Mothers’ Satisfaction with Institutional Delivery Service in Public Health Facilities of Omo Nada District, Jimma Zone

Assessment of client satisfaction has become an administrative and a practical reality; it is important measure of the quality of services. Satisfaction studies provide feedback on how well the service is functioning according to clients’ perception and what changes might be required to meet clients’ expectation. Satisfaction affects service utilization; satisfied mothers will have optimum utilization of delivery service. This study assessed satisfaction with institutional delivery service and factors affecting their satisfaction, among mothers who gave birth in public health centers of Omo Nada district, south west Ethiopia. A facility based cross-sectional study was conducted on 391mothers who gave birth in selected public health centers of Omo Nada district, south west of Addis Ababa. The total sample was allocated to four health centers, based on expected pregnancy in their catchment area. Sample mothers were selected using systematic random sampling, list of mothers registered on delivery registration books of each health center were used as a sampling frame. Pre-tested structured questionnaire was used, 5 data collectors with diploma were recruited. Collected data were entered in to EPIDATA 3.0, and exported to SPSS version 16. Bivariate and multivariate logistic regression analyses were conducted. The overall satisfaction with institutional delivery service was 255(65.2%). Major satisfaction was recorded with supportiveness of the provider and cleanliness of delivery room. According to multivariate logistic regression analysis result, mothers who had ANC follow up had two fold increased satisfaction, [AOR= 2.05, 95% CI 1.33, 4.75]. Those who planned their pregnancy were 2.85 times more likely satisfied than those did not, [AOR=2.85 with 95%CI 1.56, 5.21]. This study showed ANC attendance, utilization of maternity waiting home (MWH) service, planned status of the pregnancy, distance and cleanliness of the toilet during delivery service were significant predicators of mothers’ satisfaction with the service. Utilization of MWH and ANC attendance during pregnancy significantly increases mothers’ satisfaction with institutional delivery service. On the other hand, mothers with unplanned pregnancy showed decreased satisfaction.