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. 2017 Mar 16;14(1):44.
doi: 10.1186/s12978-017-0305-6.

Qualitative assessment of women's satisfaction with maternal health care in referral hospitals in Nigeria

Friday Okonofua  1   2 , Rosemary Ogu  3 , Kingsley Agholor  4 , Ola Okike  5 , Rukiyat Abdus-Salam  6 , Mohammed Gana  7 , Abdullahi Randawa  8 , Eghe Abe  9 , Adetoye Durodola  10 , Hadiza Galadanci  11 ; WHARC WHO FMOH MNCH Implementation Research Study Team
Collaborators, Affiliations

Qualitative assessment of women's satisfaction with maternal health care in referral hospitals in Nigeria

Friday Okonofua et al. Reprod Health. .

Abstract

Background: Available evidence suggests that the low use of antenatal, delivery, and post-natal services by Nigerian women may be due to their perceptions of low quality of care in health facilities. This study investigated the perceptions of women regarding their satisfaction with the maternity services offered in secondary and tertiary hospitals in Nigeria.

Methods: Five focus group discussions (FGDs) were held with women in eight secondary and tertiary hospitals in four of the six geo-political zones of the country. In all, 40 FGDs were held with women attending antenatal and post-natal clinics in the hospitals. The questions assessed women's level of satisfaction with the care they received in the hospitals, their views on what needed to be done to improve patients' satisfaction, and the overall quality of maternity services in the hospitals. The discussions were audio-taped, transcribed, and analyzed by themes using Atlas ti computer software.

Results: Few of the participants expressed satisfaction with the quality of care they received during antenatal, intrapartum, and postnatal care. Many had areas of dissatisfaction, or were not satisfied at all with the quality of care. Reasons for dissatisfaction included poor staff attitude, long waiting time, poor attention to women in labour, high cost of services, and sub-standard facilities. These sources of dissatisfaction were given as the reasons why women often preferred traditional rather than modern facility based maternity care. The recommendations they made for improving maternity care were also consistent with their perceptions of the gaps and inadequacies. These included the improvement of hospital facilities, re-organization of services to eliminate delays, the training and re-training of health workers, and feedback/counseling and education of women.

Conclusion: A women-friendly approach to delivery of maternal health care based on adequate response to women's concerns and experiences of health care will be critical to curbing women's dissatisfaction with modern facility based health care, improving access to maternal health, and reducing maternal morbidity and mortality in Nigeria.

Trial registration: Trial Registration Number NCTR No: 91540209. Nigeria Clinical Trials Registry. http://www.nctr.nhrec.net/ . Registered April 14th 2016.

Keywords: Comprehensive obstetric care; Delays; Focus groups discussion; Maternal Healthcare; Maternal and child health; Nigerian women; Referral hospitals; Respectful care in childbirth.

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Figures

Fig 1
Fig 1
Map of Nigeria showing geo-political zones and the study sites
See this image and copyright information in PMC

References

    1. National Population Commission [Nigeria]. Nigeria Demographic and Health Surveys, 2000, 2003, 2008 and 2013. Abuja, Nigeria: National Population Commission, Federal Republic of Nigeria and MEASURE DHS+ ORC Macro. 2013. Available @ https://dhsprogram.com/pubs/pdf/FR293/FR293.pdf.
    1. Ameh C, Msuya S, Hofman J, Raven J, Mathai M, Van den Broek N. Status of emergency obstetric care in six developing countries five years before the MDG targets for maternal and new born health. PLoS ONE. 2012;7(12):e499 38. doi: 10.1371/journal.pone.0049938. - DOI - PMC - PubMed
    1. Ijadunola KJ, Ijadunola MY, Esimai OA, Abiona TC. New paradigm old thinking: The case for emergency obstetric care in the prevention of maternal mortality in Nigeria. BMC Womens Health. 2010;10(6):10–16. - PMC - PubMed
    1. Ebuehi OM, Akintujoye IA. Perception and utilization of traditional birth attendants by pregnant women attending primary health care centres in a rural community in Ogun State, Nigeria. Int J Womens Health. 2012;4:25–34. doi: 10.2147/IJWH.S23173. - DOI - PMC - PubMed
    1. Okafor IP, Sekoni AO, Ezeiru SS, Ugboaja JO, Inem V. Orthodox versus unorthodox care: A qualitative study on where rural women seek health care during pregnancy and childbirth in Southwest Nigeria. Malawi Med J. 2014;2666(2):45–49. - PMC - PubMed