Women’s perception and satisfaction with the quality of antenatal care services in mission hospitals in Benin City, Nigeria

Submitted: 8 April 2020
Accepted: 9 August 2020
Published: 7 September 2020
Abstract Views: 2061
PDF: 590
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Despite the vital role and availability of antenatal care, only a small proportion of Nigerian women utilise it. Women’s perception and satisfaction with antenatal care is believed to improve health outcomes, continuity of care, adherence to treatment, and the relationship with the provider. The aim is to ascertain the women’s perception and satisfaction with the quality of ANC services in mission hospitals in Benin City, Nigeria. This cross-sectional descriptive study was carried out among 405 pregnant women in their third trimester. Data collection was with a pretested interviewer-administered questionnaire and analysis with IBM SPSS Statistics version 21.0. Statistical significance was taken as P value <0.05. The women’s perception of doctors and nurses was good for all domains assessed. Their satisfaction was highest for cleanliness of the facility 336 (83.0%) and lowest for amount paid for delivery services 168 (41.5%). The overall satisfaction for services received was high 337 (83.2%). The religion of the respondents, gestational age at ANC booking, payment for booking, the delivery fee and availability of requisite resources to cater for the women showed statistically significance with the overall satisfaction. However, only religion (AOR = 17.450, 95% CI = 3.364-90.508) and availability of requisite resources (AOR = 4.629, 95% CI = 2.426-8.832) independently influenced their satisfaction. This study showed a high level of satisfaction with the services rendered. However, making services more affordable as well as improving their quality through investment in both human and material resources to deliver essential care to all clients will drive better satisfaction among them.

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Citations

WHO. Trends in maternal mortality: 1990 to 2008. Estimates developed by WHO, UNICEF, UNFPA and The World Bank, World Health Organization. 2010.
Adjiwanou V, LeGrand T. Does antenatal care matter in the use of skilled birth attendance in rural Africa: A multi-country analysis. Soc Sci Med. 2013; 86: 26-34. DOI: https://doi.org/10.1016/j.socscimed.2013.02.047
Pervin J, Moran A, Rahman M, Abdur Razzaque, Sibley L, Streatfield PK et al. Association of antenatal care with facility delivery and perinatal survival- a population-based study in Bangladesh. BMC Pregnancy and Childbirth. 2012; 12:111 DOI: https://doi.org/10.1186/1471-2393-12-111
National Population Commission (NPC) [Nigeria] and ICF International. Nigeria Demographic and Health Survey 2018 Key Indicators Report. Abuja, Nigeria, and Rockville, Maryland, USA: NPC and ICF International; 2019
Lawn JE, Kerber K. Opportunity for Africa's newborns: practical data, policy and programmatic support for newborn care in Africa. Geneva: WHO on behalf of PMNCH, UNFPA, UNICEF, USAID, WHO. 2006.
WHO, Antenatal Care in Developing Countries: Promises, Achievements and Missed Opportunities. An Analysis of Trends, Levels and Differentials, 1990-2001, WHO, Geneva, Switzerland, 2003.
Chakraborty N, Islam MA, Chowdhoury RI, Bari W, Akhter HH. Determinants of the use of maternal health services in rural Bangladesh. Health Promot Int. 2003; 18:327–337. DOI: https://doi.org/10.1093/heapro/dag414
Independent Expert Review Group (iERG), “Every Woman, Every Child: Strengthening Equity and Dignity through Health: the second report of the independent Expert Review Group (iERG) on Information and Accountability for Women's and Children's health,” Geneva, WHO, 2013
Donabedian A. The quality of care: How can it be assessed? JAMA. 1988; 260(12):1743-1748. DOI: https://doi.org/10.1001/jama.1988.03410120089033
WHO, Standards for Improving Quality of Maternal and New Born Care in Health Facilities, WHO, Geneva, Switzerland, 2016.
Xesfingi S, Vozikis A. Patient satisfaction with the healthcare system: Assessing the impact of socio-economic and healthcare provision factors. BMC health services research. 2016; 16:94 DOI: https://doi.org/10.1186/s12913-016-1327-4
Matejić B, Milićević MŠ, Vasić V, Djikanović B. Maternal satisfaction with organized perinatal care in Serbian public hospitals. BMC Pregnancy Childbirth. 2014;14(1):14 DOI: https://doi.org/10.1186/1471-2393-14-14
Kamil A, Khorshid E. Maternal perceptions of antenatal care provision at a tertiary level hospital, Riyadh. Oman Med J. 2013 Jan; 28(1):33-5 DOI: https://doi.org/10.5001/omj.2013.07
Bleich SN, Ozaltin E, Murray CJL. How does satisfaction with the health-care system relate to patient experience? Bulletin of the World Health Organization. 2009;87(4):271-8. DOI: https://doi.org/10.2471/BLT.07.050401
Ofovwe CE, Ofili AN. Indices of patient satisfaction in an African population. Public Health. 2005;119(7):582–586. DOI: https://doi.org/10.1016/j.puhe.2004.10.012
Nwaeze IL, Enabor OO, Oluwasola TA, Aimakhu CO. Perception and Satisfaction with Quality of Antenatal Care Services among Pregnant Women at the University College Hospital, Ibadan, Nigeria. Ann Ib Postgrad Med 2013;11(1):22-8
Abioye-Kuteyi EA, Bello IS, Olaleye TM, Ayeni IO, Amedi MI. Determinants of patient satisfaction with physician interaction: a cross-sectional survey at the Obafemi Awolowo University Health Centre, Ile-Ife, Nigeria, South African Family Practice. 2010; 52(6): 557-562. DOI: https://doi.org/10.1080/20786204.2010.10874047
Shendurnikar N, Thakkar PA. Communication skills to ensure patient satisfaction. Indian J Pediatr. 2013; 80(11):938-943. DOI: https://doi.org/10.1007/s12098-012-0958-7
Iliyasu Z, Abubakar IS, Abubakar S, Lawan UM, Gajida AU. Patients' satisfaction with services obtained from Aminu Kano Teaching Hospital, Kano, Northern Nigeria. Niger J Clin Pract. 2010;13:371-8.
Mekonnen N, Berheto TM, Ololo S, Tafese F. Quality of antenatal care services in Demba Gofa Woreda, rural Ethiopia. Health Sci J. 2017;11(3):502 DOI: https://doi.org/10.21767/1791-809X.1000502
Bastola P, Yadav DK, Gautam H. Quality of antenatal care services in selected health facilities of Kaski district, Nepal. Int J Community Med Public Health. 2018 Jun;5(6):2182-2189 DOI: https://doi.org/10.18203/2394-6040.ijcmph20182142
Iftikhar A, Allah N, Shadiullah K, Muhammad AR, Muhammad HK. Predictors of patient satisfaction. Gomal Journal of Medical Sciences. 2011; 9(2):183-188
Osiya DA, Ogaji DS, Onotai L. Patients’ satisfaction with healthcare: comparing general practice services in a tertiary and primary healthcare settings. The Nigerian Health Journal. 2017; 17(1):264-267
Djordjevic I, Vasiljevic D. The Effect of Sociodemographic Factors on the Patient Satisfaction with Health Care System, Ser J Exp Clin Res. 2017; 1-1.

How to Cite

Okoror, Collins Ejakhianghe Maximilian, Ehigha Jude Enabudoso, and Maryjane Ifeyinwa Okoroh. 2020. “Women’s Perception and Satisfaction With the Quality of Antenatal Care Services in Mission Hospitals in Benin City, Nigeria”. Pyramid Journal of Medicine 3 (1). https://doi.org/10.4081/pjm.2020.82.