Assessment of patient satisfaction and perception of quality of antenatal care services among pregnant women attending antenatal clinics at a secondary health care facility in Anambra State, Nigeria.

2021 ◽  
Vol 3 (1) ◽  
pp. 025-034
Author(s):  
Chigozie Joseph Ezeoke ◽  
Onyeka Chukwudalu Ekwebene ◽  
Tyotswam Simeone Yanmeer ◽  
Chioma Favour Ekwebene ◽  
Chigbo Chisom God’swill ◽  
...  

Introduction: Prenatal care is an important component of maternal care worldwide more so in sub-Saharan Africa. Methodology: This work is a cross-sectional descriptive study carried out among 170 pregnant women attending antenatal clinic in health facilities in Ekwulobia, Anambra state. Convenience sampling technique was used in this study. The study instrument was a semi structured interviewer administered questionnaire which was developed according to the objectives of the study. In this study we evaluated patient waiting time, pregnancy outcome, quality of care, attitude of staff and facility neatness as parameters for measuring patient satisfaction, we also evaluated quality of service, attitude of staff, proximity to ANC centre, waiting time and cost as determinants of ANC use. Result: The study showed a demonstration of good knowledge of ANC and its importance in maternal and child health, 65.6% were aware of first trimester has the most appropriate time for ANC booking. A high level of satisfaction was recorded among the participants, 65.6% rated the ANC services as very good and 30.3% rated the service as good. Conclusion: Pregnant women in rural areas in eastern Nigeria receive quality and accessible antenatal care services and majority of the women are satisfied with the quality of service. Efforts to improve maternal and child health status in Eastern Nigeria is yielding fruit especially in rural areas. It is recommended that similar studies studies be conducted in other parts for the country to discover the conditions of ANC use and i effects and compare the factors that influence ANC use

2012 ◽  
Vol 6 (4) ◽  
pp. 147
Author(s):  
Sori M. Sarumpaet ◽  
Bisara L. Tobing ◽  
Albiner Siagian

Perbaikan pelayanan kesehatan masyarakat di Indonesia berjalan lamban dan tidak merata. Mutu layanan kesehatan sangat bervariasi karena distribusi tenaga kesehatan yang tidak merata. Penelitian ini bertujuan untuk mengetahui mutu layanan kesehatan ibu dan anak di daerah pedesaan dan perkotaan. Survei ini dilakukan di wilayah kerja Puskesmas Mogang yang mewakili daerah terpencil dan Puskesmas Buhit yang mewakili wilayah perkotaan di Kabupaten Samosir. Mutu layanan kesehatan dinilai dengan metode Services Quality. Hasil penelitian menunjukkan bahwa rata- rata skor harapan untuk semua dimensi mutu layanan kesehatan di Puskesmas Buhit dan Puskemas Mogang tinggi. Persepsi pelayanan ke- sehatan oleh pasien di Puskemas Buhit dan Puskesmas Mogang dimensi tangibility, reliability, emphaty, accessibility, dan affordability yang berbeda (p < 0,05). Tidak ada perbedaan persepsi masyarakat terhadap dimensi tangibility, reliability, responsiveness, assurance, dan emphaty (p > 0,05). Ada perbedaan nyata antara harapan dan kondisi mutu layanan kesehatan yang dipersepsikan oleh masyarakat pengguna puskesmas di wilayah kerja Puskesmas Buhit dan Puskesmas Mogang (p < 0,05). Harapan masyarakat pada pelayanan kesehatan puskesmas yang lebih baik antara masyarakat perkotaan dan pedesaan hampir sama. Hal ini meng- indikasikan mutu pelayanan kesehatan ibu dan anak yang diberikan oleh puskemas belum memenuhi harapan masyarakat.Kata kunci: Pelayanan kesehatan, puskesmas, kesehatan ibu dan anakAbstractThe purpose of the study is to understand the quality of service of mother and child health service in both urban and rural areas in District of Samosir. This cross sectional study was conducted in two health center areas repre- senting rural (Puskesmas Mogang) and urban (Puskesmas Buhit) in District of Samosir. In measuring the quality of service, Servqual concept of Albert Parasuraman was used. Result shows that the score for all expectations are high for all of health service dimension both in Puskesmas Mogang and Puskesmas Buhit. There are differences in perception of patients with re- gard to tangibility, reliability, empathy, accessibility, and affordability (p < 0,05) between those of Puskesmas Buhit and Mogang. There is no differ- ences in perception of community at large both in Mogang and Buhit regarding tangibility, reliability, responsiveness, assurance, and empathy (p > 0,05). There are significant differences on expectation and the reality of health service quality (p < 0,05) as it perceived by the community in both Puskesmas Buhit and Puskesmas Mogang. Community’s expectations of better health services quality are profound in both urban and rural areas. It is concluded that the existing quality of service not meeting the community expectation.Key words: Health services, primary health center, maternal and child health


2017 ◽  
Vol 21 (12) ◽  
pp. 2161-2168 ◽  
Author(s):  
Harumi Kitabayashi ◽  
Chifa Chiang ◽  
Abubakr Ahmed Abdullah Al-Shoaibi ◽  
Yoshihisa Hirakawa ◽  
Atsuko Aoyama

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Li Du ◽  
Xuena La ◽  
Liping Zhu ◽  
Hong Jiang ◽  
Biao Xu ◽  
...  

Abstract Background Preconception care is an opportunity for detecting potential health risks in future parents and providing health behavior education to reduce morbidity and mortality for women and their offspring. Preconception care has been established in maternal and child health hospitals in Shanghai, China, which consists of health checkups, health education and counseling. This study investigated factors associated with the utilization of preconception care, and the role of preconception care on health behavior changes before conception among pregnant women and their partners. Methods A cross-sectional study was conducted among pregnant women at three maternal and child health hospitals in Shanghai. The participants were invited to complete a self-administered questionnaire on the utilization of preconception care and health behavioral changes before conception. Results Of the 948 recruited pregnant women, less than half (42.2%) reported that they had utilized preconception care before the current pregnancy. Unplanned pregnancy, unawareness of preconception care and already having a general physical examination were the main reasons for not attending preconception care. The two main sources of information about preconception care were local community workers and health professionals. Younger women and the multipara were less likely to utilize preconception care. Women who utilized preconception care were more likely to take folic acid supplements before conception [Adjusted Odds Ration (aOR) 3.27, 95% Confidence Interval (CI) 2.45–4.36, P < 0.0001]. The partners of pregnant women who had attended preconception care services were more likely to stop smoking [aOR 2.76, 95%CI 1.48–5.17, P = 0.002] and to stop drinking [aOR 2.13, 95%CI 1.03–4.39, P = 0.041] before conception. Conclusions Utilization of preconception care was demonstrated to be positively associated with preconception health behavior changes such as women taking folic acid supplements before pregnancy, their male partner stopping smoking and drinking before conception. Future studies are needed to explore barriers to utilizing preconception care services and understand the quality of the services. Strategies of promoting preconception care to expectant couples, especially to young and multipara women, should be developed to further improve the utilization of the services at the community level.


Midwifery ◽  
2013 ◽  
Vol 29 (3) ◽  
pp. 195-202 ◽  
Author(s):  
Chanthanom Manithip ◽  
Kerstin Edin ◽  
Amphoy Sihavong ◽  
Rolf Wahlström ◽  
Hans Wessel

PLoS ONE ◽  
2022 ◽  
Vol 17 (1) ◽  
pp. e0261895
Author(s):  
Meron Admasu Wegene ◽  
Negeso Gebeyehu Gejo ◽  
Daniel Yohannes Bedecha ◽  
Amene Abebe Kerbo ◽  
Shemsu Nuriye Hagisso ◽  
...  

Introduction There is substantial body of evidence that portrays gap in the existing maternal and child health continuum of care; one is less attention given to adolescent girls and young women until they get pregnant. Besides, antenatal care is too late to reduce the harmful effects that a woman’s may have on the fetus during the critical period of organogenesis. Fortunately, preconception care can fill these gaps, enhance well-being of women and couples and improve subsequent pregnancy and child health outcomes. Therefore, the main aim of the current study was to assess preconception care utilization and associated factors among pregnant women attending antenatal care clinics of public health facilities in Hosanna town. Methods A facility based cross-sectional study design was carried out from July 30, 2020 to August 30, 2020. Data were collected through face-to-face interview among 400 eligible pregnant women through systematic sampling technique. Epi-data version 3.1 and SPSS version 24 was used for data entry and analysis respectively. Both bivariable and multivariable logistic regression analysis was conducted to identify association between dependent and independent variables. Crude and adjusted odds ratio with respective 95% confidence intervals was computed and statistical significance was declared at p-value <0.05. Result This study revealed that 76 (19%, 95% Cl (15.3, 23.2) study participants had utilized preconception care. History of family planning use before the current pregnancy (AOR = 2.45; 95% Cl (1.270, 4.741), previous history of adverse birth outcomes (AOR = 3.15; 95% Cl (1.650, 6.005), poor knowledge on preconception care (AOR = 0.18; 95% Cl (0.084, 0.379) and receiving counseling on preconception care previously (AOR = 2.82; 95% Cl (1.221, 6.493) were significantly associated with preconception care utilization. Conclusions The present study revealed that nearly one-fifth of pregnant women have utilized preconception care services. History of family planning use before the current pregnancy, previous history of adverse birth outcomes, poor knowledge on preconception care and receiving counseling on preconception care previously were significantly associated with preconception care utilization. Integrating preconception care services with other maternal neonatal child health, improving women’s/couples knowledge & strengthening counseling services is pivotal.


2019 ◽  
Vol 2 (1) ◽  
pp. 73-76
Author(s):  
Saraswoti Kumari Gautam Bhattarai ◽  
Kanchan Gautam

Health service provided to pregnant women during antenatal, childbirth and postnatal period is essential for maternal and child health. Proper care during pregnancy, childbirth and postnatal period are important for the health of mother and baby. High maternal, infant and child morbidity and mortality demand improved healthcare which does not concern to coverage of health services alone. The health issues of pregnant women, mothers, infants and children need to be addressed with the attention to the quality of care (QoC).  The Nepal Health Sector Strategy (NHSS) also identifies equity and quality of care gaps as areas of concern for achieving the maternal health sustainable development goal (SDG) target. So this review aims to sensitize and draw attention to the quality of maternity care and client satisfaction to improve maternal and child health. For this article, different studies related to the quality of maternity care and satisfaction from care service received on maternity care are reviewed.


2021 ◽  
Vol 9 (1) ◽  
pp. 46-53
Author(s):  
Winda Lestari ◽  
Ichsan Rizany ◽  
Herry Setiawan

  ABSTRACT The low quality of service so that the level of patient satisfaction has not met the minimum service criteria, namely 95% which is influenced by several factors so that the degree of satisfaction is still low.Objective: to find out the factors that influence the satisfaction level of swamp patients in hospitalMethods: This study uses a literature review, from two electronic databases; Google Scholar and Garuda in the period 2010-2020 found ten literatures that match keywords.Results: The results of data synthesis in 10 journal articles 5 journal articles stated that the level of patient satisfaction was low due to ineffective communication, 4 journal articles stated that the level of satisfaction was low because of the quality of service, and 1 journal article stated that the level of patient satisfaction was low due to official scheduling.Discussion: Patient satisfaction with the quality of service provided by nursing personnel to clients while receiving hospital care, services, and nursing care received by patients is a form of professional service that can increase inpatient satisfaction and improve the quality of health services. Keywords: Patient, Hospitalization, Satisfaction Level.


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