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IJSTR >> Volume 2- Issue 2, February 2013 Edition



International Journal of Scientific & Technology Research  
International Journal of Scientific & Technology Research

Website: http://www.ijstr.org

ISSN 2277-8616



Mothers' Utilization Of Antenatal Care And Their Satisfaction With Delivery Services In Selected Public Health Facilities Of Wolaita Zone, Southern Ethiopia

[Full Text]

 

AUTHOR(S)

Bereket Yohannes, Mulat Tarekegn, Wondimagegn Paulos

 

KEYWORDS

Keywords: - Antenatal Care, Client Satisfaction, Donabedian model, Exit Interview, Institutional delivery, mothers, Utilization, Wolaita Sodo University

 

ABSTRACT

Background: A woman's utilization and satisfaction with the delivery service may have immediate and long-term effects on her health and subsequent utilization of the services. Providing satisfying delivery care increases service utilization. This study was to assess Utilization of Antenatal Care for recent pregnancy and satisfaction with delivery service in Wolaita zone. Methods: A facility based cross-sectional survey with exit interview was conducted in Wolaita Zone. 363 postpartum mothers were enrolled in the study. Client satisfaction was measured using a survey instrument adopted from the Donabedian quality assessment framework. Multivariate and binary logistic regression was applied to identify the relative effect of each explanatory variable on the outcome (satisfaction). Results: The proportion of mothers who had at least a visit to ANC Check up was 85.7%. The overall level of satisfaction with delivery care was 82.9%. Middle aged (20-34) postpartum mothers were more (AOR =2.55(95% CI: 1.11,5.90) likely to be satisfied when compared to their 35-49 counter age groups where the later might have no/wrong experience with the delivery service. Mothers with some level of high school education (9-12) were at higher chance (AOR= 4.46 (95% CI: 1.63, 12.18) to be satisfied with the service in comparison with higher level of education as it might show higher demand of the more educated group or there may be underestimation of safe delivery . Women who stayed on labour pain for less than a sunset were in their above three times higher likelihood on their level of satisfaction when compared to their longer on labor counter mothers (AOR= 3.31(95%CI: 1.53, 7.17). Conclusion: Self reported utilization of ANC service and satisfaction with delivery care given to them is promising. ANC can help for better utilization of institutional delivery. Care providers should plan for more institutional delivery by extending their acceptance in the already visiting ones. Mothers who happened to visit health facility for delivery attendance can be good promoters for institutional delivery as peer mothers to advocate the service.

 

REFERENCES

[1]. AbouZahr C.Global burden of maternal death and disability. Br Med Bull 2003; 67:1-11.

[2]. WHO. Maternal mortality ratio (per 100 000 live births). 2010; Available from: http://who.int/healthinfo/statistics/indmaternalmortality/en/index.html.

[3]. USAID. Maternal and Neonatal Program Effort, Ethiopia. 2006.

[4]. WHO. Reduction of maternal mortality. World Health Organization, Geneva, 1999.

[5]. Stepping up Efforts to Save Mothers' Lives [database on the Internet] 2010.

[6]. WHO. Coverage of maternity care, A Listing Of Available Information.World Health Organization , Geneva ,1996.

[7]. Kwast BE. Reduction of maternal and perinatal mortality in rural and peri-urban settings: what works? European Journal of Obstetrics & Gynecology and Reproductive Biology 1996;69:47-53.

[8]. Hogberg U, Wall S, Brostrom G. The impact of early medical technology on maternal mortality in late 19th century Sweden. Int J of Gynaecol Obstet 1986; 24(4):251-61.

[9]. Starrs AM. Safe motherhood initiative: 20 years and counting. Lancet 2006; 368(9542):1130-2.

[10]. UN. The Millennium Development Goals Report 2008.United Nations, Geneva; 2010.

[11]. WHO/UNICEF. Antenatal care in developing countries: promises, achievements and missed opportunities : an analysis of trends, levels and differentials, 1990-2001. 2003.

[12]. Bullough C, Meda N, Makowiecka K, Ronsmans C, Achadi EL, Hussein J. Current strategies for the reduction of maternal mortality. BJObG 2005 ; 112(9):1180-8.

[13]. Berg CJ. Prenatal care in developing counties: the World Health Organization technical working group on antenatal care. J Am Med Womens Assoc 1995 50(5):182-6.

[14]. De Bernis L, Sherratt DR, AbouZahr C, Van Lerberghe W. Skilled attendants for pregnancy, childbirth and postnatal care. Br Med Bull 2003; 67:39-57.

[15]. Bloom SS, Lippeveld T, Wypij D. Does antenatal care make a difference to safe delivery? A study in urban Uttar Pradesh, India. Health Policy Plan 1999; 14(1):38- 48.

[16]. UNICEF. Millennium Development Goals, Goal: Improve maternal health. 2010; UNICEF.

[17]. 17.Gill K, Pande R, Malhotra A. Women deliver for development. Lancet 2007 13;370 (9595):1347-57.

[18]. WHO. Making pregnancy safer. 2010; World Health Organization, Geneva.

[19]. Carlough M, McCall M. Skilled birth attendance: what does it mean and how can it be measured? A clinical skills assessment of maternal and child health workers in Nepal. Int J Gynaecol Obstet 2005 ;89(2):200-8.

[20]. Gubhaju MMaB. Women’s status, household structure and the Utilization of maternal health services in Nepal. Asia-Pacific Population Journal 2001.

[21]. Celik Y, Hotchkiss DR. The socio-economic determinants of maternal health care utilization in Turkey. Soc Sci Med 2000 ;50(12):1797-806.

[22]. Woldemicael G, Tenkorang EY. Women's Autonomy and Maternal Health- Seeking Behavior in Ethiopia. Matern Child Health J 2009

[23]. TayelgnA, Desalegn T Zegeye2* and Yigzaw Kebede2:Mothers’ satisfaction with referral hospital delivery service in Amhara Region, Ethiopia

[24]. Antenatal Care (Ornella Lincetto, Seipati Mothebesoane-Anoh, Patricia Gomez, Stephen Munjanja): Reviewing Ethiopia’s Health System Development

[25]. Mulumebet Abera1, Abebe G/mariam1, Tefera Belachew1 predictors of safe delivery service utilization in Arsi zone, south-east Ethiopia