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埃塞俄比亚西谢瓦地区公立卫生机构的产妇对分娩服务的满意度及其影响因素。

Maternal Satisfaction on Delivery Service and Its Associated Factors in Public Health Facilities at West Shewa Zone, Ethiopia.

机构信息

Department of Statistics, College of Natural and Computational Sciences, Ambo University, Ethiopia.

Department of Midwifery, College of Medicine and Health Sciences, Ambo University, Ethiopia.

出版信息

Ethiop J Health Sci. 2023 Mar;33(2):301-310. doi: 10.4314/ejhs.v33i2.15.

DOI:10.4314/ejhs.v33i2.15
PMID:37484166
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10358387/
Abstract

BACKGROUND

Maternal delivery satisfaction could be assessed to improve the quality and effectiveness. Thus, this study aimed to assess maternal satisfaction with delivery services and associated factors in public health facilities in West Shewa Zone, Ethiopia.

METHODS

An institution-based cross-sectional study was conducted on maternal satisfaction delivery services. Systematic and stratified sampling techniques were used to select mothers by using their delivery registration number and to select health facilities. A binary logistic regression model was used to identify associated factors.

RESULTS

Among mothers, the overall satisfaction with delivery service was 584 (87%). Shower service availability (39.8%), toilet cleanliness (32.6%), and waiting area cleanliness (31.1%) were significant areas of mothers' dissatisfaction with delivery services. Uneducated mothers, mothers of 1-6 education level, monthly income of mothers less than 500 Birr, mothers who followed antenatal care, mothers who had actual fetal outcome, mothers who admitted from 6:00 AM to 12:00, and mothers who admitted from 12:00 AM to 6:00 PM were satisfied with delivery services.

CONCLUSION

The age of the mother, mother's education level, monthly income of mother, antenatal care, fetal outcome, place of delivery, and admission time of the mother were significantly associated factors for mothers' satisfaction with delivery services. Therefore, regional health bureaus and zonal health offices should work collaboratively on maternal care to improve maternal satisfaction during delivery.

摘要

背景

评估产妇分娩满意度可以提高医疗质量和效果。因此,本研究旨在评估埃塞俄比亚西舍瓦地区公立医疗机构产妇对分娩服务的满意度及其相关因素。

方法

本研究采用基于机构的横断面研究方法评估产妇对分娩服务的满意度。采用系统抽样和分层抽样技术,通过产妇的分娩登记号选择产妇,并选择医疗机构。采用二元逻辑回归模型确定相关因素。

结果

在产妇中,对分娩服务总体满意度为 584 人(87%)。有 39.8%的产妇对提供淋浴服务不满意,32.6%的产妇对厕所清洁度不满意,31.1%的产妇对等候区清洁度不满意。未受教育的母亲、受教育程度为 1-6 年的母亲、月收入低于 500 比尔的母亲、接受过产前护理的母亲、实际分娩结果良好的母亲、6:00 AM 至 12:00 PM 期间入院的母亲以及 12:00 AM 至 6:00 PM 期间入院的母亲对分娩服务较为满意。

结论

母亲的年龄、母亲的教育程度、母亲的月收入、产前护理、胎儿结局、分娩地点和母亲的入院时间是影响产妇对分娩服务满意度的显著相关因素。因此,地区卫生部门和地区卫生办公室应合作开展孕产妇保健工作,以提高产妇分娩时的满意度。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/801b/10358387/4f7107018e1c/EJHS3302-0301Fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/801b/10358387/eeacf2b78d7b/EJHS3302-0301Fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/801b/10358387/4f7107018e1c/EJHS3302-0301Fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/801b/10358387/eeacf2b78d7b/EJHS3302-0301Fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/801b/10358387/4f7107018e1c/EJHS3302-0301Fig2.jpg

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Institutional deliveries in India's nine low performing states: levels, determinants and accessibility.印度九个表现不佳的邦的机构分娩情况:水平、决定因素和可及性。
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