Maternal satisfaction on delivery care services and associated factors among mothers who gave birth in the University of Gondar teaching and referral hospital, northwest Ethiopia

Abstract Introduction Maternal satisfaction on delivery services is an important indicator for assessment of the quality of care. Quality of delivery care increases the likelihood of timely and appropriate treatment and good outcomes. The use of delivery services and outcomes are the result not only of the provision of care but also of women’s experience of that care. Therefore, investigating women’s experience or satisfaction on delivery care is of paramount importance to enhance the services utilization. Methods An institution-based cross-sectional study design was used. Data were collected using structured and pretested questionnaire from 403 mothers who were recruited by simple random sampling technique. Multivariable binary logistic regression analysis was used to identify variables associated with maternal satisfaction on delivery services on the basis of adjusted odds ratio (AOR) with 95% confidence interval (CI) and a p-value less than 0.05. Results The current study found that the overall satisfaction of mothers on delivery services was found to be 65.5%. Specifically, 78.2%, 65.5%, 64.3%, 49.9% and 44.7% of the mothers who gave birth at the University of Gondar teaching and referral hospital were satisfied on physicians’ communication, healthcare services, physicians’ attitude, privacy and sanitation condition of the health institution respectively. Maternal satisfaction was statistically associated with maternal education (diploma and above education) [AOR = 0.29, 95% CI = (0.13, 0.66)], maternal education (secondary and/or primary education) [AOR = 0.42, 95% CI = (0.20, 0.90)], antenatal care (ANC) follow-up in the current pregnancy [AOR = 4.47, 95% CI = (1.77, 11.27)] and short waiting time [AOR =1.85, 95% CI = (1.19, 2.88)]. Conclusion This study revealed that the overall satisfaction of mothers on delivery service was found to be suboptimal. Physicians’ communication, healthcare services and physicians’ attitude were areas where the highest proportion of mothers satisfied. On the other hand, the highest proportion of mothers was dissatisfied on sanitation condition. Educational status, ANC follow-up and waiting time were found to be statistically associated with maternal satisfaction on delivery services.

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Maternal Satisfaction on Delivery Care Services and Associated Factors Among Mothers who Gave Birth in the University of Gondar Teaching and Referral Hospital, Northwest Ethiopia

10.21203/rs.3.rs-73461/v1 ◽

2020 ◽

Author(s):

Andualem Firdie ◽

Alemnew Maru ◽

Abdulahi Deriye ◽

Amare Assefa ◽

Abdi Bedassa ◽

...

Keyword(s):

Health Care ◽

Waiting Time ◽

Health Care Services ◽

Delivery Care ◽

Maternal Satisfaction ◽

Care Services ◽

Delivery Services ◽

The University

Abstract Introduction: Maternal satisfaction on delivery services is an important indicator for assessment of the quality of care. Quality of delivery care is the degree to which maternal health services for individuals and populations increase the likelihood of timely and appropriate treatment for the purpose of achieving desired outcomes. The use of services and outcomes are the result not only of the provision of care but also of women’s experience of that care. Therefore, investigating women’s experience or satisfaction on delivery care is of paramount importance to enhance the services utilization. Methods: An institution based cross-sectional study design was used. Data were collected using structured and pretested questionnaire from 403 mothers who were recruited by simple random sampling technique. Multivariable binary logistic regression was used to identify variables associated with maternal satisfaction on delivery services on the basis of adjusted odds ratio (AOR) with 95% confidence interval (CI) and a p – value less than 0.05. Results: The current study found that 78.2%, 65.5%, 64.3%, 49.9% and 44.7% of the mothers who gave birth at the University of Gondar teaching and referral hospital were satisfied on physicians’ communication, health care services, physicians’ attitude, privacy and sanitation condition of the health institution respectively. The overall satisfaction of mothers on delivery services was found to be 65.5%. Maternal satisfaction was statistically associated with diploma and above education [AOR = 0.29, 95% CI = (0.13, 0.66)]; secondary and/or primary education [AOR = 0.42, 95% CI = (0.20, 0.90)]; Antenatal care (ANC) follow-up in the current pregnancy [AOR = 4.47, 95% CI = (1.77, 11.27)] and short waiting time [AOR =1.85, 95% CI = (1.19, 2.88)].Conclusion: This study revealed that the overall satisfaction of mothers on delivery service was found to be suboptimal. Physicians’ communication, health care services and physicians’ attitude were areas where the highest proportion of mothers satisfied. On the other hand, the highest proportion of mothers was dissatisfied on sanitation condition. Educational status, ANC follow-up and waiting time were found to be statistically associated with maternal satisfaction on delivery services.

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Determinants of Maternal Satisfaction with Existing Delivery Care at Wolaita Sodo University Teaching and Referral Hospital, Ethiopia

BioMed Research International ◽

10.1155/2020/6403123 ◽

2020 ◽

Vol 2020 ◽

pp. 1-7

Author(s):

Sintayehu Wolka ◽

Sahilu Assegid ◽

Temesgen Tantu ◽

Muluken Gunta ◽

Bereket Duko

Keyword(s):

Statistical Significance ◽

Referral Hospital ◽

University Teaching ◽

University Hospital ◽

Delivery Care ◽

Maternal Satisfaction ◽

Public Health Importance ◽

Cross Sectional ◽

Delivery Service ◽

Wolaita Sodo

Background. Assessing maternal satisfaction on delivery service has significant public health importance to measure the quality of maternal and child care services in a country. Therefore, the objective of this study was to further investigate the determinants of maternal satisfaction on delivery service provided at the Woliata Sodo University Teaching and Referral Hospital, Ethiopia. Methods. An institutionally based cross-sectional study was employed at the Wolaita Sodo University Hospital, Ethiopia. All mothers who gave birth between March and May 2018 were included in the study. Data were collected through using a pretested and structured interviewer-administered questionnaire. Both bivariate and multivariable logistic regression analyses were performed. A P value of <0.05 was used to declare statistical significance. Result. A total of 398 delivered mothers were included in the study. The rate of maternal satisfaction on existing delivery care was found to be 67.3%. Being less educated (AOR=5.06, [2.22-11.53]), primigravida (AOR=3.59, [1.17-11.04]), planned and wanted pregnancy (AOR=2.74, [1.21-6.18]), having antenatal care follow-up for current pregnancy (AOR=4.48, [2.04-9.83]), ever used family planning service (AOR=3.83, [1.95-67.52]), labor duration of less than 6 hours (AOR=5.96, [2.61-13.57]), and spontaneous vaginal delivery (AOR=2.82, [1.07-7.42]) were factors significantly associated with maternal satisfaction. Conclusion. In this study setting, maternal satisfaction was lower compared to other studies. Unreserved effort should be considered for future interventions.

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Provider-Related Predictors of Utilization of University Health Services in Nigeria

Ethiopian Journal of Health Sciences ◽

10.4314/ejhs.v29i2.11 ◽

1970 ◽

Vol 29 (2) ◽

Author(s):

Olumide ABIODUN ◽

Faithman OVAT ◽

Oluwatosin OLU-ABIODUN

Keyword(s):

Health Service ◽

Health Services ◽

Health Center ◽

Health Facility ◽

Waiting Time ◽

Related Factors ◽

Mortality And Morbidity ◽

Process Indicators ◽

The University

BACKGROUND: The utilization of health services is an important policy concern in most developing countries. Many staff and students do not utilize the health services within the university system despite the availability of good quality services. This study investigated the provider-related factors related to utilization of university health service by staff and students in a privately owneduniversity in Nigeria.METHODS: The perception of the quality of a university health service was investigated among a cross-section of 600 university staff and students who were selected by a stratified random sampling scheme. A self-administered questionnaire-based study was conducted. The structure, process and output predictors of utilization of the university health facility were assessed. Data analysis was carried out using Stata I/C 15.0.RESULTS: The average age of the participants was 22.93±7.58 years. About two-thirds of them did not have opinion about the mortality and morbidity rates at the university health center. Significant proportions of the participants reported good perceptions about the structure and process quality of service indicators. Utilization of the university health center was predicted by some structure and process indicators namely; the availability/experience of staff (AOR 2.44; CI 1.67-3.58), the organization of healthcare (AOR 1.64; CI 1.11-2.41), the continuity of treatment (AOR 1.74; CI 1.12-2.70) and the waiting time (AOR0.41; CI 0.28-0.61).CONCLUSION: The utilization of university health services was predicted by availability/experience of staff, the organization of healthcare, the waiting time and the continuity of care. The structure-process-outcome approach discriminates between the students and staff who utilize the university health center and those who donot. It also suggests a complex interplay of factors in the prediction of choice of a health facility.

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The effectiveness of aspirin for migraine prophylaxis: a systematic review

Sao Paulo Medical Journal ◽

10.1590/1516-3180.2016.0165050916 ◽

2017 ◽

Vol 135 (1) ◽

pp. 42-49 ◽

Cited By ~ 8

Author(s):

Cristina Pellegrino Baena ◽

Raíssa Campos D’Amico ◽

Helena Slongo ◽

André Russowsky Brunoni ◽

Alessandra Carvalho Goulart ◽

...

Keyword(s):

Systematic Review ◽

Total Population ◽

Combined Treatment ◽

Risk Of Bias ◽

World Health ◽

Optimal Dosage ◽

Health Organization ◽

The University

ABSTRACT CONTEXT AND OBJECTIVE: Many researchers have suggested that aspirin prevents migraines. However, the evidence is unclear. The aim of this study was to analyze the available evidence on the effect of aspirin as a migraine prophylactic. DESIGN AND SETTING: Systematic review, conducted at the Pontifícia Universidade Católica do Paraná, Brazil, and at the University of São Paulo, Brazil. METHODS: We performed electronic searches in the databases of MEDLINE/PubMed, Embase, WEB OF SCIENCE, the World Health Organization, CENTRAL and OpenGrey, and we also searched manually for interventional studies published before April 2016 that compared the effects of aspirin with a control, in adults. Two authors independently extracted data on the publication, population recruited, intervention (aspirin dosage, follow-up and combined treatment) and main outcomes (frequency, severity and duration of migraine). We evaluated the quality of the studies using the Cochrane risk-of-bias tool. RESULTS: Our search retrieved 1,098 references, of which 8 met the selection criteria for this systematic review. The total population was 28,326 participants (18-64 years old); most (96%) were men. The dosage varied from 50 to 650 mg/day across the studies. The risk of bias was generally low or unclear. The only outcome for which most of the studies included (6/8) reported a significant reduction was frequency of migraine, which was reduced at an aspirin dosage of at least 325 mg/day. CONCLUSION: Aspirin can reduce the frequency of migraines. However, the optimal dosage is unclear.

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Clinical Significance of Epidurography Contrast Patterns after Adhesiolysis during Lumbar Percutaneous Epidural Neuroplasty

Pain Research and Management ◽

10.1155/2018/6268045 ◽

2018 ◽

Vol 2018 ◽

pp. 1-8 ◽

Cited By ~ 4

Author(s):

Sang-Hyuk Park ◽

Gyu Yeul Ji ◽

Pyung Goo Cho ◽

Dong Ah Shin ◽

Young Sul Yoon ◽

...

Keyword(s):

Clinical Outcomes ◽

Short Form ◽

University Hospital ◽

Leg Pain ◽

Vas Scores ◽

The University ◽

Procedural Outcomes ◽

Short Form Health

Background. The correlation between epidurography contrast patterns and the clinical outcomes of percutaneous epidural neuroplasty (PEN) remains unclear. Objective. To analyze the correlation between postadhesiolysis epidurography contrast patterns and the clinical outcomes of patients who undergo lumbar PEN. Design. This study is a retrospective analysis of 78 consecutive patients who underwent lumbar PEN between April 2012 and March 2013. Setting. The analysis was done in the university hospital center. Method. The clinical outcomes of all patients were assessed before and 1, 3, 6, and 12 months after undergoing lumbar PEN. Specifically, the intensity of back and leg pain, quality of life, and procedural outcomes were evaluated using a visual analog scale (VAS), the Oswestry Disability Index (ODI), and the 12-Item Short-Form Health Survey (SF-12). Results. The VAS scores for back and leg pain, ODI score, and SF-12 score exhibited a significant improvement during the follow-up period (P<0.01 versus preprocedural scores). At most follow-up time points, patients exhibiting extraforaminal contrast distribution n=22 on postadhesiolysis epidurograms exhibited a similar improvement in VAS scores and a significantly better improvement in ODI and SF-12 scores compared with patients exhibiting intracanal contrast distribution n=56. Conclusion. Extraforaminal contrast distribution during lumbar PEN may be associated with better functional outcomes.

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Jeune syndrome with renal failure

Srpski arhiv za celokupno lekarstvo ◽

10.2298/sarh160218027p ◽

2017 ◽

Vol 145 (3-4) ◽

pp. 147-152

Author(s):

Amira Peco-Antic ◽

Mirjana Kostic ◽

Brankica Spasojevic ◽

Gordana Milosevski-Lomic ◽

Dusan Paripovic ◽

...

Keyword(s):

Renal Failure ◽

Growth Failure ◽

Term Survival ◽

Jeune Syndrome ◽

Long Term Follow Up ◽

The University ◽

Age Range

Introduction/Objective. Jeune syndrome (JS) is a rare hereditary ciliopathy characterized by asphyxiating thoracic dystrophy, shortened limbs and brachydactyly. Extraskeletal anomalies such as chronic renal failure (CRF), hepatic fibrosis, and retinitis pigmentosa may be a part of the JATD phenotype. The aim of this study is to present long-term follow-up of JS patients with early progressive kidney disease. Methods. This is a retrospective study of pediatric patients with JS and CRF who were treated at the University Children?s Hospital between January 1980 and December 2014. The patients? data were retrospectively reviewed from the medical records. Results. There were thirteen patients from 11 families, five girls and eight boys mean aged 4.3 years at the time of diagnosis. All of the patients had characteristic skeletal findings, retinal degeneration and an early onset of CRF at age range from 1.5 to 7 years. Five patients had neonatal respiratory distress and congenital liver fibrosis was diagnosed in five patients. One patient died due to complications of CRF, while others survived during follow-up of mean 11 years. IFT140 mutations were found in four genetically tested patients. Conclusion. The average incidence rate of JS with renal phenotype in Serbia was about 0.2 per one million of child population. Long-term survival of JS patients depends on renal replacement therapy, while skeletal dysplasia, growth failure, respiratory and eyes problems have impact on the patients? quality of life.

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Response Bias in a Mail Survey: An Example from a Land Use Study

Journal of the Northeastern Agricultural Economics Council ◽

10.1017/s0163548400002703 ◽

1980 ◽

Vol 9 (2) ◽

pp. 91-96

Author(s):

Gregory K. White

Keyword(s):

Land Use ◽

Response Bias ◽

Unit Cost ◽

Mail Survey ◽

Response Rates ◽

Advantages And Disadvantages ◽

Mail Surveys ◽

The University

Researchers are well aware that each technique for administering surveys has its own advantages and disadvantages. Direct interviews, either by telephone or in person, have a relatively high cost per contact but usually result in a higher percentage of questionnaire completions and greater control of the response quality. Mail surveys can be conducted at a lower per unit cost but are often characterized by lower response rates and an overall poorer quality of completed questionnaires. Even with follow-up mailings, recent studies at the University of Maine suggest that response rates of 35 to 45 percent can be expected on general land use surveys or recreation studies.

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Impact of socioeconomic status on patient experience on quality of care for ambulatory healthcare services in Tertiary hospitals in Southeast Nigeria.

10.21203/rs.2.19043/v3 ◽

2020 ◽

Author(s):

Henry Egi Aloh ◽

Obinna E. Onwujekwe ◽

Obianuju G. Aloh ◽

Ijeoma L. Okoronkwo ◽

Chijioke Joel Nweke

Keyword(s):

Socioeconomic Status ◽

Quality Of Care ◽

Patient Experience ◽

Waiting Time ◽

Employment Status ◽

Healthcare Services ◽

Patient Experiences ◽

Care Quality ◽

Tertiary Hospitals

Abstract Background: To determine how socioeconomic factors, such as level of education and employment status, affect patient experiences on quality of care for ambulatory healthcare services in teaching hospitals in southeast Nigeria. Methods: The study is of a cross-sectional design and exit poll was used to collect its data. A pre-tested structured questionnaire was administered to clients accessing care in the outpatient departments of three tertiary hospitals in Nigeria. The assessment of patient experiences for quality of care was based on five (5) domains of care: waiting time; environment of the outpatient department; quality of doctor’s care; quality of care by nurses/other health workers; and responsiveness of care. In addition, the overall quality of care was assessed. Results: The mean rating of patient experience for quality of care for ambulatory healthcare services (outpatients’ care) was 74.31 ± 0.32%. Moderate differences were observed between the hospitals assessed for various levels of patients’ care, especially for waiting time, quality of doctors’ care and overall quality of care. Employment status was a statistically significant (p ≤ 0.05) determinant of overall patient experience rating for quality of care, while the level of patient’s education was an influence on the perception of waiting by the patients and their rating of care from nurses/other healthcare providers (apart from medical doctors). Conclusion: The study showed that educational and employment status (measures of socioeconomic status) of patients determined how patients receiving ambulatory (outpatient) healthcare services perceived the quality of care in the hospitals. Hence, in order to ensure equity, there is need to institutionalize patient-centered care, while full consideration is given to the patients’ socioeconomic status.

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