TITLE:
Quality of Antenatal Care: Comparison between Secondary and Tertiary Health Facilities in Ibadan, Nigeria
AUTHORS:
Oluwasomidoyin Olukemi Bello
KEYWORDS:
Quality, Antenatal Care, Satisfaction
JOURNAL NAME:
Open Journal of Obstetrics and Gynecology,
Vol.8 No.6,
June
6,
2018
ABSTRACT: Background: Patient satisfaction is related to the quality of
services received and the extent to which specific needs are met. Satisfied
patients are likely to come back for the health services and recommend it to
others. Objective: To assess and compare patients’ satisfaction with the
quality of prenatal/antenatal care (QPC) services received at a tertiary and
secondary health facility in Ibadan, Nigeria. Methods: A comparative
cross sectional study used an interviewer administered questionnaire to assess and compare the
quality of antenatal care among women who had antenatal care and delivered live
baby in two government health facilities—Adeoyo Maternity Hospital (secondary
health facility) and University College Hospital (tertiary health facility). A
total of 500 women were interviewed within 48 hours post delivery and data obtained
was analyzed with SPSS version 20. Results: The mean age was 29.7 (SD =
4.95) years. About half of the respondents had more than four antenatal visits,
almost two-thirds (61.4%) were primipara, and 55.6% delivered per vagina. Almost all (98.4%) the women
were very satisfied with the QPC received while a little above half (54.0%)
received high QPC. Health facility and mode of delivery were found to be
significantly associated with the satisfaction of the QPC. Factors predicting
high QPC comparing the tertiary and secondary health facility are
“availability” (OR = 0.341, 95%CI = 0.173 - 0.672)
and “support and respect” (OR = 5.599, 95%CI = 3.621 - 8.659)
of health care workers. Conclusion: Though the women were very satisfied
with the QPC rendered barely half of them reported high quality QPC and this
should be the ultimate aim. Promoting and ensuring high quality of antenatal
care in our hospitals will improve the antenatal attendance and hospital deliveries
with subsequent reduction in maternal morbidity and mortality.