Department of Public Health, Bahir Dar University, PO Box 79, Bahir Dar, Ethiopia.
BMC Pregnancy Childbirth. 2011 Oct 24;11:78. doi: 10.1186/1471-2393-11-78.
A woman's satisfaction with the delivery service may have immediate and long-term effects on her health and subsequent utilization of the services. Providing satisfying delivery care increases service utilization. The objective of this study is to assess the satisfaction of mothers with referral hospitals' delivery service and identify some possible factors affecting satisfaction in Amhara region of Ethiopia.
A hospital-based cross-sectional survey that involved an exit interview was conducted from September to November 2009 in three referral hospitals in Ethiopia. A total of 417 delivering mothers were enrolled in the study. Client satisfaction was measured using a survey instrument adopted from the Donabedian quality assessment framework. We collect data systematically from every other postnatal woman who delivered in the referral hospitals. Multivariate and binary logistic regression was applied to identify the relative effect of each explanatory variable on the outcome (satisfaction).
The proportion of mothers who were satisfied with delivery care in this study was 61.9%. Women's satisfaction with delivery care was associated with wanted status of the pregnancy, immediate maternal condition after delivery, waiting time to see the health worker, availability of waiting area, care providers' measure taken to assure privacy during examinations, and amount of cost paid for service.
The overall satisfaction of hospital delivery services in this study is found to be suboptimal. The study strongly suggests that more could be done to assure that services provided are more patient centered.
产妇对分娩服务的满意度可能对其健康和后续服务的利用产生直接和长期的影响。提供满意的分娩护理会增加服务的利用率。本研究旨在评估埃塞俄比亚阿姆哈拉地区产妇对转诊医院分娩服务的满意度，并确定一些可能影响满意度的因素。
本研究为 2009 年 9 月至 11 月在埃塞俄比亚的三家转诊医院进行的基于医院的横断面调查，采用出院面谈的方式进行。共有 417 名分娩的产妇纳入研究。采用唐纳比德质量评估框架中的调查工具来衡量客户满意度。我们从转诊医院分娩的每一位产后妇女中系统地收集数据。采用多变量和二元逻辑回归来确定每个解释变量对结果（满意度）的相对影响。
本研究中，对分娩护理满意的产妇比例为 61.9%。产妇对分娩护理的满意度与妊娠的期望状况、分娩后产妇的即时状况、等待看卫生工作者的时间、等候区的可用性、护理提供者在检查期间确保隐私的措施以及服务费用的支付金额有关。
本研究发现，医院分娩服务的总体满意度不理想。研究强烈建议，可以做更多的工作来确保提供的服务更以患者为中心。
