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BMC Pregnancy and Childbirth
Published in: BMC Pregnancy and Childbirth 1/2018

Open Access 01-12-2018 | Research article

A facility-based study of women’ satisfaction and perceived quality of reproductive and maternal health services in the Kenya output-based approach voucher program

Authors: Boniface Oyugi, Urbanus Kioko, Stephen Mbugua Kaboro, Clarice Okumu, Sarah Ogola-Munene, Shaminder Kalsi, Simon Thiani, Shadrack Gikonyo, Julius Korir, Billy Baltazar, Moses Ranji

Published in: BMC Pregnancy and Childbirth | Issue 1/2018

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Abstract

Background

This is a facility-based study designed to assess perceived quality of care and satisfaction of reproductive health services under the output-based approach (OBA) services in Kenya from clients’ perspective.

Method

An exit interview was conducted on 254 clients in public health facilities, non-governmental organizations, faith-based organizations and private facilities in Kitui, Kilifi, Kiambu, and Kisumu counties as well as in the Korogocho and Viwandani slums in Nairobi, Kenya using a 23-item scale questionnaire on quality of reproductive health services. Descriptive analysis, exploratory factor analysis, reliability test, and subgroup analysis using linear regression were performed.

Results

Clients generally had a positive view on staff conduct and healthcare delivery but were neutral on hospital physical facilities, resources, and access to healthcare services. There was a high overall level of satisfaction among the clients with quick service, good handling of complications, and clean hospital stated as some of the reasons that enhanced satisfaction. The County of residence was shown to impact the perception of quality greatly with other social demographic characteristics showing low impact.

Conclusion

Majority of the women perceived the quality of OBA services to be high and were happy with the way healthcare providers were handling birth related complications. The conduct and practice of healthcare workers is an important determinant of client’s perception of quality of reproductive and maternal health services. Findings can be used by health care managers as a guide to evaluate different areas of healthcare delivery and to improve resources and physical facilities that are crucial in elevating clients’ level of satisfaction.
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Literature
1.
Austin A, Langer A, Salam RA, Lassi ZS, Das JK, Bhutta ZA. Approaches to improve the quality of maternal and newborn health care: an overview of the evidence. Reprod Health. 2014;11(2):S1.CrossRefPubMedPubMedCentral
2.
Baker U, Hassan F, Hanson C, Manzi F, Marchant T, Peterson SS, Hylander I. Unpredictability dictates quality of maternal and newborn care provision in rural Tanzania-a qualitative study of health workers’ perspectives. BMC Pregnancy Childbirth. 2017;17(1):55.CrossRefPubMedPubMedCentral
3.
Filippi V, Ronsmans C, Campbell OM, Graham WJ, Mills A, Borghi J, Koblinsky M, Osrin D. Maternal health in poor countries: the broader context and a call for action. Lancet. 2006;368(9546):1535–41.CrossRefPubMed
4.
Ronsmans C, Graham WJ, Group LMSSs. Maternal mortality: who, when, where, and why. Lancet. 2006;368(9542):1189–200.CrossRefPubMed
5.
Kearns A, Hurst T, Caglia J, Langer A: Focused antenatal care in Tanzania: delivering individualised, targeted, high quality care. Woman and health initiative: Maternal Health Task Force. 2014 [Edited Aug 2014]. 2014.
6.
Shankar A, Bartlett L, Fauveau V, Islam M, Terreri N, Group CtMH. Delivery of MDG 5 by active management with data. Lancet. 2008;371(9620):1223–4.CrossRefPubMed
7.
Oestergaard MZ, Inoue M, Yoshida S, Mahanani WR, Gore FM, Cousens S, Lawn JE, Mathers CD, United Nations Inter-Agency Group for Child Mortality Estimation and the Child Health Epidemiology Reference Group. Neonatal mortality levels for 193 countries in 2009 with trends since 1990: a systematic analysis of progress, projections, and priorities. PLoS Med. 2011;8(8):e1001080.CrossRefPubMedPubMedCentral
8.
Eva G, Quinn A, Ngo TD. Vouchers for family planning and sexual and reproductive health services: a review of voucher programs involving Marie stopes international among 11 Asian and African countries. Int J Gynecol Obstet. 2015;130:E15–20.CrossRef
9.
Kenya National Bureau of Statistics, Ministry of Health/Kenya, National AIDS Control Council/Kenya, Kenya Medical Research Institute, National Council for Population and Development/Kenya, ICF International. Kenya Demographic and Health Survey 2014. Rockville: ICF International; 2015.
10.
Baltussen R, Yé Y, Haddad S, Sauerborn RS. Perceived quality of care of primary health care services in Burkina Faso. Health Policy Plan. 2002;17(1):42–8.CrossRefPubMed
11.
Otis KE, Brett JA. Barriers to hospital births: why do many Bolivian women give birth at home? Rev Panam Salud Publica. 2008;24(1):46–53.CrossRefPubMed
12.
Wild K, Barclay L, Kelly P, Martins N. Birth choices in Timor-Leste: a framework for understanding the use of maternal health services in low resource settings. Soc Sci Med. 2010;71(11):2038–45.CrossRefPubMed
13.
Mathole T, Lindmark G, Majoko F, Ahlberg BM. A qualitative study of women’s perspectives of antenatal care in a rural area of Zimbabwe. Midwifery. 2004;20(2):122–32.CrossRefPubMed
14.
Kumbani LC, Chirwa E, Odland J, Bjune G. Do Malawian women critically assess the quality of care? A qualitative study on women’s perceptions of perinatal care at a district hospital in Malawi. Reprod Health. 2012;9(1):30.CrossRefPubMedPubMedCentral
15.
Grainger C, Gorter A, Okal J, Bellows B. Erratum: lessons from sexual and reproductive health voucher program design and function: a comprehensive review. Int J Equity Health. 2014;14(1):20.CrossRef
16.
Oyugi B, Kioko U, Kaboro SM, Gikonyo S, Okumu C, Ogola-Munene S, Kalsi S, Thiani S, Korir J, Odundo P. Accessibility of long-term family planning methods: a comparison study between output based approach (OBA) clients verses non-OBA clients in the voucher supported facilities in Kenya. BMC Health Serv Res. 2017;17(1):236.CrossRefPubMedPubMedCentral
17.
Warren CE, Abuya T, Kanya L, Obare F, Njuki R, Temmerman M, Bellows B. A cross sectional comparison of postnatal care quality in facilities participating in a maternal health voucher program versus non-voucher facilities in Kenya. BMC Pregnancy Childbirth. 2015;15(1):153.CrossRefPubMedPubMedCentral
18.
Abuya T, Njuki R, Warren CE, Okal J, Obare F, Kanya L, Askew I, Bellows B. A policy analysis of the implementation of a reproductive health vouchers program in Kenya. BMC Public Health. 2012;12(1):540.CrossRefPubMedPubMedCentral
19.
Njuki R, Abuya T, Kimani J, Kanya L, Korongo A, Mukanya C, Bracke P, Bellows B, Warren CE. Does a voucher program improve reproductive health service delivery and access in Kenya? BMC Health Serv Res. 2015;15(1):206.CrossRefPubMedPubMedCentral
20.
Donabedian A: Explorations in quality assessment and monitoring. 1980.
21.
22.
Donabedian A. The seven pillars of quality. Arch Pathol Lab Med. 1990;114(11):1115–8.PubMed
23.
Watt C, Abuya T, Warren CE, Obare F, Kanya L, Bellows B. Can reproductive health voucher programs improve quality of postnatal care? A quasi-experimental evaluation of Kenya’s safe motherhood voucher scheme. PLoS One. 2015;10(4):e0122828.CrossRefPubMedPubMedCentral
24.
Haddad S, Fournier P, Potvin L. Measuring lay people’s perceptions of the quality of primary health care services in developing countries. Validation of a 20-item scale. Int J Qual Health Care. 1998;10(2):93–104.CrossRefPubMed
25.
Cochran W. Sampling Techniques. 3rd ed. New York: John Wiley and Sons, Inc; 1977.
26.
Kenya National Bureau of Statistics, Society for International Development. Exploring Kenya’s Inequality: Pulling Apart or Pooling Together? In: A bridged Report. Nairobi: KNBS & SID; 2013.
27.
Okumu C, Oyugi B. Clients’ satisfaction with quality of childbirth services: a comparative study between public and private facilities in Limuru Sub-County, Kiambu, Kenya. PLoS One. 2018;13(3):e0193593.CrossRefPubMedPubMedCentral
28.
29.
Hair JF, Black WC, Babin BJ, Anderson RE, Tatham RL. Multivariate data analysis, vol. 6. Upper Saddle River: Pearson Prentice Hall; 2006.
30.
Kaiser HF. An index of factorial simplicity. Psychometrika. 1974;39(1):31–6.CrossRef
31.
Changole J, Bandawe C, Makanani B, Nkanaunena K, Taulo F, Malunga E, et al. Patients’ satisfaction with reproductive health services at Gogo Chatinkha Maternity Unit, Queen Elizabeth Central Hospital, Blantyre, Malawi. Malawi Med J. 2010;22:5–9.
32.
Sika Avortri G, Beke A, Abekah-Nkrumah G. Predictors of satisfaction with child birth services in public hospitals in Ghana. Int J Health Care Qual Assur. 2011;24(3):223–37.CrossRef
33.
Meuwissen LE, Gorter AC, Knottnerus JA. Perceived quality of reproductive care for girls in a competitive voucher programme. A quasi-experimental intervention study, Managua, Nicaragua. Int J Qual Health Care. 2006;18(1):35–42.CrossRefPubMed
34.
Matejić B, Milićević MS, Vasić V, Djikanović B. Maternal satisfaction with organized perinatal care in Serbian public hospitals. BMC Pregnancy Childbirth. 2014;14(1):14.CrossRefPubMedPubMedCentral
35.
Kigenyi O, Tefera GB, Nabiwemba E, Orach CG. Quality of intrapartum care at Mulago national referral hospital, Uganda: clients’ perspective. BMC Pregnancy Childbirth. 2013;13(1):162.CrossRefPubMedPubMedCentral
36.
37.
Nanbakhsh H, Salarilak S, Islamloo F, Aglemand S: Assessment of women’s satisfaction with reproductive health services in Urmia University of Medical Sciences. 2008.
Metadata
Title
A facility-based study of women’ satisfaction and perceived quality of reproductive and maternal health services in the Kenya output-based approach voucher program
Authors
Boniface Oyugi
Urbanus Kioko
Stephen Mbugua Kaboro
Clarice Okumu
Sarah Ogola-Munene
Shaminder Kalsi
Simon Thiani
Shadrack Gikonyo
Julius Korir
Billy Baltazar
Moses Ranji
Publication date
01-12-2018
Publisher
BioMed Central
Published in
BMC Pregnancy and Childbirth / Issue 1/2018
Electronic ISSN: 1471-2393
DOI
https://doi.org/10.1186/s12884-018-1940-9

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