Maternal Antenatal Care Service Satisfaction and Factors Associated with RuralHealth Centers, Bursa District, Sidama Zone, Southern Ethiopia: A CrosssectionalStudy

Abstract

Introduction: Pregnancy and childbirth are natural and often eventful processes many women are at risk for developing complications during pregnancy and childbirth. Complications of pregnancy and childbirth are the leading causes of disability and death among women in the reproductive age (15-49) years in developing countries. Some studies have estimated that ANC alone can reduce maternal mortality by 20% given good quality and regular attendance. Measuring the components of ANC is essential for assessing the assessing maternal ANC service satisfaction. Pregnancy complications are a primary source of maternal and child morbidity and mortality. Objectives: The study was aimed at assessing maternal antenatal care service satisfaction and factors associated with, in rural health centers, Bursa District, Southern Ethiopia. Method: Facility based cross-sectional study was conducted in rural health centers in Bursa District from March to April 2014. Four rural health centers were selected purposively and systematic random sampling technique was used to select the study subjects. SPSS for windows (version 20) was used for statistical analysis. The magnitude of association between independent variables and dependent was measured using odds ratios and 95% confidence interval and P-values below 0.05 was used to declare statistical association. Results: Two hundred ninety participants responded the questionnaire making 100% response rate. The mean age was 27.3 years with ± 5.4 SD. Overall Antenatal Care (ANC) satisfaction was 33%. The likelihood of maternal ANC service satisfaction was lower among women secondary and above educational level [AOR=0.14, 95% CI=(0.03-0.78)], Pregnant women who had unplanned current pregnancy [AOR=0.56, (95% CI)=(0.33-0.97)] and those women who had started first visits of ANC after 4 months of pregnancy [AOR= 0.29, 95% CI, 0.11-0.79]. Conclusions: The overall maternal ANC service satisfaction in this study is found to be suboptimal. The study strongly suggests that more could be done to assure that services provided are more standard. This study also revealed several constraints in the provision of ANC services which can be implied as areas of possible improvement, including laboratory investigation, longer waiting time, and poor consultation.