Department of Public Health, Semey State Medical University, Semey 071400, Kazakhstan.
Central Scientific Research Laboratory, Northern State Medical University, 163000 Arkhangelsk, Russia.
Int J Environ Res Public Health. 2018 Feb 13;15(2):325. doi: 10.3390/ijerph15020325.
Women's satisfaction is a part of the quality assurance process with potential to improve antenatal health services. The objective of this study was to assess the prevalence of women's satisfaction with antenatal care in an urban Kazakhstani setting and investigate associated factors. A total of 1496 women who delivered in all maternity clinics from 6 February through 11 July 2013 in Semey, East Kazakhstan, filled out a standardized pretested questionnaire on satisfaction with antenatal care. Independent associations between dissatisfaction and its correlates were studied by logistic regression. Ninety percent of the women were satisfied with the antenatal care. Women who were dissatisfied had lower education. These women would have preferred more checkups, shorter intervals between checkups, more time with care providers, and shorter waiting times. The overall dissatisfaction was associated with long waiting times and insufficient information on general health in pregnancy, results of laboratory tests, treatment during pregnancy, and breastfeeding. Although most of the women in the study setting were satisfied with the new antenatal care model, we identified the main sources of dissatisfaction that should be addressed. Given that Semey is a typical Kazakhstani city, the results can be generalized to other Kazakhstani urban settings.
妇女满意度是保证产前保健质量的一个环节，有可能改善产前保健服务。本研究旨在评估哈萨克斯坦城市环境中妇女对产前保健的满意度，并调查相关因素。2013 年 2 月 6 日至 7 月 11 日，在哈萨克斯坦东哈萨克斯坦州塞米伊市所有妇产科诊所分娩的 1496 名妇女填写了一份关于产前保健满意度的标准化预测试问卷。采用逻辑回归分析了不满与相关因素之间的独立关联。90%的妇女对产前保健感到满意。不满意的妇女教育程度较低。这些妇女希望增加检查次数、缩短检查间隔、增加与护理提供者的交流时间并减少等候时间。总的不满与长时间等候和缺乏关于一般妊娠健康、实验室检查结果、妊娠期间治疗和母乳喂养的信息有关。尽管研究环境中的大多数妇女对新的产前保健模式感到满意，但我们确定了应解决的主要不满来源。鉴于塞米伊是一个典型的哈萨克斯坦城市，研究结果可以推广到其他哈萨克斯坦城市环境。
