Maternal satisfaction with health facility- based delivery among mothers attending primary health care clinics in Ilorin Metropolis

Abstract

Major challenges in the World today remain the health of women and children. Two hundred and eighty-seven thousand women die annually during and following pregnancy and child birth. The existence and accessibility of maternal health services do not guarantee their use by women; neither does the use of maternal health services guarantee optimal outcomes for women. The study assessed maternal satisfaction with health facility-based delivery among mothers attending primary health care clinics in Ilorin Metropolis, Kwara State, Nigeria.

The study design was descriptive cross-sectional, data was collected using a pre-tested semi-structured interviewer administered questionnaire from about 400 respondents using multistage sampling technique. Data was analysed using Statistical Package for Social Sciences (SPSS) software version 20.0. Level of significance was pre-determined at p-value < 0.05 at a confidence level of 95%.  About 96.8% utilized at least one session of antenatal care during their last pregnancy, 77.6% utilized health facilities for delivery while 12% delivered at home. Only about 17% utilized postnatal services. Majority 92.3% of the mothers were satisfied with health facility-based delivery. Drug availability, doctor’s competence, nurses’ attitude, followed by complete information given on delivery and ward attendants’ attitudes were the areas where the clients were mostly satisfied.

Those whose husbands were highly educated were likely to be more satisfied with health facility-based delivery. Majority of the respondents that delivered in health facilities were satisfied generally with care received at the health facility utilized for delivery. Despite the high level of satisfaction, there is still need to improve facility-based delivery services so that more women will be satisfied with it and as such utilize health facility for delivery.

Keywords: Satisfaction, Health facility, Delivery, Primary Health Care, Maternal Mortality