Women’s Satisfaction of Maternity Care in Nepal and Its Correlation with Intended Future Utilization

Abstract

The impact of rapid increase in institutional birth rate in Nepal on women's satisfaction and planned future utilization of services is less well known. This study aimed to measure women's satisfaction with maternity care and its correlation with intended future utilisation. Data came from a nationally representative facility-based survey conducted across 13 districts in Nepal and included client exit interviews with 447 women who had either recently delivered or had experienced complications. An eight-item quality of care instrument was used to measure client satisfaction. Multivariate probit model was used to assess the attribution of different elements of client satisfaction with intended future utilization of services. Respondents were most likely to suggest maintaining clean/hygienic health facilities (42%), increased bed provision (26%), free services (24%), more helpful behaviour by health workers (18%), and better privacy (9%). Satisfaction with the information received showed a strong correlation with the politeness of staff, involvement in decision making, and overall satisfaction with the care received. Satisfaction with waiting time (p = 0.035), information received (p = 0.02), and overall care in the maternity care (<0.001) showed strong associations with willingness to return to facility. The findings suggest improving physical environment and interpersonal communication skills of service providers and reducing waiting time for improving client satisfaction and intention to return to the health facility.

Women&rsquo;s satisfaction with intrapartum care and its predictors at Harar hospitals, Eastern Ethiopia: a cross-sectional study

“…However, it is lower than studies conducted in Arba Minch (90.2%) and Kenya (96% in public hospitals and 98% in private hospitals). 11,14,[23][24][25][26][27][28][29][30] This difference may be due to some improvements in the healthcare systems as the Ethiopian government has invested heavily in improving maternal and newborn health. It can also be due to difference in the quality of services, mothers level of expectation, or the type of health facilities (ie, this study also includes private hospitals).…”

Quality of antenatal care experience in rural Bangladesh: social support, respect, dignity, communication and counselling

“…Regarding respect and dignity, we found that women overwhelmingly consider that their privacy was maintained during ANC contacts. This was a bit surprising, given that privacy has been demonstrated as a major challenge in several studies across different settings (21,23,(43)(44)(45). While it is possible that visual and auditory privacy was maintained during these visits such as conceptualized in global normative documents (2,46,47), it is also possible that women in Bangladesh conceptualize privacy differently and that their expectations of privacy are maintained even if others, particularly women, can see and hear them during the visit.…”

“…Others have found that health facilities in rural areas often lack functioning equipment, ANC/PNC registers, essential medicines, electricity, and running water to provide quality ANC (14)(15)(16)(17)(18). Although some studies explored the experience of care during intrapartum period (19)(20)(21)(22)(23), few studies have sought to understand the experience of care during ANC contacts in similar settings despite the global movement advocating for measurement and initiatives to improve respectful care. This study aims to contribute towards lling this gap by assessing women's social support, their experience of respect and dignity and the quality of communication and counselling during ANC contacts in rural Bangladesh.…”

Development of an Instrument to Assess the Quality of Childbirth Care from the Mother's Perspective

“…본 연구는 정상 분만간호의 질을 측정하기 위한 목적으로 Berg 수렴타당도는 BSS-R과 본 도구가 .34의 상관관계가 있었는데, 분 만만족도와 분만간호의 질의 상관관계가 선행연구들과 유사하였다 [7,28]. 아기간호, 남편지지가 분만만족과 각각 .23과 .33의 상관관 계를 보였으며 [7], 제공받은 간호만족도는 전문가 기술수준과 .43의…”