Maternal Satisfaction With Delivery Services and its Associated Factors Among Mothers Who Gave Birth at Public Health Centers in Yeka Sub City, Addis Ababa, Ethiopia

Eziawdres, Daniel; Worku, Walelegn; Taye, Molla

doi:10.1177/11786329211050722

Cited by 11 publications

(14 citation statements)

References 13 publications

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“…The remaining 39 studies were assessed for eligibility based on the inclusion and exclusion criteria. In addition, 2 studies were excluded from the total of 39 because the whole document could not be accessed, 50,51 and the remaining one was excluded because it does not report the outcome of interest. 52 Finally, 36 studies were included in this systematic review and meta-analysis (Figure 1).…”

Section: Resultsmentioning

confidence: 99%

A systematic review and meta-analysis of women’s satisfaction with skilled delivery care and the associated factors in Ethiopia

et al. 2022

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Evidence of variation in maternity health service practices has increased the government’s interest in quantifying and advancing the quality of institutional delivery care in the developing world, including Ethiopia. Therefore, we conducted a systematic review and meta-analysis to update and provide more representative data on women’s satisfaction with skilled delivery care and the associated factors in Ethiopia. This systematic review and meta-analysis followed the Preferred Reporting Items 2015 guideline. We searched PubMed/Medline, SCOPUS, Embase, Web of Science, and Google Scholar electronic databases for all 36 included studies. The pooled prevalence of women’s satisfaction with skilled delivery care and the associated factors were estimated using a random-effects model. Subgroup analysis and meta-regression were performed to identify the source of heterogeneity. Furthermore, publication bias was checked using eggers and funnel plots. All statistical analyses were performed using STATA version 14.0 software. The pooled prevalence of women’s satisfaction with skilled delivery care was 67.31 with 95% confidence interval (60.18–74.44). Wanted pregnancy (adjusted odds ratio = 2.86, 95% confidence interval: (2.24–3.64)), having a plan to deliver at a health facility (adjusted odds ratio = 2.09, 95% confidence interval: (1.42–3.09)), access to ambulance service (adjusted odds ratio = 1.52, 95% confidence interval: (1.00–2.31)), waiting time < 15 min (adjusted odds ratio = 3.66, 95% confidence interval: (2.51–5.33)), privacy assured (adjusted odds ratio = 3.94, 95% confidence interval: (2.23–6.94)), short duration of labour < 12 hr (adjusted odds ratio = 2.55, 95% confidence interval: (1.58–4.12)), proper labour pain management (adjusted odds ratio = 3.01, 95% confidence interval: (1.46–6.22)), and normal newborn outcome (adjusted odds ratio = 3.94, 95% confidence interval: (2.17–7.15)) were associated with women’s satisfaction. Almost two-thirds of women were satisfied with skilled delivery care. In comparison, the remaining one-third were not satisfied with the care. The quality of intrapartum care, unwanted pregnancy, lack of ambulance services, prolonged duration of labour, poor labour pain management, and complicated newborn outcome were factors affecting women’s satisfaction with skilled delivery care in Ethiopia. Therefore, strategies need to be developed to increase the satisfaction level by considering the abovementioned factors during routine delivery care.

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Section: Resultsmentioning

confidence: 99%

A systematic review and meta-analysis of women’s satisfaction with skilled delivery care and the associated factors in Ethiopia

et al. 2022

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“…This significant association of anemia during pregnancy with maternal satisfaction with delivery service was not revealed as significant in other studies. 7 , 14 , 31 – 33 …”

Section: Discussionmentioning

confidence: 99%

Maternal satisfaction on delivery service and associated factors among mothers delivered at Arba Minch town governmental health facilities, South Ethiopia: A cross-sectional study

Ezo,

Getachew,

Degefu

et al. 2024

SAGE Open Medicine

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Objective: To assess maternal satisfaction with delivery service and associated factors among mothers delivered at Arba Minch town governmental health facilities, South Ethiopia, 2022. Methods: A facility-based cross-sectional design study was conducted from 1 April to 30 June 2022. The total sample size was 320. A systematic random sampling technique was used to select mothers. Data were entered using Epi-data Version 3.1 and exported to SPSS Version 25 for analysis. Multicollinearity was considered using a variance inflation factor. The goodness of fit test was done using the Hosmer–Lemeshow model. Binary logistic regression was done, and variables with a p-value of <0.25 in the bivariable analysis were taken into the multivariable analysis. Statistically significant was declared at a p-value of <0.05 with an adjusted odds ratio and 95% confidence interval. Result: The maternal satisfaction with delivery service was 75.0% (95% CI: 70.3%–79.4%). Being urban residence (AOR: 4.15, 95% CI: 1.87–9.19), absence of anemia during pregnancy (AOR: 2.38, 95% CI: 1.07–5.29), absence of antepartum hemorrhage (AOR: 2.96, 95% CI: 1.35–6.50), induction to onset labor (AOR: 0.08, 95% CI: 0.02–0.39), female sex of the newborn (AOR: 0.33, 95% CI: 0.15–0.72), absence of fetal distress during labor (AOR: 5.01, 95% CI: 1.69–14.86), absence of intrauterine meconium release (AOR: 2.77, 95% CI: 1.02–7.63), and presence of privacy measures during examination (AOR: 3.11, 95% CI: 1.37–7.04) were associated with maternal satisfaction. Conclusion and recommendation: About 8 in 10 mothers are satisfied with the delivery service. Residence, anemia during pregnancy, antepartum hemorrhage, the onset of labor, sex of the newborn, fetal distress during labor, intrauterine meconium release, and privacy measures during examination are associated with maternal satisfaction with delivery services. Therefore, preventing anemia during pregnancy and antepartum hemorrhage, minimizing induction of labor, preventing fetal distress and intrauterine meconium release during labor, and taking privacy measures during examination might enhance maternal satisfaction with delivery services.

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“…Health center is a health facility within the primary health-care system that provides promotive, preventive, curative and rehabilitative outpatient care including basic laboratory and pharmacy services through health-care professionals. 10,11 Previous studies in Ethiopia focused on the magnitude of institutional delivery. However, the implementation of the program organized by its components-inputs, activities and outputs 12 and the barriers and facilitators for the process are not well addressed yet.…”

Section: Introductionmentioning

confidence: 99%

Process Evaluation of Facility Delivery Services in Northwest Ethiopia: In the Case of Public Health Centers

Tafere¹,

Aschalew²,

Tsehay³

et al. 2023

IJWH

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Background: Even if giving birth at health facility is vital for both the mothers and their newborns, the coverage of institutional delivery in Ethiopia is very low (50%). In that regard, several studies have shown the possible factors of low delivery service uptake from the patients' side, but evidences on delivery services at the health centers are meagre. This study aimed to evaluate the process of delivery services in public health centers of northwest Ethiopia. Methods: A case study evaluation design with an embedded mixed-method was used to evaluate institutional delivery in public health centers of Gondar city. Dimensions from the access (availability, accommodation, and acceptability) and implementation fidelity (compliance) frameworks were used. A total of 363 mothers, 32 document reviews, 32 direct observations, and 17 key informants were included. The qualitative data were transcribed, translated, coded, and analysed using a thematic analysis approach. The overall process of institutional delivery services was measured based on pre-determined judgmental criteria. Results: The overall facility delivery process was 75.1%, judged by availability (78.5%), compliance (70.6%), accommodation (68.8%), and acceptability (80.2%) of services. Essential medicines in some of the health centers were stockout, insufficient delivery rooms and inadequate training of health workers on obstetric and newborn care were observed. Using partograph and examining vulval-perineal region for possible laceration during intrapartum period were less practiced. Residence (AOR: 0.13, 95% CI: 0.06-0.30), ANC 1 to 3 visits (AOR: 2.65, 95% CI: 1.05-6.74) and ANC4 + (AOR: 5.57, 95% CI: 2.09, 14.84) were factors affected acceptability of delivery services. Conclusion: Major constraints were in the accommodation of delivery services which needs a holistic effort from all stakeholders. Therefore, implementors with other stakeholders shall improve delivery rooms, facilitate training, and provide parenteral drugs as part of the obstetric and newborn care to improve the facility delivery services in Ethiopia.

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Maternal Satisfaction With Delivery Services and its Associated Factors Among Mothers Who Gave Birth at Public Health Centers in Yeka Sub City, Addis Ababa, Ethiopia

Cited by 11 publications

References 13 publications

A systematic review and meta-analysis of women’s satisfaction with skilled delivery care and the associated factors in Ethiopia

A systematic review and meta-analysis of women’s satisfaction with skilled delivery care and the associated factors in Ethiopia

Maternal satisfaction on delivery service and associated factors among mothers delivered at Arba Minch town governmental health facilities, South Ethiopia: A cross-sectional study

Process Evaluation of Facility Delivery Services in Northwest Ethiopia: In the Case of Public Health Centers

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