Maternal Satisfaction On Delivery Service In Public Health Centers Facility Based Cross Sectional Study Addis Ababa Ethiopia.

Introduction Maternal satisfaction used as one evaluating tool for quality of maternal healthrncare given in health facilities and help to improve quality of care given to delivery mothers asrnwell as decrease maternal mortality.rnObjectives: This study aimed to assess level of maternal satisfaction on delivery service and itsrnassociated factor among women who gave birth in selected public health center in Addis Ababarncity Administration.rnMethods: A facility based cross sectional study was conducted from March to April 2019 inrnAddis Ababa city. Systematic random sampling technique was used to select 582 mothers whorngave birth within the study period. The satisfaction of mothers was measured using 27 questionsrnthat were adopted from Donabedian quality assessment framework. Multivariate logisticrnregression was fitted to identify independent predictors of maternal satisfaction.rnResult: The overall satisfaction on delivery service of the respondent mothers was 89.7%.rnProcess related delivery mothers‘ satisfaction was 94.5%, whereas mothers‘ satisfaction inrnrelation to structure of the health centers was 68.6%. There was no significant predictor forrnprocess based delivery services. For structural bases, educational status (AOR 95% CI:rn1.96(1.112-3.45), type of transport (AOR 95% CI: 0.39(0.19, 0.78), time of admission from 6am12amrn(AORrn95%rnCI:rn2.142(1.16-3.94),rnstatusrnofrnpregnancyrn(AORrn95%rnCI:rn2.34(1.16,rn4.69)rnandrnrnlongrnwaitingrntimern(AORrn95%rnCI:rn0.426(0.27,rn0.66)rnwerernsignificantrnfactorsrnforrndeliveryrnmothers‘rnrnsatisfaction.rnrnHowever, short waiting time (AOR 95% CI: 6.07 (2.1-17.15), wanted pregnancyrn(AOR 95% CI: 3.98(1.60-9.90) and time of admission from 6am-12am (AOR 95% CIrn3.26(1.023-10.38) and from 0 pm-6pm (AOR 95% CI 2.56(1.077-6.09) were factors that hadrnpositive association for overall delivered mothers‘ satisfaction. rnConclusion: This study revealed that the overall satisfaction of mothers on delivery service wasrnfound to be good. Wanted pregnancy; waiting time and time of admission were independentrnpredictors of maternal satisfaction. Thus, there is a need of an intervention on shortening waitingrntime, provide good service during night time and increase access and awareness of familyrnplanning mothers to reduce and prevent unplanned pregnancy.

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