Chemir Fantaye, Alemseged Fessahaye, Workneh Desta
Department of Midwifery and Nursing, Jimma University, Jimma, Ethiopia.
BMC Res Notes. 2014 Mar 19;7:164. doi: 10.1186/1756-0500-7-164.
Client 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.
A 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.
More 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 >1000 birr, in mothers with unplanned pregnancy and in mothers with history of stillbirth.
Even 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.
客户满意度对于进一步提高重点产前保健质量以及为孕妇提供统一的医疗服务至关重要。然而，关于重点产前保健客户满意度水平及相关因素的研究尚缺。因此，本研究旨在评估吉姆马镇各健康中心接受重点产前保健的孕妇对重点产前保健服务的满意度及相关因素。
采用基于机构的横断面研究，涉及定性和定量数据收集方法，研究时间为2013年2月1日至30日。纳入了389名到健康中心就诊的孕妇。采用半结构化问卷和焦点小组讨论指南获取本研究所需信息。定量数据使用SPSS for windows 16.0版进行分析。采用逻辑回归模型比较预测变量对满意度水平的影响。定性数据基于主题框架进行分析以支持定量结果。
超过一半的受访者（60.4%）对所接受的服务感到满意。具体而言，大多数受访者（80.7%）对人际方面感到满意，62.2%对医疗保健组织方面感到满意。同时，49.9%的受访者对技术质量方面不满意，67.1%对物理环境方面不满意。多因素逻辑回归分析结果显示，健康中心类型、母亲教育程度、家庭月收入、妊娠类型和死产史是满意度水平的预测因素。研究发现，在吉姆马健康中心接受服务的母亲、受过高等教育的母亲、家庭月平均收入>1000比尔的母亲、意外怀孕的母亲以及有死产史的母亲中，不满意率较高。
尽管有较大比例的女性（60.4%）对重点产前保健服务感到满意，但与其他研究相比，满意度水平较低。研究者建议，应将患者反馈视为评估整个健康中心医疗服务的一种合理方法。
