Satisfaction with Maternal Health Services Among Women Aged 18-55 Years at the Federal Medical Centre, Makurdi, Benue State, Nigeria
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Date
2022
Authors
Liamngee, Tarkumbur Philip
Journal Title
Journal ISSN
Volume Title
Publisher
Kenyatta University
Abstract
The health of women depicts the economic growth and a country‘s well-being. Despite this, it is worrying that approximately 295,000 maternal deaths occurred in 2017 with developing countries accounting for 94%. Two-thirds of the deaths occurs in Sub-Saharan Africa. Nigeria is the second largest contributor to maternal mortality worldwide with 814 per 100,000 live births maternal mortality rate from preventable pregnancy related causes. The World Health Organization advocates for skilled birth attendance at birth and recommended patients‘ satisfaction assessment to promote quality and effectiveness of care. The Antenatal Care is an entry point to safe delivery and postnatal care as it enhances recognition and mitigation of health problems directly related to pregnancy known to contribute to the rate of maternal morbidity and mortality. There are high maternal mortality rates in Nigeria with low antenatal and skilled birth attendance rates. This may be attributed to the quality of maternal health services which plays an important role in maternal and child health outcomes. This study therefore sought to examine satisfaction with quality maternal health services among women aged 18-55 years at the Federal Medical Centre, Makurdi, Benue State, Nigeria. The study specifically focused on socio-demographic, health workforce, medical products and technology and information and communication factors associated with quality maternal health services among women aged 18-55 years at the Federal Medical Centre, Makurdi, Benue State Nigeria. The study adopted a descriptive cross-sectional study design with a sample size of 381 drawn from women attending ante-natal and postnatal clinic at the hospital using systematic random sampling technique. Quantitative data was collected using a questionnaire and was analyzed using Statistical Package for Social Sciences version 21. Data was summarized using descriptive and statistical analysis done using a Chi-square test at 95% confidence interval and a p-value set at p< 0.05. The results showed that most (82.9%) of the women were satisfied with quality of maternal health services at the Federal Medical Centre, Makurdi. Socio-demographic factors such education (p=0.044) and income (p=0.003); most health workforce factors such as staff attitude (p=0.004), staff adequacy (p=0.001) and staff competence (p=0.042); majority of medical products and technology factors such as availability (p=0.001), functionality (p=0.004) and modernity (p=0.001); and information and communication factors such as booking (p=0.021), communication (p=0.033) and timeliness (p=0.041) were significantly associated with quality maternal health services among women aged 18-55 years at the Federal Medical Centre, Makurdi, Benue State of Nigeria. The study further revealed that education, income, staff attitude; modernity, availability and functionality of medical products and technology; booking, communication and timeliness of information and communication were predictors of satisfaction with quality maternal health services. The study concludes that about 83 out of 100 women were satisfied with quality maternal health services at the Federal Medical Centre in Makurdi, Benue State, Nigeria. Socio-demographic, health workforce, medical products and technology, and information and communication factors influenced satisfaction with quality maternal health services at the Federal Medical Centre in Makurdi, Benue State, Nigeria. The study recommends the need for health staff to improve the empathy dimension in their work, improvement on the medical products and technology and improvement in service delivery generally resulting to increased satisfaction with quality maternal health services thus improved maternal health outcomes.
Description
A Thesis Submitted in Partial Fulfilment of the Requirements for the Award of the Degree of Master of Science in Health Management in the School of Public Health and Applied Human Sciences of Kenyatta University
Keywords
Satisfaction, Maternal Health, Services A, Women, Aged 18-55 Years, Federal Medical Centre, Makurdi, Benue, Nigeria