Institut of Health and Development - Public Health and Preventive Medecine, Dakar University, Dakar, Senegal.
Acta Obstet Gynecol Scand. 2011 Nov;90(11):1239-43. doi: 10.1111/j.1600-0412.2011.01163.x. Epub 2011 Aug 29.
To study the link between patients' satisfaction about received services in health facilities and the choice of future delivery place of women who had delivered at least once in a facility.
Cross-sectional study.
Health district Gossas in Senegal.
Three hundred and seventy-three women who gave birth in the last 12 months.
Data were collected using a questionnaire during an interview. Logistic regression was used to explore the determinants of childbirth at home using the Andersen behavioral model.
Place of delivery and satisfaction at reception and conduct of delivery.
The average age was 28±6years. Among the women interviewed, 97% were married, 53% being in a polygamous system, and 18% were educated. Forty-seven per cent of them were satisfied with the quality of the last delivery made within a health facility. The prevalence of home birth was 22%. Home births were more frequent among women in a polygamous marriage [odds ratio (OR) 1.85; 95% confidence interval (CI) 1.01-3.14], with no means of transportation (OR 1.68; 95% CI 1.02-3.95) and who lived more than 5km from a health facility (OR 2.24; 95% CI 1.21-4.15). Poor quality of delivery in a health facility (OR 2.52; 95% CI 1.36-4.65) or a delivery done by a male provider (OR 3.90; 95% CI 2.30-6.65) were also risk factors for the choice of home delivery.
Particular emphasis should be placed on training healthcare providers to improve the quality of service provided to patients in health facilities.
研究卫生机构中患者对所接受服务的满意度与曾在机构分娩的女性未来分娩地点选择之间的关系。
横断面研究。
塞内加尔戈萨斯卫生区。
373 名在过去 12 个月内在机构分娩的妇女。
使用访谈期间的问卷收集数据。使用安德森行为模型的逻辑回归探索分娩在家中的决定因素。
分娩地点和对接待和分娩过程的满意度。
平均年龄为 28±6 岁。在接受采访的妇女中，97%已婚，53%实行一夫多妻制，18%受过教育。其中 47%对上次在医疗机构分娩的质量感到满意。在家分娩的比例为 22%。在多配偶婚姻中的妇女（比值比 1.85；95%置信区间 1.01-3.14）、没有交通工具的妇女（比值比 1.68；95%置信区间 1.02-3.95）和距离医疗机构超过 5 公里的妇女（比值比 2.24；95%置信区间 1.21-4.15），在家分娩的情况更为常见。在医疗机构分娩质量差（比值比 2.52；95%置信区间 1.36-4.65）或由男性提供者进行分娩（比值比 3.90；95%置信区间 2.30-6.65）也是选择在家分娩的危险因素。
应特别重视培训医疗保健提供者，以提高卫生机构中患者所接受服务的质量。
