Abstract:
Assessment of client’s satisfaction is considered as one of the desired outcomes of
health care and it is directly related to utilization of ANC services.
ANC coverage in Ethiopia is very law and according to EDHs 2011, the utilization is
about 34%, 50% in Ethiopia and Tigray respectively. As a result the MMR remains
unacceptably high at 676 per 100,000 live births and only 10%, 12% of women
deliver with a skilled provider and In Ethiopia the ANC services are characterized by:
Poor attendance, Poor counseling services and Poor client-provider relations, there
are some substandard practices and malpractices observed in few facilities in both
setups that need to be given due attention.
Objective: To assess level of client satisfaction and associated factor among
antenatal care services users in the public and private-for-profit health institutions in
in urban cities of the Tigray region, Ethiopia.
Methods: Institutional based comparative cross sectional study was conducted at
randomly selected 540 pregnant women were interviewed. Descriptive statistics and
binary logistic regressions analyses were performed. The odds ratio (OR) with a 95%
confidence interval (CI) was used to test the statistical significance of Variables.
Results: The overall satisfaction was 64.4% for public facilities and 79.6% for private
facilities (P<0.01). The result revealed that there is only significance difference on
the clients satisfaction on ANC services with regard to occupation significantly
associated with client satisfaction on ANC service with housewives (AOR=4.735 CI
(1.291-17.372), merchant s(AOR=3.843 CI (.981-15.061)) and (AOR= 2.7, CI : 0.72-
10.170) as compared to students at public but at Private variables that doesn’t have
association. In general better satisfactions were observed among those mothers
served in private facilities in all likert items On the other hand, costs paid for services
favors better satisfaction rate among mothers served at public health facilities.
Conclusion: this study had revealed that mothers getting ANC at private facilities
showed greater satisfaction level. Hence, important measures have to be taken by
the concerned bodies at public health facilities to shorten waiting time, increase
availability of drugs, and support health care providers to give adequate information
and due respect for mothers. The private facilities need to consider the cost for
service to be affordable by the mothers.
