Outcomes of a multifaceted intervention to improve maternal satisfaction with care in secondary hospitals in Nigeria

Background: Data in Nigeria suggests a high level of dissatisfaction among women attending maternity care in health facilities due to long wait times, disrespectful care, and poor attention by healthcare personnel. Objective: To examine the effectiveness of a multifaceted intervention in improving s...

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Bibliographic Details
Published in:Global health action 2020-12, Vol.13 (1), p.1856470
Main Authors: Okonofua, Friday E., Ntoimo, Lorretta Favour C., Ekezue, Bola F., Ohenhen, Victor, Agholor, Kingsley, Igboin, Brian, Maduako, Kenneth, Imongan, Wilson, Gidago, Yagana, Galadanci, Hadiza, Ogu, Rosemary
Format: Article
Language:English
Subjects:
Advocacy
Clinical outcomes
Computerization
Female
Health care
Health education
Health facilities
Health status
Hospitals
Humans
Intervention
Maternal characteristics
Maternal death
Maternal Health Services
Maternal mortality
Maternal satisfaction
Medical personnel
Nigeria
Original
Personal Satisfaction
Pregnancy
Qualitative Research
Quasi-experimental methods
referral hospitals
Strategic planning
Surveillance
Waiting times
Women
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Summary:Background: Data in Nigeria suggests a high level of dissatisfaction among women attending maternity care in health facilities due to long wait times, disrespectful care, and poor attention by healthcare personnel. Objective: To examine the effectiveness of a multifaceted intervention in improving self-reported indicators of maternal healthcare satisfaction by women who use referral facilities in two regions of Nigeria. Method: The design was quasi-experimental and consisted of two intervention facilities and two control facilities. The interventions included strategic planning, staff re-training, a computerized appointment system, health education/feedback, maternal death reviews and surveillance, and advocacy. A random sample of 2262 women was selected (1205 in the intervention sites and 1057 in the two control sites) to respond to a 24-item questionnaire on service satisfaction as they exited the health facilities. Adjusted Poisson and binary regression analyses were used to assess and compare proportions of reported satisfaction by women between the intervention and control sites. Results: Women in the intervention sites were 54% more likely than those in control sites to report overall satisfaction with services. They were significantly less likely to report inadequate security arrangements in accessing the health facilities (p 
ISSN:1654-9716
1654-9880
1654-9880
DOI:10.1080/16549716.2020.1856470