Oladapo Olufemi T, Iyaniwura Christianah A, Sule-Odu Adewale O
Maternal and Fetal Health Research Unit, Department of Obstetrics and Gynaecology, Obafemi Awolowo College of Health Sciences, Sagamu, Ogun State, Nigeria.
Afr J Reprod Health. 2008 Dec;12(3):71-92.
A survey of 452 pregnant women accessing care at first level public health facilities in a local government area in southwest Nigeria was conducted to assess their perspectives on the quality of antenatal care received. Majority of the women expressed satisfaction with the level of expertise and basic technical competence of their careproviders. Less than 30% were pleased with the existing patients' referral mechanisms. At least two-thirds received as much information as desired in salient aspects of antenatal health information needs. Frequency of antenatal visits was "about the same as expected" for 93.6% of the women. The mean reported waiting time before antenatal consultation was 131.1 minutes although 106 (43.3 %) women expected to be attended within 30 minutes of arrival. Approximately two-thirds of women were unhappy about their involvement in decision-making with respect to birth planning and postpartum contraception. Compared to other elements of quality, women were least pleased with constellation of services especially sanitary facilities and number of skilled healthcare providers. On the whole, respondents expressed a high level of overall satisfaction (81.4%) with the care received. The survey indicates that antenatal women may generally express satisfaction with the quality of services despite some inconsistencies between received care and their expectations of the facilities.
在尼日利亚西南部一个地方政府辖区的一级公共卫生设施中，对452名接受护理的孕妇进行了一项调查，以评估她们对所接受的产前护理质量的看法。大多数妇女对其护理提供者的专业水平和基本技术能力表示满意。不到30%的人对现有的患者转诊机制感到满意。至少三分之二的人在产前健康信息需求的突出方面获得了她们想要的信息。93.6%的妇女表示产前检查的频率“与预期大致相同”。报告的产前咨询前平均等待时间为131.1分钟，尽管有106名（43.3%）妇女希望在到达后30分钟内得到诊治。大约三分之二的妇女对她们在生育计划和产后避孕决策中的参与度不满意。与质量的其他要素相比，妇女对服务组合，尤其是卫生设施和熟练医疗保健提供者的数量最不满意。总体而言，受访者对所接受的护理表示高度的总体满意度（81.4%）。该调查表明，尽管所接受的护理与她们对设施的期望之间存在一些不一致，但产前妇女总体上可能对服务质量表示满意。
