Evaluation of patient satisfaction with the quality of maternal and child services of health facilities in Ile-Ife, OsunState

Evaluation of patient satisfaction with the quality of maternal and child services of health facilities in Ile-Ife, OsunState

Author by Prof. Christiana Sowunmi

Journal/Publisher: African Journal Of Midwifery And Women’s Health

Volume/Edition: 4

Language: English

Pages: 1 - 14

Abstract

Background/Aims An evaluation of patient satisfaction of the quality of healthcare

facilities and services provides feedback to enhance improved service delivery. Patient

satisfaction with care has been identified as one of the essential elements of quality care,

which can be used to determine the quality of care being rendered in health centres.

This study aimed to assess patient satisfaction with maternal and child services in health

facilities in Ile-Ife, Osun State, Nigeria.

Methods A quantitative cross-sectional study was carried out in Ile-Ife, Osun State,

in all seven secondary health facilities and 45 selected primary healthcare centres. A

total of 330 nursing mothers with babies aged 0–1 years old were selected through

simple random sampling. A self-developed, structured, pre-tested satisfaction survey

based on Donabedian and Linder-Pelz satisfaction model was used to explore nursing

mothers’ satisfaction with maternal and child healthcare services and the determinants of

satisfaction. Data were analysed using descriptive statistics and t-tests at a significance

level of 0.05. Ordered logistic regression was used to establish the significance of

association between sociodemographic characteristics and satisfaction.

Results The majority of clients were satisfied with maternal and child services in

primary (76.7%) and secondary (55.1%) healthcare facilities, respectively. There was a

significant difference between satisfaction at primary and secondary healthcare centres

(P=0.012). The marital status and number of pregnancies of participants were significant

determinants of clients’ satisfaction with secondary healthcare facilities (P=0.035 and

P=0.013, respectively).

Conclusions There is high patient satisfaction with maternal and child healthcare

services in both primary and secondary healthcare facilities in Ile-Ife. The majority of the

health facilities have inadequate personnel for maternal and child healthcare services,

which is one of the major factors contributing to high maternal and infant morbidity and

mortality in Nigeria. However, many of the respondents may not have ever experienced

high-quality services. Stakeholders in maternal and child services should improve on

areas where poor satisfaction was reported.


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