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
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.