Satisfaction with focused and risk approach antenatal care services among pregnant women attending primary health care centers in Erbil city
DOI:
https://doi.org/10.22317/jcms.v5i6.668Keywords:
Personal Satisfaction, Pregnancy, Risk, Health servicesAbstract
Objectives: Client satisfaction is essential for further improvement of the quality of health care. This study aimed to assess the satisfaction with focused and risk approach antenatal care services among pregnant women in Erbil city of Iraq.
Methods: This cross-sectional study was conducted at two primary health care centers in Erbil city, one provides focused antenatal care services and the other provides risk approach antenatal care services. A convenience sample of 300 pregnant women (150 pregnant women from each center) participated in the study. An especially designed questionnaire was used for data collection.
Results: Around 61% of women attending focused antenatal care were very satisfied with care while only 12 % of women attending risk approach standard antenatal care were very satisfied with antenatal care (P <0.001). The perceived causes of dissatisfaction included crowding in the clinic in the morning, unfavorable waiting area and unavailability of daily sonar exam. A significantly higher proportion (P<0.001) of the high level of satisfaction (78%) was reported among women attending focused antenatal care than risk approach standard antenatal care (38%).
Conclusion: Women attending focused antenatal care were highly satisfied with services provided to them while those attending risk approach standard antenatal care were less satisfied with services. Further improvement of focused antenatal care services in Erbil is required.
References
2. Cohen JR. Patient satisfaction with prenatal care provider and the risk of cesarean delivery. Am J Obstet Gynecol. 2005;192:2029–2034.
3. Turan JM, Bulut A, Nalbant H, Ortayli N, Akalin AA. The quality of hospital based antenatal care in Istanbul. Stud Fam Plann. 2006;37:49–60.
4. Debono D, Travaglia J. Complaints and patient satisfaction: A comprehensive review of the literature. Sydney (Australia): University of New South Wales, Centre for Clinical Governance Research in Health, 2009.
5. Ivanov LL, Flynn BC. Utilization and satisfaction with prenatal care services. West J Nurs Res. 1999;2:372–386.
6. Rooney CIF. Antenatal care and maternal health: How effective is it. Document WHO/MSM/92A. Geneva: WHO, 1992.
7. JHPIEGO Trainer News. Focused antenatal care, Planning and providing care during pregnancy - A maternal and neonatal health program best practice. Reproductive Health online, 2001.
8. Maine D. Safe motherhood program: Options and issues, New York (USA): Centre for population and family health Columbia University, 1991.
9. Maternal Neonatal Health: Focused antenatal care: planning and providing care during Pregnancy, Program Brief, MNH Program website; 2004 [online]. Available at: www.mnh.Jhpiego.org. Accessed November 1, 2018.
10. Pascoe GC. Patient satisfaction in primary health care: a literature review and analysis. Eval Prog Plan. 1983;6:185–210.
11. Bu-Alayyan S, Mostafa A, Al-Etaibi B, Sorkhou E, Al-Taher H, Al-Weqayyan A. Patient satisfaction with primary health care services in Kuwait. Kuwait Medical Journal. 2008;40:25–30.
12. Glick P. How reliable are surveys of client satisfaction with healthcare services? Evidence from matched facility and household data in Madagascar. Soc Sci Med. 2009;68:368–379.
13. Mgawadere FM. Assessing the quality of antenatal care at Lungwena Health Centre in Rural Malawi. Unpublished Master's thesis, University of Malawi, College of Medicine, 2009.
14. Maine D. Safe motherhood program: Options and issues, New York (USA): Centre for population and family health Columbia University, 1991.
15. Montasser NA, Helal RM, Megahed WM, Amin SK, Saad AM, Ibrahim TR, et al. Egyptian women's satisfaction and perception of antenatal care. International Journal of Tropical Disease & Health. 2012;2:145–156.
16. Al-Wafa Society. Client exit survey on satisfaction with primary health care services and perception of antenatal care and child care in Basrah, Iraq, provided through the I-HELP Small Grants Program managed by Abt Associates Inc. and funded by USAID through contract no. RAN-C-00-03-00010-00, 2004.
17. Hasan A: Patient Satisfaction with Maternal and Child Health Services. Dhaka. Mahidol University, 2007.
18. Chemir F, Alemseged F, Workneh D. Satisfaction with focused antenatal care service and associated factors among pregnant women attending focused antenatal care at health centers in Jimma town, Jimma zone, South West Ethiopia. BMC Res Notes. 2014;7(1):164.
19. Ghobashi M, Khandekar R. Satisfaction among expectant mothers with antenatal care services in the Musandam Region of Oman. Sultan Qaboos Univ Med J. 2008;8:325–332.
20. Pitaloka D, Rizal AM: Patients’ satisfaction in antenatal clinic hospital University Kembangaan. Malaysia J Community Health. 2006;12:8-16.
