Clients’ Satisfaction with Quality of Maternity Care Services in Selected Primary Health Care Centres in Ijebu-Ode Local Government Area of Ogun State

Abstract:

Clients’ satisfaction is an essential parameter in the assessment of quality of care and healthcare facility performance. Quality is considered good when adequate infrastructure, supplies, and equipment are in place. This study therefore assessed clients’ satisfaction with quality of maternity care services in selected Primary Health Care Centres in Ijebu- Ode LGA of Ogun State. A quantitative design adopting a descriptive, cross-sectional approach was utilized in the study. It was carried out among a total of 309 respondents, adopting a total enumeration method. A structured self-administered questionnaire and an adopted observational checklist was used for data collection and data analysis was done using descriptive statistics in the form of tables of frequencies, percentages, median and Standard deviation to analyze the research questions, while the inferential statistics of T-test was used to analyze the hypotheses. The findings of the study on the services of maternity care received by clients revealed that all the examined maternity care services (ANC services, Childbirth/ Delivery service, PNC service, Counselling service (PMTCT of HIV/AIDS), Obstetric emergency care and Laboratory and imaging (ultrasound scan)) are received in the sampled PHC facilities. Result also shows that clients are highly satisfied with the six (6) examined maternity care services rendered in the PHCs, as discussed (ANC services- 97.5%, PNC- 88.7%, DELIVERY- 92.3%, Counselling (PMTCT of HIV/AIDS) - 80.9%, Obstetric Emergency Care - 73.4% and Laboratory/Imaging- 73.8%). The findings also revealed that all the facilities were adequately equipped with essential items needed for the management of labour. Italapo has the highest number of essential items (91%), Ita-osu, Iwade-oke and Itantebo PHC facilities has 89% each in adequacy of essential items, while Oke-oyinbo PHC facility has 66% in adequacy of essential items for management of labour.. The finding also shows there is no significant association between maternity care services available at each PHC facility and clients’ level of satisfaction. Although, the clients who were satisfied with the services received at PHC facilities were more than those who were less satisfied, the influence of availability of services on their level of satisfaction were not statistically significant; p-value > 0.05. The result also shows that the population of women who booked for ANC service is far more than the population of women who returned for child birth in each centre. The mean difference being 74.6. This was found to be statistically significant. In conclusion, the findings of this study revealed that the six (6) maternity care services examined in this study were received in the 5 sampled PHCs. Also, on the average, larger percentage of the respondents were satisfied with all the six (6) maternity care services rendered in the 5 selected PHC facilities. Although, the population of women who booked for ANC service is far more than the population of women who returned for child birth in each facility. It is therefore recommended that there should be continuous training of healthcare providers, especially the maternity care service providers so as to improve their performance and consequently raise the level of quality of care.