Skip to main content
Key Specialties
Cardiology Diabetology Endocrinology Gastroenterology Geriatrics and Gerontology Gynecology and Obstetrics Hematology Infectious Disease Internal Medicine Nephrology Neurology Oncology Pediatrics Respiratory Medicine Rheumatology Surgery
Congress Coverage
2024 ACC Congress 2023 ESMO Congress 2023 EASD Congress 2023 ERS Congress 2023 ESC Congress
Clinical Collections
Advances in Alzheimer’s

Keynote webinar | Spotlight on medication adherence

LIVE: Thursday 27th June 2024, 18:00-19:30 (CEST)
Join our expert panel to discover why you need to understand the drivers of non-adherence in your patients, and how you can optimize medication adherence in your clinics to drastically improve patient outcomes.
ADVANCED SEARCH
Log in
Top
BMC Pregnancy and Childbirth
Published in: BMC Pregnancy and Childbirth 1/2020

01-12-2020 | Public Health | Research article

Mother’s satisfaction with the existing labor and delivery care services at public health facilities in West Shewa zone, Oromia region, Ethiopia

Authors: Gizachew Abdissa Bulto, Dereje Bayissa Demissie, Tefera Likasa Tasu, Getu Alemu Demisse

Published in: BMC Pregnancy and Childbirth | Issue 1/2020

Login to get access

Abstract

Background

Mothers’ satisfaction with care during childbirth is indicators of the quality care which affects skilled birth attendance. Negative client’s experiences at health facilities cause them to delay or avoid seeking care, which highlights services providers should consider and act on the expectations and experiences of women and their families. Though there are few studies conducted in Ethiopia on maternal satisfaction with Labor and Delivery (LAD) services, there is no study conducted in the study area. Therefore the study aims to assess the mother’s satisfaction with existing LAD services and associated factors at all levels of health care in the West Shewa zone.

Methods

An institution-based cross-sectional study was conducted at public health facilities in West Shewa zone, Central Ethiopia. A systematic sampling technique was used to select 560 respondents by using their delivery registration number and data were collected through face to face interview. Mothers were considered satisfied if they responded satisfied/very satisfied with 75% or more of the questions assessing satisfaction. Binary and multivariable logistic regression analysis was used to identify associated factors.

Results

The overall proportion of mothers who were satisfied with the current LAD care services were 60.8%. The main areas of dissatisfaction were; accessibility and cleanness of toilets/shower 72.6%, overall cleanness of the facility/including waiting-area 40.1% and presence of support a person during birth 38.0%. The presence of cultural practices (AOR = 2.5), discussion on the place of delivery with health worker during ANC (AOR = 1.75), providers asks for consent before procedure (AOR = 2.77), encouraging companion to remain with mother (AOR = 2.22), never leave mother alone or unattended (AOR = 2.56), giving periodic updates on status and progress of labor (AOR = 2.04) and explaining what is being done and to expect during LAD (AOR = 2.20) were factors identified to be significantly associated with satisfaction on LAD services.

Conclusion

The overall satisfaction of mothers with LAD services at public health facilities in the West-Shewa zone was relatively low. Presence of cultural practices, discussion on the place of delivery, asking for consent before the procedure, encouraging companion to remain with mothers and explaining what is being done were factors identified. Therefore, all stakeholders have to emphatically work on those identified factors to improve mothers’ satisfaction with LAD services.
Appendix
Available only for authorised users
Literature
1.
2.
WHO. Trends in Maternal Mortality : 1990 to 2015 estimates by WHO, UNICEF, UNFPA, World Bank Group and the United Nations Population Division. Geneva: World Health Organization [Internet]. 2015; Available from: www.​who.​int.
3.
Alkema L, Chou D, Hogan D, Zhang S, Moller A, Gemmill A, et al. Global , regional , and national levels and trends in maternal mortality between 1990 and 2015 , with scenario-based projections to 2030 : a systematic analysis by the UN Maternal Mortality Estimation Inter-Agency Group. Lancet [Internet] 2016;387(10017):462–474. Available from: http://​dx.​doi.​org/​https://​doi.​org/​10.​1016/​S0140-6736(15)00838-7.
4.
Tessema GA, Laurence CO, Melaku YA, Misganaw A, Woldie SA, Hiruye A, et al. Trends and causes of maternal mortality in Ethiopia during 1990-2013: findings from the global burden of diseases study 2013. BMC Public Health. 2017;17(1):1–8.CrossRef
5.
Central Statistical Agency (CSA) [Ethiopia] and ICF. Ethiopia Demographic and Health Survey 2016: Key indicators report. Addis Ababa: CSA and ICF; 2016.
6.
7.
Nation United(UN) Secretary-General. The global strategy for women’s, children’s and adolescents’ health (2016–2030) [Internet]. New York: United Nation; 2016. Available from: www.​everywomaneveryc​hild.​org.
8.
Coast E, Jones E, Lattof SR, Portela A. Effectiveness of interventions to provide culturally appropriate maternity care in increasing uptake of skilled maternity care: a systematic review. Health Policy Plan. 2016;31(10):1479–91.PubMedPubMedCentralCrossRef
9.
Mamdani M, Bangser M. Poor people ’ s experiences of health Services in Tanzania: a literature review. Reprod Health Matters. 2004;12(24):138–53.PubMedCrossRef
10.
Bohren MA, Hunter EC, Munthe-Kaas HM, Souza J, Vogel JP, Gülmezoglu A. Facilitators and barriers to facility-based delivery in low- and middle-income countries: a qualitative evidence synthesis. Reprod Health. 2014;11(1):71–88.PubMedPubMedCentralCrossRef
11.
Shiferaw S, Spigt M, Godefrooij M, Melkamu Y, Tekie M. Why do women prefer home births in Ethiopia ? BMC Pregnancy Childbirth. 2013;13(5):1–10.
12.
Kea AZ, Tulloch O, Datiko DG, Theobald S, Kok MC. Exploring barriers to the use of formal maternal health services and priority areas for action in Sidama zone, southern Ethiopia. BMC Pregnancy Childbirth. 2018;18(1):1–12.CrossRef
13.
Sialubanje C, Massar K, Pijl MSG Van Der, Kirch EM, Hamer DH, Ruiter RAC. Improving access to skilled facility-based delivery services : Women ’ s beliefs on facilitators and barriers to the utilisation of maternity waiting homes in rural Zambia. Reprod Health [Internet]. 2015;1–13. Available from: http://​dx.​doi.​org/​https://​doi.​org/​10.​1186/​s12978-015-0051-6.
14.
Kruk ME, Paczkowski M, Mbaruku G, De Pinho H, Galea S. Women’s Preferences for Place of Delivery in Rural Tanzania: A Population-Based Discrete Choice Experiment. Am J Public Health. 2015;99(9):1666–72.
15.
16.
Kujawski S, Mbaruku G, Freedman LP, Ramsey K, Moyo W, Kruk ME. Association between disrespect and Abuse during childbirth and women ’ s confidence in health facilities in Tanzania. Matern Child Health J. 2015;19(10):2243–50.PubMedCrossRef
17.
Kifle MM, Kesete HF, Gaim HT, Angosom GS, Araya MB. Health facility or home delivery? Factors influencing the choice of delivery place among mothers living in rural communities of Eritrea. J Health Popul Nutr. 2018;37(1):22.PubMedPubMedCentralCrossRef
18.
Dodzo MK, Mhloyi M. Home is best : Why women in rural Zimbabwe deliver in the community. PLoS One. 2017;1–23.
19.
Srivastava A, Avan BI, Rajbangshi P, Bhattacharyya S. Determinants of women’s satisfaction with maternal health care: a review of literature from developing countries. BMC Pregnancy Childbirth. 2015;15:97.
20.
Bohren MA, Titiloye MA, Kyaddondo D, Hunter EC, Oladapo OT, Tunçalp Ö, et al. Defining quality of care during childbirth from the perspectives of Nigerian and Ugandan women : a qualitative study. Int J Gynecol Obstet. 2017;139(December):4–16.CrossRef
21.
Donabedian A. An Introduction to Quality Assurance in Health Care [Internet]. Bashshur R, editor. New York: Oxford University Press, Inc.; 2003. 1–37 p. Available from: http://​www.​oup-usa.​org.
22.
World Health Organization. Standards for improving quality of maternal and newborn care in health facilities [Internet]. 20 Avenue Appia, 1211 Geneva 27, Switzerland: WHO Library Cataloguing-in-Publication Data; 2016. 40–47 p. Available from: http://​www.​who.​int.
23.
Rudman A, El-khouri B, Waldenstro U. Women ’ s satisfaction with intrapartum care – a pattern approach. J Adv Nurs. 2007;59(5):474–87.PubMedCrossRef
24.
Lazzerini M, Valente EP, Covi B, Semenzato C. Use of WHO standards to improve quality of maternal and newborn hospital care : a study collecting both mothers ’ and staff perspective in a tertiary care hospital in Italy. BMJ Open Qual. 2019;8(1–15):1–13.
25.
Pantoja L, Weeks FH, Ortiz J, Cavada G, Foster J, Binfa L. Dimensions of childbirth care associated with maternal satisfaction among low-risk Chilean women. Health Care Women Int [Internet]. 2020 ;41(1):89–100. Available from: https://​doi.​org/​https://​doi.​org/​10.​1080/​07399332.​2019.​1590360.
26.
Weeks F, Pantoja L, Ortiz J, Foster J, Cavada G, Binfa L. Labor and birth care satisfaction associated with medical interventions and accompaniment during labor among Chilean women. J Midwifery &Women’s Heal. 2017;62:196–203.CrossRef
27.
Paudel YR, Mehata S, Paudel D, Dariang M, Aryal KK, Poudel P, et al. Women ’ s satisfaction of maternity Care in Nepal and its Correlation with intended future utilization. Int J Reprod Med. 2015;2015:9.CrossRef
28.
Panth A, Kafle P. Maternal satisfaction on delivery service among postnatal mothers in a government hospital. Mid-Western Nepal Obstet Gynecol Int. 2018;2018:1–11.CrossRef
29.
Khitam ISM, Insaf S, Caroline H, Debra C. Womens satisfaction with hospital-based intrapartum care: a Jordanian study. Int J Nurs Midwifery. 2014;6(3):32–9.CrossRef
30.
Sayed W, Eldeen D, Elaal MA, Mohammed HS, Abbas AM, Zahran KM. Maternal satisfaction with delivery services at tertiary university hospital in upper Egypt, is it actually satisfying? Int J Reprod Contracept Obstet Gynecol. 2018;7(7):2547–52.
31.
Mocumbi S, Högberg U, Lampa E, Sacoor C, Valá A, Bergström A, et al. Mothers ’ satisfaction with care during facility-based childbirth: a cross-sectional survey in southern Mozambique. BMC Pregnancy Childbirth. 2019;19:303.PubMedPubMedCentralCrossRef
32.
33.
Mekonnen ME, Yalew WA, Anteneh ZA. Women ’ s satisfaction with childbirth care in Felege Hiwot Referral Hospital , Bahir Dar city , Northwest Ethiopia , 2014 : cross sectional study. BMC Res Notes. 2015;8:528.PubMedPubMedCentralCrossRef
34.
Bitew K, Ayichiluhm M, Yimam K. Maternal satisfaction on delivery service and its associated factors among mothers who gave birth in public health facilities of Debre Markos town, Northwest Ethiopia. Biomed Res Int. 2015;2015:1–7.
35.
Asres GD. Satisfaction and associated factors among mothers delivered at Asrade Zewude memorial primary hospital, Bure, west Gojjam, Amhara, Ethiopia: a cross sectional study. J Public Manag Res. 2018;4(1):14.CrossRef
36.
Tesfaye R, Worku A, Godana W, Lindtjorn B. Client Satisfaction with Delivery Care Service and Associated Factors in the Public Health Facilities of Gamo Gofa Zone , Southwest Ethiopia : In a Resource Limited Setting. Obstet Gynecol Int. 2016;2016:1–8.
37.
Teklemariam Ergat Y, Wasihun Adraro A, Tariku R, Addisu G. Level of maternal satisfaction and its determinants at health facilities in Mizan-Aman town, Ethiopia: cross sectional study. Int J Women’s Heal Wellness. 2019;5(1):4–8.
38.
Getenet AB, Teji Roba K, Seyoum Endale B, Mersha Mamo A, Darghawth R. Women’s satisfaction with intrapartum care and its predictors at Harar hospitals, eastern Ethiopia: a cross-sectional study. Nurs Res Rev. 2018;9:1–11.CrossRef
39.
Demas T, Getinet T, Bekele D, Gishu T, Birara M, Abeje Y. Women’s satisfaction with intrapartum care in St Paul’s hospital millennium medical college Addis Ababa Ethiopia: a cross sectional study. BMC Pregnancy Childbirth. 2017;17(1):1–8.CrossRef
40.
Roza A, Tafa M, Hailu F. Maternal satisfaction with the delivery Services in Assela Hospital, Arsi zone. Oromia Region Gynecol Obstet. 2014;4(12):1–8.
41.
Edaso AU, Teshome GS. Mothers’ Satisfation With Delivery Services and Associated Factorsat Health Institutions in West Arsi, Oromia Regional State, Ethiopia. MOJ Womens Heal. 2019;8(1):1–8.
42.
CentralStatisticalAgency[Ethiopia] II. Ethiopia Demographic and Health Survey 2011 [Internet]. Addis Ababa: Central Statistical Agency and ICF International; 2012. Available from: csa@ethionet.et.
43.
Shifraw T, Berhane Y, Gulema H, Kendall T, Austin A. A qualitative study on factors that influence women’s choice of delivery in health facilities in Addis Ababa, Ethiopia. BMC Pregnancy Childbirth [Internet] 2016;16(1):1–6. Available from: http://​dx.​doi.​org/​https://​doi.​org/​10.​1186/​s12884-016-1105-7.
44.
45.
Rosen HE, Lynam PF, Carr C, Reis V, Ricca J, Bazant ES. Direct observation of respectful maternity care in five countries : a cross-sectional study of health facilities in east and southern Africa. BMC Pregnancy Childbirth. 2015;15:306.PubMedPubMedCentralCrossRef
46.
Translating Research into Action TRAction. Advancing respectful maternal care and addressing disrespect & abuse during facility-based childbirth. Bethesda: Harvard University School of Public Health (HSPH) [Internet]. 2015; Available from: www.​tractionproject.​org.
47.
48.
Hodnett ED, Gates S, Justus Hofmeyr G, Sakala C. Continuous support for women during childbirth. Cochrane Database Syst Rev. 2014;10(25):1–59.
49.
Mehata S, Paudel YR, Dariang M, Aryal KK, Paudel S, Mehta R, et al. Factors determining satisfaction among facility-based maternity clients in Nepal. BMC Pregnancy Childbirth. 2017;17(1):1–10.CrossRef
50.
Melese T, Gebrehiwot Y, Daniel Bisetegne DH. Assessment of client satisfaction in labor and delivery services at a maternity referral hospital in Ethiopia. Pan Afr Med J. 2014;17(76):2–9.
Metadata
Title
Mother’s satisfaction with the existing labor and delivery care services at public health facilities in West Shewa zone, Oromia region, Ethiopia
Authors
Gizachew Abdissa Bulto
Dereje Bayissa Demissie
Tefera Likasa Tasu
Getu Alemu Demisse
Publication date
01-12-2020
Publisher
BioMed Central
Published in
BMC Pregnancy and Childbirth / Issue 1/2020
Electronic ISSN: 1471-2393
DOI
https://doi.org/10.1186/s12884-020-02998-6

Other articles of this Issue 1/2020

BMC Pregnancy and Childbirth 1/2020 Go to the issue

Case report

The curious incident of a cavum velum interpositum cyst in twins of a mother carrying May-Hegglin anomaly: a case report and short literature review

Research article

Quad test for fetal aneuploidy screening as a predictor of small-for-gestational age fetuses: a population-based study

Research article

Outcome of uterine rupture and associated factors in Yirgalem general and teaching hospital, southern Ethiopia: a cross-sectional study

Research article

Measuring women’s experiences of decision-making and aspects of midwifery support: a confirmatory factor analysis of the revised Childbirth Experience Questionnaire

Research article

Changes in perceived knowledge about childbirth among pregnant women participating in the Senses of Birth intervention in Brazil: a cross-sectional study

Research article

Burden of hepatitis E virus infection in pregnancy and maternofoetal outcomes: a systematic review and meta-analysis