Assessment of pregnant women’s satisfaction with the quality of antenatal care services in Ba-nadir Hospital, Mogadishu Somalia

Abstract

Background: Somalia has a high infant and maternal mortality rate of 732/1000 and 74/100000 respectively due to pregnancy-related complications which would be intervened by regular and timely utilization of ANC services.

Methods: Across sectional design with quantitative methods of data collection and analysis were used. A sample size of 384 respondents who were pregnant women selected bysystematic random and purposive sampling was used. Data was collected using a questionnaire.

Results: A third 33% (127/384) of the PMs were satisfied with ANC services thus low satisfaction with ANC services. Factors associated with low satisfaction with the ANC services included; being between 20-30 years (AOR: 97.7, P=0.010), being employed by other people (AOR: 97.9, P=0.007) and being married (AOR: 97.5, P=0.018). Tangibility factors were; lack of drugs (AOR: 0.2, P=0.001), uneasiness to obtain drugs (AOR: 0.12,P=0.001), unclean sanitation (AOR: 0.1, P=0.001). About the reliability factors, receiving appointments (AOR: 93.7, P=0.028), poor communication and information from HCWs (AOR: 0.1, P=0.004), and unfulfilled expectations in diagnosis (AOR: 0.2, P=0.001). Responsiveness factors were; delayed retrieval of records (AOR: 0.12, P=0.001), delayed health care service delivery (AOR: 0.1, P=0.002), long waiting time of more than 45 minutes (AOR: 85.9, P=0.002), and staff at the OPD not spending enough time (at least 10 minutes) attending to patients (AOR: 0.4, P=0.013). Assurance and empathy factors included, not receiving laboratory results on time (AOR: 0.4, P=0.008), a belief that health care workers didn’t have enough knowledge to answer the questions (AOR: 0.1, 95% CI: 0.02-0.20, P=0.001), and receiving inadequate help from the auxiliary staff (AOR: 0.02, P=0.001).

Conclusion: Low satisfaction with ANC services was due to young age, failure to obtain drugs, unclean sanitary facilities, delayed service delivery by HCWs and auxiliary staff, delayed retrieval and delivery of laboratory results. The researcher recommends that the government recruits more HCWs, gives them on-the-job training, and equips them with adequate utilities.Background: Somalia has a high infant and maternal mortality rate of 732/1000 and 74/100000 respectively due to pregnancy-related complications which would be intervened by regular and timely utilization of ANC services.

Methods: Across sectional design with quantitative methods of data collection and analysis were used. A sample size of 384 respondents who were pregnant women selected by systematic random and purposive sampling was used. Data was collected using a questionnaire.

Results: A third 33% (127/384) of the PMs were satisfied with ANC services thus low satisfaction with ANC services. Factors associated with low satisfaction with the ANC services included; being between 20-30 years (AOR: 97.7, P=0.010), being employed by other people (AOR: 97.9, P=0.007) and being married (AOR: 97.5, P=0.018). Tangibility factors were; lack of drugs (AOR: 0.2, P=0.001), uneasiness to obtain drugs (AOR: 0.12,P=0.001), unclean sanitation (AOR: 0.1, P=0.001). About the reliability factors, receiving appointments (AOR: 93.7, P=0.028), poor communication and information from HCWs (AOR: 0.1, P=0.004), and unfulfilled expectations in diagnosis (AOR: 0.2, P=0.001). Responsiveness factors were; delayed retrieval of records (AOR: 0.12, P=0.001), delayed health care service delivery (AOR: 0.1, P=0.002), long waiting time of more than 45 minutes (AOR: 85.9, P=0.002), and staff at the OPD not spending enough time (at least 10 minutes) attending to patients (AOR: 0.4, P=0.013). Assurance and empathy factors included, not receiving laboratory results on time (AOR: 0.4, P=0.008), a belief that health care workers didn’t have enough knowledge to answer the questions (AOR: 0.1, 95% CI: 0.02-0.20, P=0.001), and receiving inadequate help from the auxiliary staff (AOR: 0.02, P=0.001).

Conclusion: Low satisfaction with ANC services was due to young age, failure to obtain drugs, unclean sanitary facilities, delayed service delivery by HCWs and auxiliary staff, delayed retrieval and delivery of laboratory results. The researcher recommends that the government recruits more HCWs, gives them on-the-job training, and equips them with adequate utilities.