Department of Sociology, Forman Christian College University, Ferozepur Road, Lahore, 54600, Pakistan.
Institute of Public Health, King Edward Medical University, Lahore, Pakistan.
Matern Child Health J. 2021 Jun;25(6):881-891. doi: 10.1007/s10995-021-03140-4. Epub 2021 Apr 26.
High maternal and neonatal mortality rates in developing regions like Pakistan are linked to low rates of institutional deliveries. One way to improve rates of institutional deliveries is through improving institutional delivery service satisfaction in women. The aim of this research is to identify which factors influence delivery service satisfaction during the period of COVID-19 and which socio-demographic characteristics of women are associated with greater fear of catching COVID-19 during institutional deliveries.
A total of 190 women who had given birth between May to June, 2020, were sampled from two private and two public sector hospitals in Lahore, Pakistan. A standardized tool was modified for use and a combination of descriptive statistics and multivariate regression was applied.
The results reveal that a majority of women, at 74.7%, are afraid of contracting COVID-19; specifically, women delivering at public hospitals, those who are illiterate or semi-literate, with more than four children, with low household income, and who are unemployed. Regression models are used to identify factors related to higher satisfaction, including the following: (i) pre-delivery care (explanatory power of R = 0.651); (ii) during delivery care (R = 0.716); (iii) after delivery care for women (R = 0.525); and (iv) after delivery care for newborn (R = 0.780). The main areas which influence satisfaction include the following: service quality of staff and administration; maintenance of hygiene and sanitation; involvement in decision-making; provision of necessary information; and advice for breastfeeding, immunization and family planning.
Based on our findings, we recommend improved regulation of delivery services in both public and private hospitals and increased protection for disadvantaged women groups to maintain service quality during the pandemic.
在巴基斯坦等发展中地区，孕产妇和新生儿死亡率高与机构分娩率低有关。提高机构分娩率的一种方法是提高妇女对机构分娩服务的满意度。本研究旨在确定哪些因素会影响 COVID-19 期间的分娩服务满意度，以及妇女的哪些社会人口特征与在机构分娩期间更害怕感染 COVID-19 有关。
本研究从巴基斯坦拉合尔的两家私立医院和两家公立医院中抽取了 190 名在 2020 年 5 月至 6 月分娩的妇女。对标准化工具进行了修改并应用了描述性统计和多元回归分析。
结果表明，大多数女性（74.7%）害怕感染 COVID-19；具体来说，在公立医院分娩的女性、文盲或半文盲、有四个以上孩子、家庭收入低、失业的女性更害怕感染 COVID-19。回归模型用于确定与更高满意度相关的因素，包括以下几点：（i）产前护理（解释力 R=0.651）；（ii）分娩时护理（R=0.716）；（iii）产后对妇女的护理（R=0.525）；以及（iv）产后对新生儿的护理（R=0.780）。影响满意度的主要方面包括以下几点：员工和管理的服务质量；卫生和环境卫生的维护；参与决策；提供必要的信息；以及母乳喂养、免疫和计划生育方面的建议。
基于我们的研究结果，我们建议改善公私医院的分娩服务监管，并加强对弱势妇女群体的保护，以在大流行期间保持服务质量。
