Sociodemographic characterstics of participants
A total of 403 postnatal mothers participated in this study with 96.4% response rate. Among these mothers, 274 (68%) were from urban. Two hundred seven (51.4%) of the mothers were aged between 25 and 34 years. The mean age was 28 years (+6 SD). Almost all, 388 (96.3%) of the mothers were engaged at the time of the survey. Three hundred thirty-nine (84.1%) mothers were at least can read and write. Ninety-five(23.6%) mothers were housewife by their occupation. Eighty-five (21.1%) of the mothers were from a family of greater than five members. Twenty-three (5.7%) of the mothers gave more than five births(Table 1).
ANC related information
The majority, 383 (95%) of mothers knew about ANC and 373 (92.6%) of the mothers had access to ANC care services. Three hundred seventy-two (92.3%) of the mothers who gave birth were at ANC follow-up for the current pregnancy. Two hundred nineteen (58.9%) of the mother who had ANC follow-up for the current pregnancy got the services from University of Gondar teaching and referral hospital and 206 (55.4%) of the mothers reported that each visit took more than twenty minutes. One hundred fifty-five (41.7%) of the mothers followed more than four times (Table 2).
Labor and delivery related services
The vast majority, 318 (85%) of the mothers deliverd their previous baby through spontaneous vaginal delivery (SVD) and 230 (57.1%) of the mothers reported that they gave birth at hospitals for their previous pregnancy. Two hundred ten (52.1%) mothers came to hospital by their own plan. Two hundred fifteen (53.3%) of the mothers reported that they waited for 10 or below minutes to get services. Three hundred eighty-seven (96%) of the mothers were seen by doctors during delivery and the labor of 381 (94.5%) mothers lasted more than 3 hours. Three hundred eighty(94.3%) mothers gave alive birth and 76 (18.9%) of the new borne babies were under weight (Table 3).
Mothers’ satisfaction on delivery care service
Mothers’ satisfaction on delivery care services was measured using 31 questions categorized under five categories (10 questions under healthcare services, 6 under physicians’ communication, 5 under physicians’ attitude, 4 under privacy, and 6 under sanitation categories). Time spend with healthcare service providers (379/94%) and medical care received (377/93.5%) were areas where the highest proportion of mothers satisfied under the healthcare service category(Figure 1). The way healthcare providers explain clients health condition (358/88.8%), information about procedures(355/88.1%) and care providers’ devotion to listen clients’ worry (355/83.6%) were areas where the highest proportion of mothers satisfied under the physicians’ communication category (Figure 2). Doctors’ respection(363/90.1%), nurses’ respection(193/47.9%) and the way staffs accept clients’ opinion(193/47.9%) were areas where the highest proportion of mothers satisfied under the physicians’ attitude category (Figure 3). Availability of separate delivery/examination rooms(260/65.3%) and gender mix of care providers (260/64.5%) were areas where the highest proportion of mothers satisfied under the privacy category (Figure 4). Cleanliness of facilities (279/69.2%) and cleanliness of waiting areas(256/63.5%) and were areas where the highest proportion of mothers satisfied under the sanitation category (Figure 5). Physicians’ communication (315/78.2%), healthcare services (264/65.5%), and physicians’ attitude (259/64.3%) were areas where the highest proportion of mothers satisfied. On the other hand, the highest proportion of mothers (223/55.3%) were dissatisfied on sanitation condition (Figure 6). Overall, 264 (65.5%) of the mothers were satisfied on delivery services and the rest 139 (34.5%) mothers were dissatisfied.
Factors associated with mothers’ level of satisfaction on delivery services
Table 4 shows factors associated with mothers’ level of satisfaction on delivery services. Level of maternal education, ANC follow-up in the current pregnancy, waiting time, qualification of care providers, duration of labor, and pregnancy outcomes were selected to the multivariable binary logistic regression analysis by the univariable binary logistic regression analysis. Maternal satisfaction on delivery was statistically associated with level of maternal education, ANC follow-up in the current pregnancy, and waiting time.
This study revealed that literate mothers were more dissatisfied than illiterate mothers. The odds of satisfaction was 71% less among mothers whose education level was diploma and above compared with mothers who didn’t attend formal education [AOR = 0.29, 95% CI = (0.13, 0.66)]. Mothers who attended secondary education and/or primary education were less likely to be satisfied compared with illiterate mothers[AOR = 0.42, 95% CI = (0.20, 0.90)].
Maternal satisfaction on delivery services was significantly associated with ANC follow-up in the current pregnancy. The probability of being satisfied was 4.47 times more likely to be higher among mothers who had ANC follow-up compared with their counterparts [AOR = 4.47, 95% CI = (1.77, 11.27)].
The current study depicted that waiting time was associated with maternal satisfaction on delivery services. Mothers who waited for 10 and/or below minutes were 1.85 times more likely to be satisfied compared with mothers who waited for more than 10 minutes to get services [AOR =1.85, 95% CI = (1.19, 2.88)].