Client Satisfaction with Quality of Antenatal Care Services among Attendees of University Health Services Medical Center, Ahmadu Bello University Zaria, Kaduna State Nigeria

Abstract

Background: The quality of Antenatal care (ANC) is still poor in most developing countries. Quality ANC has been shown to significantly reduce maternal and child mortality. There is a paucity of data on client satisfaction with services among attendees of ANC in northern Nigeria, especially those attending university medical centers. Therefore, this study assessed the quality of ANC services, level of client satisfaction and factors influencing satisfaction with such services among attendees of Ahmadu Bello University health services medical center (ABUHSMC).
Methodology: A hospital based cross-sectional study was conducted among 112 ANC attendees at ABUHSMC. A systematic random sampling technique was used to select the respondents. Data were analyzed using IBM SPSS version 23. Bivariate analysis was conducted to identify variables that were significantly associated with client satisfaction with ANC services. Variables were then fitted into a multiple logistic regression to identify independent predictors of client satisfaction at a P-value of <0.05.
Results: The mean age of the respondents was 28.74± 5.97 years. Majority (52.7%) of the clients received 11 or more ANC service components and indicated that the services were of good quality. The overall level of client satisfaction with the ANC services revealed that 67.0% were satisfied while 17.8% were not. Independent predictors of client satisfaction with ANC services were respondents' level of education, average monthly income, parity, privacy and confidentiality, cost of services, and time spent before seeing health care providers (P<0.05).
Conclusion: ANC services provided at ABUHSMC were of good quality and the majority of the clients were satisfied with such services. However, the concern of clients about long waiting times should be addressed by the hospital management through improved quantity and quality of health care personnel.