Dewana Zeritu, Fikadu Teshale, G/Mariam Abebe, Abdulahi Misra
Arba Minch Health Science College, Arba Minch P.O.Box # 55, Arba Minch, Ethiopia.
College of Public Health and Medical Sciences, Department of population and family health, Jimma University, Jimma P.O.Box # 230, Jimma, Ethiopia.
Reprod Health. 2016 Feb 11;13:11. doi: 10.1186/s12978-016-0125-0.
A woman's satisfaction with labour and delivery care service has a good effect on her health and subsequent utilization of the services. Thus knowledge about women's satisfaction on labour and delivery care used to enhances the services utilization. The objective of this study was to assess the satisfaction of women's towards labour and delivery care service and identify factors associated it at public health facilities in Arba Minch town and the surrounding district, Gamo Gofa zone, southern Ethiopia.
Facility based cross sectional study was conducted among women who gave birth at public health facility. A total 256 women who gave birth during the study period were included in the study. Data was collected using a structured questionnaire. Satisfaction level was measured using a 5 point-Likert scale questions. Data were entered using Epi data version 3.5.1 and analyzed using SPSS 20.0 statistical software. Factor analysis was employed for Likert scale questions to extract factor represented each of the scale which facilitate treatment of variable as continuous for further analysis. Bi-variate and multivariable logistic regression analysis was employed to identify association between women's satisfaction and predicator variables. Statistical significance was declared at P value <0.05 on final model. The strength of association was interpreted using the adjusted odds ratio and 95% CI.
This study revealed that 90.2% of women who gave birth in public health facilities were satisfied with labour and delivery care. Factors associated with women's satisfaction with labour and delivery care services include: not attending formal education [AOR = 8.00, 95% CI = (1.52, 12.27)] attending antenatal care four times and more [AOR = 5.00, 95% CI = (1.76, 14.20)] waiting below 15 minutes to be seen by health professional [AOR = 3.37, 95% CI = (1.14, 9.97)] and not paying for drugs and supplies [AOR = 6.19, 95% CI = (1.34, 18.59)].
Although majority of women were satisfied with the labour and delivery service they got, their level of satisfaction was influenced by educational status, number of ANC visits, waiting time, and payment for drug and supplies. Thus, public health intervention working on improving delivery care should consider these factors.
女性对分娩护理服务的满意度对其健康及后续服务利用情况有良好影响。因此，了解女性对分娩护理的满意度有助于提高服务利用率。本研究的目的是评估埃塞俄比亚南部加莫戈法州阿尔巴明奇镇及周边地区公共卫生机构中女性对分娩护理服务的满意度，并确定与之相关的因素。
在公共卫生机构分娩的女性中开展基于机构的横断面研究。研究纳入了研究期间分娩的256名女性。使用结构化问卷收集数据。满意度水平通过5点李克特量表问题进行测量。数据使用Epi data 3.5.1版本录入，并使用SPSS 20.0统计软件进行分析。对李克特量表问题采用因子分析来提取代表每个量表的因子，以便将变量作为连续变量进行处理以进行进一步分析。采用双变量和多变量逻辑回归分析来确定女性满意度与预测变量之间的关联。最终模型中P值<0.05时具有统计学意义。使用调整后的优势比和95%置信区间来解释关联强度。
本研究显示，在公共卫生机构分娩的女性中，90.2%对分娩护理感到满意。与女性对分娩护理服务满意度相关的因素包括：未接受正规教育[AOR = 8.00，95% CI = (1.52, 12.27)]、产前检查4次及以上[AOR = 5.00，95% CI = (1.76, 14.20)]、等待卫生专业人员诊治的时间在15分钟以内[AOR = 3.37，95% CI = (1.14, 9.97)]以及无需支付药品和用品费用[AOR = 6.19，95% CI = (1.34, 18.59)]。
尽管大多数女性对所获得的分娩服务感到满意，但她们的满意度水平受到教育程度、产前检查次数、等待时间以及药品和用品费用支付情况的影响。因此，致力于改善分娩护理的公共卫生干预措施应考虑这些因素。
