilities in Uttar Pradesh, India, and to contrast this with provider’s perceptions of the same, as well as the barriers that limit their ability to provide high-quality care. Methods: A qualitative descriptive analysis was conducted on data from two studies – focus group discussions with rural women in their last trimester of pregnancy (conducted in 2014) to understand women’s experience and satisfaction with maternal care services, and in-depth interviews with care providers (conducted in 2016–17) to understand provision of person-centred care. Provider perspectives were matched with themes of women’s perspectives on quality of childbirth care in facilities. Results: Major themes of care prioritised by women included availability of doctors at the facility; availability of medicines; food; ambulance services; maintenance of cleanliness and hygiene; privacy; good and safe delivery with no complications; client-provider interaction; financial cost of care. Many women also voiced no expectation of care, indicating disillusionment from the existing system. Providers concurred with women on all themes of care except availability of doctors, as they felt that trained nurses were proficient in conducting deliveries. Conclusions: This study shows that women have clear expectations of quality care from facilities where they go to deliver. Understanding their expectations and matching them with providers’ perspectives of care is critical for efforts to improve the quality of care and thereby impact maternal outcomes.

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“…[7] A study in rural Bengal documented more than 60% of clients expressed satisfaction with care provided by doctors. [8]…”

Section: Discussionmentioning

confidence: 99%

Satisfaction of antenatal mothers with the care provided by nurse-midwives in an urban secondary care unit

Pricilla

David

Siva

et al. 2016

J Family Med Prim Care

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Background:The satisfaction of antenatal women to antenatal services has rarely been studied in India. In a nation with a maternal mortality ratio of 178/100,000 live births, it is crucial to explore all avenues to reduce it.Aims:Our study aims to assess the pregnant women's satisfaction with regard to antenatal care services provided by nurse-midwives in an urban health center in South India.Methods:We administered a satisfaction of care questionnaire to 200 consecutive antenatal women attending the nurse run antenatal clinics from April 2014 to November 2014. The date entry was done using Epi-Data system and the analysis by SPSS version 16.Statistical Analysis Used:The absolute distribution of each of the question in the satisfaction of care questionnaire was calculated as proportions. The relationship between satisfaction of care and parity, number of visits, years of experience of the care provider and mother's education was tested using Mann–Whitney test for two independent groups.Results:The mean age of the mothers was 23.5 years. More than 95% of the mothers expressed satisfaction with the number of antenatal visits components of antenatal care. Only 31.8% of the mothers were satisfied with the health education on family planning. There was no significant relationship between satisfaction of care and parity of mothers or years of experience of care provider.Conclusions:Pregnant women attending a nurse run antenatal care service have positively expressed satisfaction of care provided therein.

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Client satisfaction on maternal and child health services in rural Bengal

Cited by 45 publications

References 1 publication

Client satisfaction with quality of health care in a rural area in Southern India

Client satisfaction with quality of health care in a rural area in Southern India

Do women’s perspectives of quality of care during childbirth match with those of providers? A qualitative study in Uttar Pradesh, India

Satisfaction of antenatal mothers with the care provided by nurse-midwives in an urban secondary care unit

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