Satisfaction of Caretakers on Community Based Newborn Care and Its Predictors in Boloso Sore District, Southern Ethiopia

Abstract

Background: A community based newborn care was very important to the survival of newborns. The program is primarily provided by Health Extension Workers. However, the quality of the care in relation to caretakers’ satisfaction has not been adequately documented. Therefore the aim of this study was to assess satisfaction of caretakers on Community-Based Newborn Care and its predictors in Boloso Sore District in South Ethiopia.Methods: A community based cross-sectional study design was done on 426 caretakers with infants’ age less than 6 months. The outcome measure was satisfaction of caretakers. Socio-demographic characteristics and service utilization of respondents, and institutional and provider-related factors were predictors of caretakers’ satisfaction on the service. Structured questionnaire developed from relevant literatures and pretested before in use. The outcome was measured by using a 5-point Likert scale of seven questions (items). The seven items were also assessed for overall reliability (Chronbach’s alpha=0.94). A multivariate logistic regression was used to identify predictors of satisfaction of care takers by controlling potential confounders.Results: Based on this study 48.8 % of caretakers who received the Community Based Newborn Care from health extension workers were satisfied. Factors associated with their satisfaction were, educational status (AOR: 3.38, 95%CI: 1.02-11.27), postnatal care given by HEWs (AOR: 0.61, 95%CI: 0.39-0.98), recent child birth at home (AOR: 1.95, 95%CI: 0.99-3.86).Conclusions: More than half of caretakers who received CBNC from health extension workers in the study area were dissatisfied with the service. Public health interventions focusing on postnatal care and promoting institutional delivery might contribute to improve caretakers’ satisfaction.

<p>Community Acceptance and Utilization of Maternal and Community-Based Neonatal Care Services Provided by Health Extension Workers in Rural Sidama Zone: Barriers and Enablers: A Qualitative Study</p>

“…As stated by most of the participants PNC performance is very poor due to the fact that PNC is being given at home through home visits by HEWs which is very difficult for them as they might have multiple duties, long distance of houses from health posts and their negligence due to poor supervision. Similarly, previous studies reported low postnatal home visits by HEWs, 26,28 and another study in Ethiopia shows a distance of more than 30 minutes' walk was associated with a lower level of health post utilization of maternal and child health services and would mean that HEWs visits to households was based on the distance of the houses from the health posts. 12 It is believed that CHWs can identify pregnant women and newborns in need of medical attention and care, promote and encourage appropriate care seeking, and provide counselling and support for home care practices across the periods of pregnancy, newborn, and childhood.…”

“…However, a study conducted in Wolaita zone, southern Ethiopia, shows only half of the studied caretakers were satisfied with HEWs services indicating low acceptance. 26 Our findings explored that MNCH and CBNC services provided by HEWs are highly valued by the community and indicate a shift of strategy to focus on other factors like health system readiness, coordination, and organization for low performance of the program.…”

“…According to studies conducted in different corners of Ethiopia and Afghanistan there were similar challenges and barriers that affect the proper implementation of maternal and child healthcare service by the HEWs at community level. 20,25,26,33 Particularly, a qualitative study in two regions of Ethiopia on challenges and facilitators of early PNC home visits reported HEWs availability at work site as barriers to timely conducting PNC visits. 29 Another study in central Ethiopia confirms a barrier to HEWs home visits for PNC is that the service is not consistent and comprehensive because of the limited number of health workers compared to the demand of services.…”

Caregiver satisfaction and its associated factors in pediatric wards of Jimma University Medical Center, Southwest Ethiopia

“…Data were collected through face-to-face interviews using structured questionnaires. Data collection instrument was developed after reviewing related relevant literatures [10,12,16,17,19,24]. The question mainly consisted of close-ended questions addressing socio-demographic characteristics of respondents, client-provider interaction, hospital-related factors, and clinical and admission factors.…”

“…It is influenced by a variety of factors, including societal norms, the context in which health care is delivered, the need for and value of caregivers, and personal experiences [13,15,16]. Expectations, educational level, health, ability to receive medical care, knowledge, and other psychological factors all play a role [17][18][19][20].…”