Abstract:
Background: Client satisfaction is essential for further improvement of quality of focused antenatal care and to
provide uniform health care services for pregnant women. However, studies on level of client satisfaction with
focused antenatal care and associated factors are lacking. So, the purpose of this study is to assess satisfaction with
focused antenatal care service and associated factors among pregnant women attending focused antenatal care at
health centers in Jimma town.
Methods: A facility based cross-sectional study involving both qualitative and quantitative methods of data collection
was used from Feb 1-30/2013. Three hundred eighty nine pregnant women those come to the health centers were
included in the study. A semi-structured questionnaire and focus group discussion guide was employed to obtain the
necessary information for this study. Quantitative data was analysed using SPSS for windows version 16.0. Logistic
regression model was used to compare level of satisfaction by predictors’ variables. Qualitative data was analyzed
based on thematic frameworks to support the quantitative results.
Result: More than half of the respondents (60.4%) were satisfied with the service that they received. As to specific
components, most of the respondents (80.7%) were satisfied with interpersonal aspects, and 62.2% were satisfied with
organization of health care aspect. Meanwhile, 49.9% of the respondents were not satisfied with technical quality
aspect and 67.1% were not satisfied with physical environment aspect. Multivariate logistic regression analysis result
showed that type of health center, educational status of mother, monthly income of the family, type of pregnancy and
history of stillbirth were the predictors of the level of satisfaction. The study found out that dissatisfaction was high in
mothers utilizing service at Jimma health center, in mothers with tertiary educational level, in mothers with average
monthly family income >1000birr, in mothers with unplanned pregnancy and in mothers with history of stillbirth.
Conclusions: Even though greater percentages of women (60.4%) were satisfied with the focused antenatal care
service, the level of satisfaction was lower compared to other studies. The investigator recommends that patient
feedback should be recognized as a legitimate method of evaluating health services in the health center as a whole.
