Assessment of Mothers' Satisfaction on Postnatal Care Given and its Associated Factors Among Mothers Admitted to Postnatal Ward at Public Health Centers and Hospital Setting West Shoa Zone, Oromia, Ethiopia
Creators: name: Ejara, Berhanu
Publisher: name: National Academic Digital Repository of Ethiopia
Year: 2014

description: Background: Postnatal care is one of the most important maternal health-care services for not only prevention of impairment and disabilities but also reduction of maternal mortality. Studying patient satisfaction on postnatal service given and its associated factors is key concept in expressing postnatal care utilization interest, controlling factors that alter utilization and reduction of maternal mortality since postpartum complications are the leading cause for maternal mortality. Thus assessment of patient satisfaction is a great input to improve health service. Objective: This study was conducted to assess mothers' satisfaction and its associated factors on postnatal care given in postnatal ward at public health centers and hospital setting. Methods: A facility based cross sectional study was conducted using both quantitative and qualitative method of data collection from March 10-April 10/2014. A sample of 278 respondents in two hospital post natal wards and eight public health center wards were included in the study. Client satisfaction was measured using a survey instrument adopted from the Jipi's postnatal satisfaction with care questionnaire. Collected data was cleaned, edited, coded and entered in to EPI INFO and exported to SPSS. Multivariate and binary logistic regression was applied. The degree of association between independent and dependent variables was assessed using adjusted and crude odds ratio with 95% CI. Statistical significance was set at p &lt; 0.05. For qualitative study narrative analysis was done. Result: A total of 278 postnatal mothers from two referral hospitals and eight health centers were participated in this mixed study design with 176 (98.9%) response rate, 2 (1.1%) of non response rate. The mean ± SD age of the mothers was 27.4 ± 6.4 years. 113 (40.9%) were with no formal education. The majority 239(86.6%) were married. 99 (35.9%) were farmer while 63(22.8%) were government employees. About 75.7% mothers needed this pregnancy and from all respondents 81.9% of them were scored normal living neonate. Based on mean percentage Version No2, Version Date 01/04/2014 orientation area got least value (74.1%) and on contrary communication area of care scored the highest mean percentage (91.67%). The dispersions of scores in the area of specific to postnatal care i.e. (SD=5.22) were more dispersed when compared to other areas of care. Multivariate logistic regression there is an association between educational status and satisfaction [AOR=0.46 95%CI: 0.22, 0.91], marital status and satisfaction [AOR=2.7 95%CI: 1.13, 7.3] and monthly income and satisfaction [AOR=2.88 95%CI: (1.14, 7.30)]. From obstetric characteristics delivery satisfaction is significant to postnatal care satisfaction [AOR=0.023 95%CI: 0.009, 0.056] Generally from all, 276, respondents 154 (55.8%) of them were satisfied with care received during postnatal period and 122 (44.2%) of them were not satisfied with care given. Conclusion and Recommendation The presence of unsatisfied patient can be a proxy indicator for the need for quality improvement. According to this study educational status, monthly income, and marital status from demographic variables and delivery satisfaction from obstetric variables were found to be significant. All concerned bodies should try to give awareness for mothers on postnatal care and prepare appropriate environment for them to make them happy with care given. Key words: postnatal care, postnatal care satisfaction, Ethiopia, associated factors, west Shewa