“Maternal Satisfaction On Delivery Service And Associated Factors Among Mothers Who Gave Birth At Government Health Facility In Lemi Kura Sub City, Addis Ababa, Ethiopia, 2024 ”

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.