Satisfaction with focused antenatal care service and associated factors among pregnant women attending focused antenatal care at health centers in jimma town, jimma zone, south west Ethiopia

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. Objective: - 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 1-19/2013. 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. Also the study found out that dissatisfaction was high in mothers utilizing service at Jimma health center, with tertiary educational level, with average monthly family income >1000birr, with unplanned pregnancy and history of stillbirth. Conclusion and recommendations: - 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. More than half and fifty percent of the respondents were not satisfied with the physical environment aspect and technical quality aspects respectively. The investigator recommends that patient feedback should be recognized as a legitimate method of evaluating health services in the health center as a whole and the health centers administrators and service providers should respond to the gaps forwarded from the study participants by improving the quality of health services.