Women’s Satisfaction and Its Associated Factors with Antenatal Care Services at Public Health Facilities: A Cross-Sectional Study

Ayalew, Mequannent Melaku; Nebeb, Gebeyehu Tsega; Bizuneh, Mekonnen Melikie; Dagne, Asrat Hailu

doi:10.2147/ijwh.s293725

Cited by 13 publications

(16 citation statements)

References 19 publications

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“…The sample size was calculated using the single-population proportion formula, with the assumptions of a 95% ( α /2 = 1.96) confidence level, 5% marginal error, 10% non-response rate, and a 53.8% level of antenatal care service satisfaction from Debra Tabor's previous study ( 22 ). Hence, after adding a 10% non-response rate, the final sample size was 420.…”

Section: Methodsmentioning

confidence: 99%

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Determinants of maternal satisfaction with focused antenatal care services rendered at public health facilities in the West Shewa Zone, Central Ethiopia: A multicentre cross-sectional study

Bekele

Seifu

Roga

2023

Front. Glob. Womens Health

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BackgroundEvery woman has the right to receive quality care during pregnancy. It is proven that antenatal care (ANC) reduces maternal and perinatal morbidity and mortality. The government of Ethiopia is also making intense efforts to increase the coverage of ANC. However, among pregnant women, the levels of satisfaction with the care provided are overlooked, as the percentage of women who complete all ANC visits is below 50. Therefore, this study aims to assess maternal satisfaction with ANC services rendered at public health facilities in the West Shewa Zone, Ethiopia.MethodsA facility-based cross-sectional study was conducted among women who were receiving ANC in public health facilities in Central Ethiopia between September 1 and October 15, 2021. A total of 411 women were selected using the systematic random sampling method. The questionnaire was pretested and the data were collected electronically using CSEntry. The collected data were exported to SPSS version 26. The characteristics of the study participants were described using frequency and percentage. Bivariate and multivariate logistic regression were used to identify the factors associated with maternal satisfaction with focused ANC service.ResultThis study revealed that 46.7% [95% confidence interval (CI) (41.7%–51.6%)] of women were satisfied with ANC service. Factors such as the quality of the health institution [adjusted odd ratio (AOR) = 5.10, (95% CI: 3.33–7.75)], place of residence [AOR = 2.38, (95% CI: 1.21–4.70)], history of abortion [AOR = 0.19, (95% CI: 0.07–0.49)], and previous mode of delivery [AOR = 0.30, (95% CI: 0.15–0.60)] were significantly associated with women's satisfaction with focused ANC service.ConclusionMore than half of pregnant women who received ANC were dissatisfied with the service they received. This should be a cause for concern, as the level of satisfaction is lower than that of the findings of previous studies conducted in Ethiopia. Institutional variables, interactions with patients, and previous experiences of pregnant women have an impact on the level of satisfaction. Due attention should be paid to primary health and communication of health professionals with pregnant women to improve the levels of satisfaction with focused ANC service.

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Section: Methodsmentioning

confidence: 99%

“…Women's satisfaction with focused ANC services meant that the women scored greater than or equal to the overall mean satisfaction score, from the total satisfaction with ANC service–related questionnaires ( 22 ).…”

Section: Methodsmentioning

confidence: 99%

Determinants of maternal satisfaction with focused antenatal care services rendered at public health facilities in the West Shewa Zone, Central Ethiopia: A multicentre cross-sectional study

Bekele

Seifu

Roga

2023

Front. Glob. Womens Health

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“… 1 It should be considered as an effort to motivate referrers (which consist of potential referrers, GANC facilitators and other stakeholders) to be more active in referring pregnant women to participate in GANC, referrers need to increase collaboration between referrers, get more detailed knowledge about what it is GANC, as well as incentives for every pregnant woman they successfully refer. 2 …”

Section: Dear Editormentioning

confidence: 99%

How to Support the Referral Towards Group Antenatal Care in Belgian Primary Healthcare Organization: A Qualitative Study [Letter]

Multazam¹

2023

IJWH

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“…Studies reported several factors, primarily supply side of health systems. These factors were counselling on laboratory (test) services, supplementation of commodities (e.g., iron), information on foetal movement and dangerous signs, respectful maternity care, planning pregnancy, tailored care for mothers and foetus based on individual needs, functional patient-provider relationships, acknowledgement of the need social context of clients and culturally sensitive care, self-introduction by providers, explanation of procedures, consent seeking, encouragement to ask questions, confidentiality and good interpersonal relations [41,55,[106][107][108]. Demand side factors of improving client satisfaction were long consultation time and previous ANC visits [41,55,[106][107][108].…”

Section: Clients' Satisfactionmentioning

confidence: 99%

“…Studies reported poor satisfaction with ANC services in many IMICs [106,109,110]. Factors of poor client satisfaction were lack of privacy, discrimination based on specific attributes and being left unattended, providers' attitude, delay in providing care, inadequate care, unavailability of skilled providers, physical abuse, not being allowed to choose a position in the examination, lack of privacy mothers' multiple complications, providers' negative assumptions and disregard for mothers' options in care, and long waiting time [54,95,105,[107][108][109][110].…”

Section: Clients' Satisfactionmentioning

confidence: 99%

Input, process, and output factors contributing to quality of antenatal care services: a scoping review of evidence

Khatri

Mengistu

Assefa

2022

BMC Pregnancy Childbirth

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Background High-quality antenatal care (ANC) provides a lifesaving opportunity for women and their newborns through providing health promotion, disease prevention, and early diagnosis and treatment of pregnancy-related health issues. However, systematically synthesised evidence on factors influencing the quality of ANC services is lacking. This scoping review aims to systematically synthesize the factors influencing in provision and utilisation of quality ANC services. Methods We conducted a scoping review of published evidence on the quality of ANC services. We searched records on four databases (PubMed, Scopus, Embase, and Google scholar) and grey literature from 1 to 2011 to 30 August 2021. We analysed data using Braun and Clarke’s thematic analysis approach. We followed Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews (PRISMA-ScR) guideline for the review. We explained themes using the Donabedian healthcare quality assessment model (input-process-output). Results Several inputs- and process-related factors contributed to suboptimal quality of ANC in many low and lower- or middle-income countries. Input factors included facility readiness (e.g., lack of infrastructure, provision of commodities and supplies, health workforce, structural and intermediary characteristics of pregnant women, and service delivery approaches). Processes-related factors included technical quality of care (e.g., lack of skilled adequate and timely care, and poor adherence to the guidelines) and social quality (lack of effective communication and poor client satisfaction). These input and process factors have also contributed to equity gaps in utilisation of quality ANC services. Conclusion Several input and process factors influenced the provision and utilization of optimum quality ANC services. Better health system inputs (e.g., availability of trained workforces, commodities, guidelines, context-specific programs) are essential to creating enabling facility environment for quality ANC services. Care processes can be improved by ensuring capacity-building activities for workforces (training, technical support visits), and mentoring staff working at peripheral facilities. Identifying coverage of quality ANC services among disadvantaged groups could be the initial step in designing and implementing targeted program approaches.

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Women’s Satisfaction and Its Associated Factors with Antenatal Care Services at Public Health Facilities: A Cross-Sectional Study

Cited by 13 publications

References 19 publications

Determinants of maternal satisfaction with focused antenatal care services rendered at public health facilities in the West Shewa Zone, Central Ethiopia: A multicentre cross-sectional study

Determinants of maternal satisfaction with focused antenatal care services rendered at public health facilities in the West Shewa Zone, Central Ethiopia: A multicentre cross-sectional study

How to Support the Referral Towards Group Antenatal Care in Belgian Primary Healthcare Organization: A Qualitative Study [Letter]

Input, process, and output factors contributing to quality of antenatal care services: a scoping review of evidence

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