Debela Ayinalem Berhanu, Mekuria Mulugeta, Kolola Tufa, Bala Elias Teferi, Deriba Berhanu Senbeta
Adea Berga Health Office, Oromia Regional Health Bureau, Enchini, Ethiopia.
Department of Public Health, Ambo University College of Medicine and Health Sciences, Ambo, Ethiopia.
Patient Prefer Adherence. 2021 Feb 19;15:387-398. doi: 10.2147/PPA.S297662. eCollection 2021.
Women satisfaction recognized as an important outcome of the maternal health care delivery system. Despite the Ethiopian federal ministry of health implemented compassionate, respectful, and caring as one of the health sector transformation agendas to increase health service utilization, the level of maternal satisfaction of institutional delivery is still low. This study aimed to assess maternal satisfaction and factors associated with institutional delivery care in central Ethiopia.
Community-based cross-sectional study, which involved quantitative study supplemented with qualitative methods were employed. Mothers were proportionally allocated to each selected kebele according to the number of their size. Data were collected by a face-to-face interview using a standardized questionnaire to determine the level of maternal satisfaction with birth care. The result was presented using texts, percentages, and tables. Bivariate and multivariate logistic regressions were performed between dependent and independent variables at 95% confidence intervals and a P-value < 0.05 to show a significant association. In the qualitative part, data were transcribed carefully and analyzed thematically.
The overall a total of 451 respondents participated in this study making a response rate of 98%. The level of maternal satisfaction was 36.6% in this study. Spontaneous vaginal deliveries (SVD) (AOR: 7.33, CI: 2, 26.79), being attended by female sex health workers (AOR: 1.54, CI: 1.04, 2.28), receiving ambulance service to arrive at health facilities (AOR: 7.84, CI: 2, 61.63), utilizing of maternal waiting areas AOR: 1.72, CI: 1.09, 2.66), and respectful care (AOR=1.55, CI: 1.03, 2.34) were factors associated with maternal satisfaction. From qualitative study, three themes and ten categories have emerged.
Maternal satisfaction towards the delivery service was low. SVD, being attended by female sex health workers, ambulance service, cleaned delivery room, and respectful care were factors associated with maternal satisfaction. The health facilities in the study areas need to work on improving health facility cleanliness, health workers' compassionate and respectful care, and providing ambulance service as a main means of transportation for laboring mothers.
产妇满意度被视为孕产妇保健服务体系的一项重要成果。尽管埃塞俄比亚联邦卫生部将关爱、尊重和体贴作为卫生部门转型议程之一，以提高卫生服务利用率，但机构分娩的产妇满意度仍然很低。本研究旨在评估埃塞俄比亚中部地区产妇的满意度以及与机构分娩护理相关的因素。
采用基于社区的横断面研究，其中包括定量研究并辅以定性方法。根据每个选定社区的规模，按比例分配母亲样本。通过面对面访谈，使用标准化问卷收集数据，以确定产妇对分娩护理的满意度水平。结果以文字、百分比和表格形式呈现。在95%置信区间和P值<0.05的情况下，对因变量和自变量进行双变量和多变量逻辑回归，以显示显著关联。在定性部分，仔细转录数据并进行主题分析。
本研究共有451名受访者参与，回复率为98%。本研究中产妇的满意度为36.6%。自然阴道分娩（AOR：7.33，CI：2，26.79）、由女性卫生工作者护理（AOR：1.54，CI：1.04，2.28）、乘坐救护车前往医疗机构（AOR：7.84，CI：2，61.63）、使用产妇候诊区（AOR：1.72，CI：1.09，2.66）以及受到尊重的护理（AOR = 1.55，CI：1.03，2.34）是与产妇满意度相关的因素。从定性研究中，出现了三个主题和十个类别。
产妇对分娩服务的满意度较低。自然阴道分娩、由女性卫生工作者护理、救护车服务、清洁的分娩室以及受到尊重的护理是与产妇满意度相关的因素。研究地区的医疗机构需要致力于改善医疗机构的清洁程度、卫生工作者的关爱和尊重护理，并提供救护车服务作为临产母亲的主要交通方式。
