Abstract:
Background: Woman’s satisfaction with antenatal care service may have immediate and longterm impact on her and her baby’s health. It also ensures further use of service. However it is not
well studied in Ethiopia in general and the southern Region in particular. Therefore, this research
is going to assess the level of client’s satisfaction about antenatal care services
Objective: The objective of this study was to assess the level of pregnant women satisfaction
and associated factors towards antenatal care provided in public health institutions among
pregnant women in Hossana Town, South Ethiopia
Method: Institution based cross sectional study that involves both quantitative and qualitative
method of data collection was employed .Interviewer administered questionnaire with an exit
interview from March1 to 30, 2014 among 303 antenatal care service users were conducted in
public health institutions of Hossana Town. Systematic sampling technique was used in sampling
the study subjects. For the qualitative study four Focus Group Discussions (FGD) was
conducted. Descriptive statistics, bivariate analysis and multivariable logistic regression analyses
were employed to identify factors associated with client satisfaction on antenatal care. The
qualitative data analyzed thematically and manually.
Result: overall 74% of clients were satisfied with antenatal care service rendered in public
health institutions of Hossana Town. Younger age group between25-29 were more satisfied than
older (>35) years (AOR=5.584; 95% C.I:1.76, 17.7), those whose privacy was maintained were
eight times satisfied than those privacy was not maintained (AOR=8; 95%C.I:3.375, 19.263),
and those with travailing time less than 30 minutes (5Km) were two times to be satisfied than
those with travel time greater than 30 minute (AOR=2.804; 95% C.I: 1.423, 5.522)
Conclusion: Generally, most of the respondents were satisfied with the service that they had
received Relatively low satisfaction was reported on communication and information domain
Age, education, living distance, maintenance of privacy, cleanness of the facility, and respect
from provider were the significant factors affecting satisfaction. Improving care provider
information and communication skill was recommended.
