Abstract:
Background: Maternal delivery satisfaction is crucial for enhancing women's healthcare
quality, as recommended by world health organization. Despite its importance as a predictor of
healthcare service use, there is limited research on the specific factors influencing satisfaction in
different regional contexts. Identifying these factors can address gaps in understanding and
improve tailored interventions to better meet pregnant women’s expectations and needs.
Objective: To assess maternal satisfaction on delivery service and associated factors among
mothers who gave birth at Governmental health facility at Lemi Kura Sub City, Addis Ababa,
Ethiopia, 2024.
Methods: An institutional based cross-sectional study design was conducted among 394 mothers
selected by systematic random sampling technique and attending delivery service from March to
July 2024. Data were collected using structured administered interviews. Descriptive and
logistic regression analyses were done using Statistical Package for the Social Sciences (SPSS).
Adjusted Odds Ratio (AOR) with 95% CI was used to measure strength of association and
variables with p < 0.05 were considered as statistically significant. Results were presented using
texts, tables and graph.
Result: The study revealed an overall satisfaction with a magnitude of 57.9%. More than half,
53.8%, were dissatisfied with the waiting time to be seen by health care providers and only
47.3% Satisfaction amount of time spent on examinations. Factors significantly associated with
maternal dissatisfaction included maternal occupation (AOR = 0.5, 95% CI = 0.262-0.781),
monthly income (AOR = 0.37, 95% CI = 0.175-0.774), status of pregnancy (AOR = 0.52, 95%
CI = 0.325-0.816) and length of labor (AOR = 0.5, 95% CI = 0.324-0.783).
Conclusion and recommendations: The study in Lemi Kura Sub City, Addis Ababa, Ethiopia,
assessed maternal satisfaction with delivery services at governmental health facilities, finding an
overall satisfaction was found to be relatively low. Dissatisfaction was notably associated with
prolonged labor duration, maternal occupation monthly income, and complicated pregnancy
status. To improve satisfaction, streamline patient flow and optimize examination processes to
reduce waiting times and enhance efficiency.
