TY - JOUR
T1 - Women's overall satisfaction with health facility delivery services in Ghana
T2 - A mixed-methods study
AU - Adjei, Kwame K.
AU - Kikuchi, Kimiyo
AU - Owusu-Agyei, Seth
AU - Enuameh, Yeetey
AU - Shibanuma, Akira
AU - Ansah, Evelyn Korkor
AU - Yasuoka, Junko
AU - Poku-Asante, Kwaku
AU - Okawa, Sumiyo
AU - Gyapong, Margaret
AU - Tawiah, Charlotte
AU - Oduro, Abraham Rexford
AU - Sakeah, Evelyn
AU - Sarpong, Doris
AU - Nanishi, Keiko
AU - Asare, Gloria Quansah
AU - Hodgson, Abraham
AU - Jimba, Masamine
AU - Yoneyama, Yoshiharu
AU - Appiah-Denkyira, Ebenezer
AU - Addei, Sheila
AU - Kukula, Vida
AU - Narh, Clement
AU - Nettey, Ernest
AU - Narh-Bana, Solomon
AU - Mahama, Emmanuel
AU - Dzabeng, Francis
AU - Williams, John
AU - Debpuur, Cornelius
AU - Yeji, Francis
AU - Wontuo, Peter
AU - Hagiwara, Akiko
AU - Shiratori, Sakiko
AU - Kamiya, Yusuke
AU - Agyekum, Enoch Oti
N1 - Publisher Copyright:
© 2019 The Author(s).
PY - 2019/7/5
Y1 - 2019/7/5
N2 - Background: Skilled birth delivery has increased up to nearly 74% in Ghana, but its quality has been questioned over the years. As understanding women's satisfaction could be important to improving service quality, this study aimed to determine what factors were associated with women's overall satisfaction with delivery services quantitatively and qualitatively in rural Ghanaian health facilities. Results: This cross-sectional, mixed methods study used an explanatory sequential design across three Ghana Health Service research areas in 2013. Participants were women who had delivered in the preceding 2 years. Two-stage random sampling was used to recruit women for the quantitative survey. Relationships between women's socio-demographic characteristics and their overall satisfaction with health facility delivery services were examined using univariate and multiple logistic regression analyses. For qualitative analyses, women who completed the quantitative survey were purposively selected to participate in focus group discussions. Data from the focus group discussions were analyzed based on predefined and emerging themes. Overall, 1130 women were included in the quantitative analyses and 136 women participated in 15 focus group discussions. Women's mean age was 29 years. Nearly all women (94%) were satisfied with the overall services received during delivery. Women with middle level/junior high school education [adjusted odds ratio (AOR) = 0.50, 95% confidence interval (CI) = (0.26-0.98)] were less likely to be satisfied with overall delivery services compared to women with no education. Qualitatively, women were not satisfied with the unconventional demands, negative attitude, and unavailability of healthcare workers, as well as the long wait time. Conclusions: Although most women were satisfied with the overall service they received during delivery, they were not satisfied with specific aspects of the health services; therefore, higher quality service delivery is necessary to improve women's satisfaction. Additional sensitivity training and a reduction in work hours may also improve the experience of clients.
AB - Background: Skilled birth delivery has increased up to nearly 74% in Ghana, but its quality has been questioned over the years. As understanding women's satisfaction could be important to improving service quality, this study aimed to determine what factors were associated with women's overall satisfaction with delivery services quantitatively and qualitatively in rural Ghanaian health facilities. Results: This cross-sectional, mixed methods study used an explanatory sequential design across three Ghana Health Service research areas in 2013. Participants were women who had delivered in the preceding 2 years. Two-stage random sampling was used to recruit women for the quantitative survey. Relationships between women's socio-demographic characteristics and their overall satisfaction with health facility delivery services were examined using univariate and multiple logistic regression analyses. For qualitative analyses, women who completed the quantitative survey were purposively selected to participate in focus group discussions. Data from the focus group discussions were analyzed based on predefined and emerging themes. Overall, 1130 women were included in the quantitative analyses and 136 women participated in 15 focus group discussions. Women's mean age was 29 years. Nearly all women (94%) were satisfied with the overall services received during delivery. Women with middle level/junior high school education [adjusted odds ratio (AOR) = 0.50, 95% confidence interval (CI) = (0.26-0.98)] were less likely to be satisfied with overall delivery services compared to women with no education. Qualitatively, women were not satisfied with the unconventional demands, negative attitude, and unavailability of healthcare workers, as well as the long wait time. Conclusions: Although most women were satisfied with the overall service they received during delivery, they were not satisfied with specific aspects of the health services; therefore, higher quality service delivery is necessary to improve women's satisfaction. Additional sensitivity training and a reduction in work hours may also improve the experience of clients.
KW - Child health
KW - Client satisfaction
KW - Ghana
KW - Maternal health
KW - Mixed methods
KW - Pregnancy
UR - http://www.scopus.com/inward/record.url?scp=85068659241&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85068659241&partnerID=8YFLogxK
U2 - 10.1186/s41182-019-0172-7
DO - 10.1186/s41182-019-0172-7
M3 - Article
AN - SCOPUS:85068659241
SN - 1348-8945
VL - 47
JO - Tropical Medicine and Health
JF - Tropical Medicine and Health
IS - 1
M1 - 41
ER -
