Mukerenge Ndinohokwe F, Kafene Paulina, Nakakuwa Filippine N
School of Nursing and Public Health, Faculty of Health and Veterinary Medicine, University of Namibia, Rundu, Namibia.
Heliyon. 2025 Feb 11;11(4):e42644. doi: 10.1016/j.heliyon.2025.e42644. eCollection 2025 Feb 28.
Women are vulnerable to being exposed to disrespect and abusive behaviours from maternity care providers caring for them in health facilities. This paper aims to describe women's perception and assess their level of satisfaction with maternity care during labour and birth in a referral hospital in north-eastern Namibia.
A quantitative cross-sectional study was conducted at a referral hospital in north-eastern Namibia from March to May 2024. The questionnaires were shared with 300 women aged 18-45 years in the postnatal ward who were randomly sampled. The SPSS statistical package was used to analyse the data using descriptive statistics and Chi-square for association. To affirm statistical significance, we used p-values of < 0.05 with a 95 % confidence interval.
All questionnaires were collected from women, which is a 100 % response rate. Results show that the mean age of participants was 27 (SD ± 6.04) years. Most of our participants (73 %; n = 220) had a Normal Vertex birth, and only 27 % (n = 80) had caesarean section. Almost all (98 %) women were satisfied with the services and were more likely to recommend the facility to others (94 %). The level of satisfaction was influenced by respect for women's choices, culture, privacy and maternal care provider's attitude (p = < 0.001). We found no association between the level of overall satisfaction with care and mode of birth or age.
Women were satisfied with the maternity care they received in a referral hospital. Their level of satisfaction is significantly associated with their willingness to refer others to this facility for similar services. Views of maternity care providers and birth companions need to be investigated to determine their opinion of care and service improvement means from their perspective.
在医疗机构接受孕产妇护理时，女性容易受到护理人员的不尊重和虐待行为。本文旨在描述纳米比亚东北部一家转诊医院中女性对分娩期间孕产妇护理的看法，并评估她们的满意度。
2024年3月至5月，在纳米比亚东北部的一家转诊医院进行了一项定量横断面研究。问卷分发给产后病房300名年龄在18 - 45岁的女性，她们是随机抽样选取的。使用SPSS统计软件包进行数据分析，采用描述性统计和卡方检验分析相关性。为确定统计学显著性，我们使用p值<0.05和95%置信区间。
所有问卷均从女性中收集，回复率为100%。结果显示，参与者的平均年龄为27岁（标准差±6.04）。大多数参与者（73%；n = 220）顺产，只有27%（n = 80）进行了剖宫产。几乎所有（98%）女性对服务感到满意，并且更有可能向他人推荐该机构（94%）。满意度受到对女性选择、文化、隐私以及孕产妇护理人员态度的尊重程度的影响（p = <0.001）。我们发现总体护理满意度水平与分娩方式或年龄之间没有关联。
女性对在转诊医院接受的孕产妇护理感到满意。她们的满意度水平与她们向他人推荐该机构接受类似服务的意愿显著相关。需要调查孕产妇护理人员和分娩陪伴者的观点，以从他们的角度确定他们对护理和服务改进方式的看法。
