Women’s satisfaction on maternity waiting home in jimma zone, oromia, south west Ethiopia

Abstract

Background: Maternity waiting homes have been documented in the scientific literature since the 1960s. It is residential facilities where women who live remotely can wait before giving birth at a hospital or health center where obstetric care is available. Maternity waiting home was introduced in Ethiopia in 1985 to increase institutional delivery and reduce maternal & neonatal mortality. Objective: To determine women’s level of satisfaction on maternity waiting home and identify associated factors in Jimma zone, south west Ethiopia, 2018. Methods: The study was conducted in three selected Districts of Jimma zone [Manna, Seka and Kersa], Oromia, south west Ethiopia, by using community based cross-sectional study design. Total number of women’s used maternity waiting home services was identified, and then sample size was proportionally allocated for each district. By using the record of women’s who used MWH from December 2016 to March 2018 as a sampling frame, our study unit was randomly selected. Data was collected using structured questionnaire, by five diploma holder Nurse, guided by Health developmental Army to visit the house of the selected study unit and conduct the interview. Data was analyzed using SPSS version 21.0 statical software. And correlation analysis was performed between each satisfaction dimension and overall satisfaction. Simple and multiple linearregressionswere performed to identify predictors of overall satisfaction. Variables with p<0.05 at 95% CI, in multiple linear regression were taken as a predictor of satisfaction. Results: A total of 362 mothers participated in the study making a response rate of 98%. The overall women satisfaction level with Maternity Waiting Home service was 68.97%. Satisfaction was reported to be higher with social support (One to five support (89.5%), Husband support (89%)) and cleaner/servant support working in Maternity waiting home (88.9%),lower satisfaction was reported with the Recreational service(38.5%),Foodservices(49.4%) and satisfaction with utensils in maternity waiting home(56.2%).Final predictors of women’s satisfaction with Maternity waiting home were: length of stay in MWH less than forty days(B=1.040,p=0.020),utensilsinMWH(B=0.199,p<0.001),prenatalservice(B=0.249,p=0.001),fo odservice(B=0.113,p<0.001),familysupport(B=0.102,p=0.019),sanitationservice(B=0.202,P<0.0 01),recreationalservice(B=0.179,P<0.001),Husbandsupport(B=0.200,P<0.001),IPCwith HCWS(B=0.038,P=0.002),1 to 5 support(B=0.082,P<0.001),servant support(B=0.197,p<0.001) were statically significant with overall satisfaction. Conclusion: women’s overall satisfaction with their stay in MWH in study area was 68.8%. Food service, recreational service, ambulance service and utensils in MWH were major sources of dissatisfaction; while social support (husband support, family support and one to five support), IPC with Health care provider, HEWs support and servant or cleaners support working in MWH were a major sources of satisfaction. Length of stay in MWH,utensils within MWH,prenatal service, food services, family support, sanitation service, recreational service, husband support,IPC with HCWs,HEWs support and servant or cleaner support were significant predicators of women’s satisfaction