Clients’ Satisfaction with Antenatal Care Services at Pumwani Maternity Hospital and NCCK Huruma Community Clinic

Antony Murithi Gitonga; Makobu Kimani

doi:doi:10.11648/j.cajph.20241001.16

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Clients’ Satisfaction with Antenatal Care Services at Pumwani Maternity Hospital and NCCK Huruma Community Clinic

Antony Murithi Gitonga, Makobu Kimani^*

Published in Central African Journal of Public Health (Volume 10, Issue 1)

Received: 5 January 2024 Accepted: 26 January 2024 Published: 20 February 2024

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Abstract

Despite the MOH policies on the right to safe motherhood, right to access information and quality services by women throughout pregnancy, childbirth and post-natal period, accessibility and satisfaction with ANC services by pregnant mothers remain a challenge. Client satisfaction with antenatal care services affects accessibility to these services by pregnant women, which in turn affects the outcomes of pregnancy. Client’s concerns, suggestions, desires and expectations of health care services need to be seriously examined due to their potential influence on utilization of health services and satisfaction. This was a descriptive cross-sectional study which sought to determine antenatal clients’ satisfaction with antenatal care services among mothers attending antenatal clinic at Pumwani Maternity Hospital and N.C.C.K Huruma community clinic. The study targeted pregnant women aged between 18-49 years seeking antenatal services in both clinics. Simple random sampling technique was used to recruit the subjects. Fischer’s formula was applied to calculate a sample size of 265 antenatal mothers. Structured and semi-structured questionnaires were used to collect quantitative data. Bivariate analysis of data was done using SPSS Version 21software; cross-tabulation was done to obtain association between variables and null hypothesis was tested using Chi-square. Clients portrayed high levels of overall satisfaction with services at 92.8% (60.6% satisfied and 32.2% very satisfied). However, some of the reasons given for dissatisfaction were long waiting time, poor health workers support and high cost of services. Satisfaction was influenced by the type of facility attended i.e. public or Faith-based and a significant association was observed between type of facility and satisfaction levels (p-value 0.000). Age and level of education had no association with antenatal clients’ satisfaction with services (p-value 0.254 and 0.292 respectively). Family income was not seen to influence satisfaction (p-value 0.503). Waiting time for services (p-value 0.000) and health worker support (p-value 0.000) played a significant role in clients’ satisfaction. There was a statistically significant difference in the level of antenatal clients’ satisfaction with services between Pumwani Maternity Hospital clinic and N.C.C.K Huruma clinic. As much as the overall satisfaction with services was high, there is need to address reasons for dissatisfaction with antenatal services in order to increase antenatal clinic attendance, improve pregnancy outcomes and reduce maternal mortality rates.

Published in	Central African Journal of Public Health (Volume 10, Issue 1)
DOI	10.11648/j.cajph.20241001.16
Page(s)	42-49
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Satisfaction, Antenatal, Services, Pregnant, Maternal, Women, Clinic

References

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[2]	Chemir Fantaye, Fessahaye Almseged and Desta worknch, (2013) Satisfaction with FANC services and associated factors at Health Centers in Jimma town, Jimma zone, south west Ethiopia.
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[4]	World Health Organization (2002) Antenatal randomized trial; Manual for the implementation of the new model. Department of reproductive health and research, family and community health, Geneva, Switzerland.
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[6]	Philip N. Baker, Obstetrics by Ten teachers, 18^th Edition, Hodder Education publishers, 33Euston Road, London; 2006.
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[8]	Graham R. Williams, Tracey Protocor, Tim Jenkinson; Nursing in contemporary Healthcare practice, 1^st Edition, Great Britain, 2008.
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[10]	Kenya National Bureau of Statistics, Ministry of Health/Kenya, National AIDS Control Council/Kenya, Kenya Medical Research Institute, and National Council for Population and Development/Kenya. 2015. Kenya Demographic and Health Survey 2014. Rockville, MD, USA: Available at http://dhsprogram.com/pubs/pdf/FR308/FR308.pdf
[11]	Prof. Dr. Salma Abdel, Atty Moawel, Dr. Essmart Mohammed Germeay and Nerrseen Alshmi, (2009) Identification of factors associated with Maternal satisfaction with primary healthcare centers in Riyadh City, Saudi Arabia.
[12]	Langer A, Villar J, Romero M, Nigenda G, Piaggio G, Kuchaisit C, Rojas G, Al-Osmimi M, Belizan M, Farnot U, Al-Mazrou Y, Carroli G, Ba’aqeel H, Lumbiganon P, Pinol A, Bergsjo P, Bakketieg L, Garcia J and Berendes H, (2002) Are women and providers satisfied with antenatal care? Views on standards and a simplified, evidence-based model of care in four developing countries, BMC Women’s Health.
[13]	Republic of Kenya (ROK), (2014) A strategic framework for engagement of First Lady in HIV control and promotion of Maternal, Newborn and Child health in Kenya.
[14]	Kenya National Bureau of Statistics,(2010), Kenya - 2009 Kenya Population and Housing Census, Population and Housing Census https://statistics.knbs.or.ke/nada/index.php
[15]	S. Dyah Pitaloka and A. M. Rizal; (2006) patient satisfaction in antenatal clinic hospital: universities kebangsaan; Malaysia journal of community health 12, pp 8-16.
[16]	Akhbari F, Hussein M, and Chozokly N., (2006) Study of effective factors on inpatient satisfaction in hospitals of Tahran university of medicine science: scientific journal of school of public health research: 4(3), 25-36.
[17]	Gregory Edie Helle Ekana Edie: Thomas Egbe obinchemti Emmanuel njuma tamufor martinimafany njie theopile nana njamen Erick akum achidi (2014) perception of antenatal care services by pregnant women attending government health centers in buea health district, Cameroon: a cross-sections study the pan African medical journal, 2015, 21: 45.
[18]	Palas Das, Mausum Basu, T. Tikadar, G. C Biswas, P Mridha and Ranabir Pas, (2010) Client satisfaction on Maternal and Child health services in Rural Bengal, Indian journal of community Medicine, 2010, 35(4): 478-481.
[19]	Nnebue C. C, Ebenebe U. E, Edinma E. D, Iyoke C. A, Obionu C. N, Ilika A. L, (2014) Client’s knowledge, perception and satisfaction with quality of maternal healthcare service at primary health care level in Nnewi, Nigeria, Niger jounal clinical practitioner, 2014, 17(5): 594-601.
[20]	Olufemi T, oladapo; Christiana A; Iyaniwura and Adewale O. Sule- Odu (2008) Quality of antenatal services at primary care level in southwest Nigeria Africa journal of reproductive health volume 12 no: 3 December 2008.

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APA Style

Gitonga, A. M., Kimani, M. (2024). Clients’ Satisfaction with Antenatal Care Services at Pumwani Maternity Hospital and NCCK Huruma Community Clinic. Central African Journal of Public Health, 10(1), 42-49. https://doi.org/10.11648/j.cajph.20241001.16

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ACS Style

Gitonga, A. M.; Kimani, M. Clients’ Satisfaction with Antenatal Care Services at Pumwani Maternity Hospital and NCCK Huruma Community Clinic. Cent. Afr. J. Public Health 2024, 10(1), 42-49. doi: 10.11648/j.cajph.20241001.16

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AMA Style

Gitonga AM, Kimani M. Clients’ Satisfaction with Antenatal Care Services at Pumwani Maternity Hospital and NCCK Huruma Community Clinic. Cent Afr J Public Health. 2024;10(1):42-49. doi: 10.11648/j.cajph.20241001.16

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@article{10.11648/j.cajph.20241001.16,
  author = {Antony Murithi Gitonga and Makobu Kimani},
  title = {Clients’ Satisfaction with Antenatal Care Services at Pumwani Maternity Hospital and NCCK Huruma Community Clinic},
  journal = {Central African Journal of Public Health},
  volume = {10},
  number = {1},
  pages = {42-49},
  doi = {10.11648/j.cajph.20241001.16},
  url = {https://doi.org/10.11648/j.cajph.20241001.16},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.cajph.20241001.16},
  abstract = {Despite the MOH policies on the right to safe motherhood, right to access information and quality services by women throughout pregnancy, childbirth and post-natal period, accessibility and satisfaction with ANC services by pregnant mothers remain a challenge. Client satisfaction with antenatal care services affects accessibility to these services by pregnant women, which in turn affects the outcomes of pregnancy. Client’s concerns, suggestions, desires and expectations of health care services need to be seriously examined due to their potential influence on utilization of health services and satisfaction. This was a descriptive cross-sectional study which sought to determine antenatal clients’ satisfaction with antenatal care services among mothers attending antenatal clinic at Pumwani Maternity Hospital and N.C.C.K Huruma community clinic. The study targeted pregnant women aged between 18-49 years seeking antenatal services in both clinics. Simple random sampling technique was used to recruit the subjects. Fischer’s formula was applied to calculate a sample size of 265 antenatal mothers. Structured and semi-structured questionnaires were used to collect quantitative data. Bivariate analysis of data was done using SPSS Version 21software; cross-tabulation was done to obtain association between variables and null hypothesis was tested using Chi-square. Clients portrayed high levels of overall satisfaction with services at 92.8% (60.6% satisfied and 32.2% very satisfied). However, some of the reasons given for dissatisfaction were long waiting time, poor health workers support and high cost of services. Satisfaction was influenced by the type of facility attended i.e. public or Faith-based and a significant association was observed between type of facility and satisfaction levels (p-value 0.000). Age and level of education had no association with antenatal clients’ satisfaction with services (p-value 0.254 and 0.292 respectively). Family income was not seen to influence satisfaction (p-value 0.503). Waiting time for services (p-value 0.000) and health worker support (p-value 0.000) played a significant role in clients’ satisfaction. There was a statistically significant difference in the level of antenatal clients’ satisfaction with services between Pumwani Maternity Hospital clinic and N.C.C.K Huruma clinic. As much as the overall satisfaction with services was high, there is need to address reasons for dissatisfaction with antenatal services in order to increase antenatal clinic attendance, improve pregnancy outcomes and reduce maternal mortality rates.
},
 year = {2024}
}

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TY - JOUR
T1 - Clients’ Satisfaction with Antenatal Care Services at Pumwani Maternity Hospital and NCCK Huruma Community Clinic
AU - Antony Murithi Gitonga
AU - Makobu Kimani
Y1 - 2024/02/20
PY - 2024
N1 - https://doi.org/10.11648/j.cajph.20241001.16
DO - 10.11648/j.cajph.20241001.16
T2 - Central African Journal of Public Health
JF - Central African Journal of Public Health
JO - Central African Journal of Public Health
SP - 42
EP - 49
PB - Science Publishing Group
SN - 2575-5781
UR - https://doi.org/10.11648/j.cajph.20241001.16
AB - Despite the MOH policies on the right to safe motherhood, right to access information and quality services by women throughout pregnancy, childbirth and post-natal period, accessibility and satisfaction with ANC services by pregnant mothers remain a challenge. Client satisfaction with antenatal care services affects accessibility to these services by pregnant women, which in turn affects the outcomes of pregnancy. Client’s concerns, suggestions, desires and expectations of health care services need to be seriously examined due to their potential influence on utilization of health services and satisfaction. This was a descriptive cross-sectional study which sought to determine antenatal clients’ satisfaction with antenatal care services among mothers attending antenatal clinic at Pumwani Maternity Hospital and N.C.C.K Huruma community clinic. The study targeted pregnant women aged between 18-49 years seeking antenatal services in both clinics. Simple random sampling technique was used to recruit the subjects. Fischer’s formula was applied to calculate a sample size of 265 antenatal mothers. Structured and semi-structured questionnaires were used to collect quantitative data. Bivariate analysis of data was done using SPSS Version 21software; cross-tabulation was done to obtain association between variables and null hypothesis was tested using Chi-square. Clients portrayed high levels of overall satisfaction with services at 92.8% (60.6% satisfied and 32.2% very satisfied). However, some of the reasons given for dissatisfaction were long waiting time, poor health workers support and high cost of services. Satisfaction was influenced by the type of facility attended i.e. public or Faith-based and a significant association was observed between type of facility and satisfaction levels (p-value 0.000). Age and level of education had no association with antenatal clients’ satisfaction with services (p-value 0.254 and 0.292 respectively). Family income was not seen to influence satisfaction (p-value 0.503). Waiting time for services (p-value 0.000) and health worker support (p-value 0.000) played a significant role in clients’ satisfaction. There was a statistically significant difference in the level of antenatal clients’ satisfaction with services between Pumwani Maternity Hospital clinic and N.C.C.K Huruma clinic. As much as the overall satisfaction with services was high, there is need to address reasons for dissatisfaction with antenatal services in order to increase antenatal clinic attendance, improve pregnancy outcomes and reduce maternal mortality rates.

VL - 10
IS - 1
ER -

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Author Information

Antony Murithi Gitonga

Department of Public Health, Human Nutrition and Dietetics, Kenya Methodist University (KeMU), Meru, Kenya
Makobu Kimani

Kenya Medical Research Institute (KEMRI), Mombasa, Kenya

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APA Style

Gitonga, A. M., Kimani, M. (2024). Clients’ Satisfaction with Antenatal Care Services at Pumwani Maternity Hospital and NCCK Huruma Community Clinic. Central African Journal of Public Health, 10(1), 42-49. https://doi.org/10.11648/j.cajph.20241001.16

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ACS Style

Gitonga, A. M.; Kimani, M. Clients’ Satisfaction with Antenatal Care Services at Pumwani Maternity Hospital and NCCK Huruma Community Clinic. Cent. Afr. J. Public Health 2024, 10(1), 42-49. doi: 10.11648/j.cajph.20241001.16

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AMA Style

Gitonga AM, Kimani M. Clients’ Satisfaction with Antenatal Care Services at Pumwani Maternity Hospital and NCCK Huruma Community Clinic. Cent Afr J Public Health. 2024;10(1):42-49. doi: 10.11648/j.cajph.20241001.16

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@article{10.11648/j.cajph.20241001.16,
  author = {Antony Murithi Gitonga and Makobu Kimani},
  title = {Clients’ Satisfaction with Antenatal Care Services at Pumwani Maternity Hospital and NCCK Huruma Community Clinic},
  journal = {Central African Journal of Public Health},
  volume = {10},
  number = {1},
  pages = {42-49},
  doi = {10.11648/j.cajph.20241001.16},
  url = {https://doi.org/10.11648/j.cajph.20241001.16},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.cajph.20241001.16},
  abstract = {Despite the MOH policies on the right to safe motherhood, right to access information and quality services by women throughout pregnancy, childbirth and post-natal period, accessibility and satisfaction with ANC services by pregnant mothers remain a challenge. Client satisfaction with antenatal care services affects accessibility to these services by pregnant women, which in turn affects the outcomes of pregnancy. Client’s concerns, suggestions, desires and expectations of health care services need to be seriously examined due to their potential influence on utilization of health services and satisfaction. This was a descriptive cross-sectional study which sought to determine antenatal clients’ satisfaction with antenatal care services among mothers attending antenatal clinic at Pumwani Maternity Hospital and N.C.C.K Huruma community clinic. The study targeted pregnant women aged between 18-49 years seeking antenatal services in both clinics. Simple random sampling technique was used to recruit the subjects. Fischer’s formula was applied to calculate a sample size of 265 antenatal mothers. Structured and semi-structured questionnaires were used to collect quantitative data. Bivariate analysis of data was done using SPSS Version 21software; cross-tabulation was done to obtain association between variables and null hypothesis was tested using Chi-square. Clients portrayed high levels of overall satisfaction with services at 92.8% (60.6% satisfied and 32.2% very satisfied). However, some of the reasons given for dissatisfaction were long waiting time, poor health workers support and high cost of services. Satisfaction was influenced by the type of facility attended i.e. public or Faith-based and a significant association was observed between type of facility and satisfaction levels (p-value 0.000). Age and level of education had no association with antenatal clients’ satisfaction with services (p-value 0.254 and 0.292 respectively). Family income was not seen to influence satisfaction (p-value 0.503). Waiting time for services (p-value 0.000) and health worker support (p-value 0.000) played a significant role in clients’ satisfaction. There was a statistically significant difference in the level of antenatal clients’ satisfaction with services between Pumwani Maternity Hospital clinic and N.C.C.K Huruma clinic. As much as the overall satisfaction with services was high, there is need to address reasons for dissatisfaction with antenatal services in order to increase antenatal clinic attendance, improve pregnancy outcomes and reduce maternal mortality rates.
},
 year = {2024}
}

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VL - 10
IS - 1
ER -

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