Satisfaction with focused antenatal care service and associated factors among pregnant women attending focused antenatal care at health centers in Jimma town, Jimma zone, South West Ethiopia; a facility based cross-sectional studyReport as inadecuate




Satisfaction with focused antenatal care service and associated factors among pregnant women attending focused antenatal care at health centers in Jimma town, Jimma zone, South West Ethiopia; a facility based cross-sectional study - Download this document for free, or read online. Document in PDF available to download.

BMC Research Notes

, 7:164

First Online: 19 March 2014Received: 15 September 2013Accepted: 06 March 2014DOI: 10.1186-1756-0500-7-164

Cite this article as: Chemir, F., Alemseged, F. & Workneh, D. BMC Res Notes 2014 7: 164. doi:10.1186-1756-0500-7-164

Abstract

BackgroundClient satisfaction is essential for further improvement of quality of focused antenatal care and to provide uniform health care services for pregnant women. However, studies on level of client satisfaction with focused antenatal care and associated factors are lacking. So, the purpose of this study is to assess satisfaction with focused antenatal care service and associated factors among pregnant women attending focused antenatal care at health centers in Jimma town.

MethodsA facility based cross-sectional study involving both qualitative and quantitative methods of data collection was used from Feb 1-30-2013. Three hundred eighty nine pregnant women those come to the health centers were included in the study. A semi-structured questionnaire and focus group discussion guide was employed to obtain the necessary information for this study. Quantitative data was analysed using SPSS for windows version 16.0. Logistic regression model was used to compare level of satisfaction by predictors’ variables. Qualitative data was analyzed based on thematic frameworks to support the quantitative results.

ResultMore than half of the respondents 60.4% were satisfied with the service that they received. As to specific components, most of the respondents 80.7% were satisfied with interpersonal aspects, and 62.2% were satisfied with organization of health care aspect. Meanwhile, 49.9% of the respondents were not satisfied with technical quality aspect and 67.1% were not satisfied with physical environment aspect. Multivariate logistic regression analysis result showed that type of health center, educational status of mother, monthly income of the family, type of pregnancy and history of stillbirth were the predictors of the level of satisfaction. The study found out that dissatisfaction was high in mothers utilizing service at Jimma health center, in mothers with tertiary educational level, in mothers with average monthly family income >1000birr, in mothers with unplanned pregnancy and in mothers with history of stillbirth.

ConclusionsEven though greater percentages of women 60.4% were satisfied with the focused antenatal care service, the level of satisfaction was lower compared to other studies. The investigator recommends that patient feedback should be recognized as a legitimate method of evaluating health services in the health center as a whole.

KeywordsFocused antenatal care Satisfaction Dissatisfaction Component wise satisfaction AbbreviationsANCAntenatal care

ASQAntenatal satisfaction questionaire

EDHSEthiopian demographic health survey

FANCFocused antenatal care

FGDFocus group discussion

FMoHFederal ministry of Health

HCHealth center

HSDPHealth sector development plan

MDGMellinium development goals

MMRMaternal mortality ratio.

Electronic supplementary materialThe online version of this article doi:10.1186-1756-0500-7-164 contains supplementary material, which is available to authorized users.

Fessahaye Alemseged and Desta Workneh contributed equally to this work.

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Author: Fantaye Chemir - Fessahaye Alemseged - Desta Workneh

Source: https://link.springer.com/







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