Satisfaction about antenatal care and associated factors among pregnant women who booked at public health institutions, Hossana Town, Southern Ethiopia

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.