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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]



Bereket Yohannes, Mulat Tarekegn, Wondimagegn Paulos



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



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.



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