Analysis of the Satisfaction of Women with the Quality of Maternal Health Services at the Federal Medical Centre, Makurdi, Benue State, Nigeria
DOI:
https://doi.org/10.53819/81018102t2044Abstract
The study examined satisfaction of women with maternal health services at the Federal Medical Centre, Makurdi, Benue State, Nigeria. This was a descriptive cross-sectional study with a sample size of 381 drawn from women attending ante-natal and postnatal clinic at the hospital using systematic sampling technique. Quantitative data was collected using a likert-type questionnaire and was analyzed using Statistical Package for Social Sciences (SPSS) version 21. Data was summarized using descriptive and statistical analysis; the chi-square test was used to test the association between independent and dependent variables. Level of statistical significance was set at p< 0.05 (5%). Findings of the study showed that most (82.9%) of the women were satisfied with the quality of maternal health services. The age and marital status did not influence the satisfaction of women with maternal health care services, education and income influenced the satisfaction of the women with maternal health services. Staff adequacy, staff attitude and competence influenced the satisfaction of women with maternal health services at the facility. Availability, modernity and functionality of medical products and technology influenced the satisfaction of women with maternal health services at the facility. The study revealed that communication by the facility staff on the medical procedures and medication, communication of bookings, and timeliness of communication on treatment follow-up influenced the satisfaction of women with maternal health services at the facility. The study recommends the need for health staff to improve the empathy dimension in their work, improvement on the medical products and technology, from the availability, functionality and modernity, and improvement in service delivery with specific attention to women with higher incomes who reported lower satisfaction ratios compared to those with lower incomes.
Keywords: Maternal Health Services, Socio-Demographic Factors, Satisfaction, Health Workforce Factors, Medical Products and Technological Factors, Information and Communication.
References
Adams, R. (2016) Medical Products Influence on Patient Satisfaction. Modern Health Care.http//:www.modernhealthcare.com
Alobo G, Ochejele S, Ngwan S.D (2018) A Review of Underlying Causes of Death in Benue State, North Central Nigeria. Journal of Infertility and Reproductive Biology, Vol.I, Issue 2.
Babalola Stella, Adesogun Fatusi (2019) Biomed Central Journal of Pregnancy and Childbirth, Vol.9, 43
Donabedian, A (2018). The Definition of Quality and Approaches to its Assessment.AM Arbor: Michigan Health Administration Press.
Emelumadu, O. F., Ukegbu, A. U., Ezeama, N. N., Kanu, O. O., Ifeadike, C. O., & Onyeonoro, U. U. (2019). Socio-demographic determinants of maternal health-care service utilization among rural women in Anambra state, South East Nigeria. Annals of medical and health sciences research, 4(3), 374-382. https://doi.org/10.4103/2141-9248.133463
Fawole, A. O., Okunlola, M. A., & Adekunle, A. O. (2018).Clients’ perceptions of the quality of antenatal care. Journal of the National Medical Association, 100(9), 1052-1058. https://doi.org/10.1016/S0027-9684(15)31443-7
Friedman, J.N & Kelman, J.J (2016) Public Sector Incentives an Inertial Effort, Harvard University, Cambridge, M.A- Working Paper.
Goldman, D., and J. P. Smith. (2018). The increasing value of education to health. Social Science and Medicine 72:1728–1737. https://doi.org/10.1016/j.socscimed.2011.02.047
Hulton, Louisa, A. Matthews, Zoe & Stones, R.W (2017) A Framework for Assessing Quality Maternal Health Services in Southampton U.K
Mannava P, Durrant K, Fisher J, Cherish M, Luchters S, (2015) Attitudes and Behaviours of Maternal Health Providers in Interaction with Clients: a Systematic view. Global Health Journal, volume II, Biomed Central
Memon M, Wagner, S. R, Pedersen, C. F, Beevi, F. H. A, & Hansen F. O. (2015). Ambient assisted living healthcare frameworks, platforms, standards, and quality attributes. Sensors, 14(3), 4312-4341. https://doi.org/10.1186/s12992-015-0117-9
Mitchell, M., Hedt-Gauthier, B. L., Msellemu, D., Nkaka, M., & Lesh, N. (2017). Using electronic technology to improve clinical care–results from a before-after cluster trial to evaluate assessment and classification of sick children according to Integrated Management of Childhood Illness (IMCI) protocol in Tanzania. BMC medical informatics and decision-making, 13(1), 95. https://doi.org/10.1186/1472-6947-13-95
Naidu, A.(2019) Factors Affecting Patient Satisfaction and Healthcare Quality. International Journal of Health Care QualityAssurance.Vol.22, NO 4,366-381. https://doi.org/10.1108/09526860910964834
Nwaeze, I.L, Enabor O.O, Oluwasola T.A.O, Amakhu C.O (2017) Perception and Satisfaction with Quality of Antenatal Care among Pregnant Women at the University College Hospital. Annals of Ibadan Postgraduate Medicine, vol. II, No I, Pages 22-28
Ononokpono, D. N, Clifford Obby Odimegwu (2015) Determinants of Maternal Healthcare Utilization in Nigeria: A Multi-level Approach. The Pan African Medical Journal, Vol.17, 2. https://doi.org/10.11604/pamj.supp.2014.17.1.3596
Oyugi, B., Kioko, U., Kaboro, S. M., Okumu, C., Ogola-Munene, S., Kalsi, S., ...& Ranji, M. (2018). A facility-based study of women’ satisfaction and perceived quality of reproductive and maternal health services in the Kenya output-based approach voucher program. BMC pregnancy and childbirth, 18(1), 310. https://doi.org/10.1186/s12884-018-1940-9
Quan, S. D., Wu, R. C., Rossos, P. G., Arany, T., Groe, S., Morra, D.,& Lau, F. Y. (2017). It's not about pager replacement: An in‐depth look at the interprofessional nature of communication in healthcare. Journal of hospital medicine, 8(3), 137-143. https://doi.org/10.1002/jhm.2008
Raven J.H, Tolhurst R.J, Shenglan Tang, Nynke Van de Broek (2018) what is Quality in Maternal and ante natal healthcare? Midwifery Journal, 11th September.
Srivastava, A., Avan, B. I., Rajbangshi, P., & Bhattacharyya, S. (2015). Determinants of women’s satisfaction with maternal health care: a review of literature from developing countries. BMC pregnancy and childbirth, 15(1), 97. https://doi.org/10.1186/s12884-015-0525-0
Tocchioni, V., Seghieri, C., De Santis, G., & Nuti, S. (2018). Socio-demographic determinants of women’s satisfaction with prenatal and delivery care services in Italy. International Journal for Quality in Health Care, 30(8), 594-601.
https://doi.org/10.1093/intqhc/mzy078
Willcox, M. L., Peersman, W., Daou, P., Diakité, C., Bajunirwe, F., Mubangizi, V & Khogali, M. (2015). Human resources for primary health care in sub-Saharan Africa: progress or stagnation? Human resources for health, 13(1), 76. https://doi.org/10.1186/s12960-015-0073-8
World Health Organization (2015). Interagency list of Medical devices for essential interventions for Reproductive, Maternal, Newborn and Child Health. Geneva, Switzerland.