Jigjiga University, Jigjiga, Ethiopia.
Haramaya University, College of Health and Medical Sciences, Harar, Ethiopia.
Inquiry. 2023 Jan-Dec;60:469580231174326. doi: 10.1177/00469580231174326.
Mothers' delivery care satisfaction is one of the indicators used to monitor the quality of health care provision. However, there is paucity of evidence on level of maternal satisfaction and its determinants, in Ethiopia, particularly in Somali regional state. Determining the maternal delivery care satisfaction level and identifying its determinants is important to understand the gap and strengthen the existing strategies. Therefore, the study aimed to determine the level of maternal satisfaction and the associated factors among post-cesarean section delivery care at selected public hospitals in the Somali regional state of Ethiopia. An institutional-based cross-sectional study was conducted on 285 mothers who gave birth in selected public hospitals in the Somali region from June 15 to August 29, 2021. The study subjects were chosen from the hospital using simple random sampling, and data was collected by interviewing newly delivered mothers. The data was entered into EPI DATA version 3, exported and analyzed using the Statistical Package for the Social Sciences (SPSS) 26 statistical package. A multivariable logistic regression was applied to identify the factors related to maternal satisfaction at a 95% confidence interval. Variables with a -value of less than .05 in the multivariable regression were considered to be significantly related to maternal satisfaction. The overall maternal satisfaction level with cesarean section delivery care service was 61.5% (95% CI: 56.1-66.3). Current planned pregnancy [AOR = 2.793; 95% CI: (1.42, 5.51)], antenatal care follows up [AOR = 2.008; 95% CI: (1.097, 3.67)], time spent obtaining health professionals [AOR = 4.045; 95% CI: (2.12, 7.71)], and gender of healthcare provider [AOR = 7.993; 95% CI: (4.11, 15.53)] were all associated with maternal satisfaction with cesarean. The overall maternal satisfaction level with cesarean section delivery care service was found to be low as per the national standards. Maternal satisfaction with cesarean section delivery care services was significantly associated with current pregnancy planned, antenatal care follow-up, time spent waiting for health professionals, and gender of healthcare provider. Thus, hospital administrators should focus on the cesarean section delivery service quality improvement area, and the care should be client-centered.
产妇分娩护理满意度是监测医疗保健提供质量的指标之一。然而，在埃塞俄比亚，特别是在索马里地区，关于产妇满意度水平及其决定因素的证据很少。确定产妇分娩护理满意度水平并确定其决定因素对于了解差距和加强现有策略非常重要。因此，本研究旨在确定在选定的索马里地区公立医院进行剖宫产分娩护理后的产妇满意度水平及其相关因素。
2021 年 6 月 15 日至 8 月 29 日，在索马里地区的选定公立医院进行了一项基于机构的横断面研究，对 285 名产妇进行了研究。研究对象采用简单随机抽样从医院中选择，通过访谈新分娩的母亲收集数据。数据输入 EPI DATA 版本 3，使用统计软件包（SPSS）26 进行导出和分析。采用多变量逻辑回归确定与产妇满意度相关的因素，置信区间为 95%。在多变量回归中，值小于.05 的变量被认为与产妇满意度显著相关。
产妇对剖宫产分娩护理服务的总体满意度为 61.5%（95%CI：56.1-66.3）。当前计划妊娠（AOR=2.793；95%CI：（1.42，5.51））、产前护理随访（AOR=2.008；95%CI：（1.097，3.67））、获得卫生专业人员的时间（AOR=4.045；95%CI：（2.12，7.71））和卫生保健提供者的性别（AOR=7.993；95%CI：（4.11，15.53））均与产妇对剖宫产的满意度相关。
根据国家标准，产妇对剖宫产分娩护理服务的总体满意度较低。产妇对剖宫产分娩护理服务的满意度与当前妊娠计划、产前护理随访、等待卫生专业人员的时间以及卫生保健提供者的性别显著相关。因此，医院管理人员应关注剖宫产分娩服务质量改进领域，并以客户为中心提供护理。
