Assessment of Antenatal Health Care Services and Degree of Clients’ Satisfaction in Qena city

Document Type : Original research articles

Authors

1 Department of Public Health and Community Medicine, Faculty of Medicine, South Valley University, Qena, Egypt

2 Department of Public Health and Community Medicine, Faculty of Medicine, Assiut University, Assiut, Egypt

3 Department of Obstetrics and Gynecology, Faculty of Medicine, South Valley University, Qena, Egypt

Abstract

Background: Antenatal care from a qualified clinician is essential for monitoring the pregnancy and minimizing the risks to the mother and child throughout pregnancy and delivery.
Objectives: To determine the level of satisfaction among women attending the antenatal care clinics in Qena city also to assess ANC services in pregnant women to identify the level of ANC.
Patients and methods: The degree of client satisfaction to ANC and factors affecting satisfaction were estimated in this cross-sectional study of 420 women. There were two groups: satisfied women and not-satisfied women. A structured questionnaire was used.
Results:The study revealed that , out of the total clients overall satisfied with ANC were 285 (  67.9%)  more than half of them  were rural residents, aged ≥ 29 years old, housewives and almost half of them had a medium social class,The significant risk factor related to degree of satisfaction to ANC wereHealth education about dangerous signs of labour, and Number of visits to ANC center, Ambulance availability, Doctors explain result ,Performance of nursing, Number of doctorsand the least factor Residence. By logistic regression analysisHealth education about dangerous signs of labourwas the most contributing factor associated with degree of satisfaction to ANC (p- value 0.008).
Conclusion:The study revealed that, out of the total clients overall satisfied with ANC were 285 (67.9%) but also it revealed weaknesses in several aspects of ANC services, indicating that increased resources and health education are needed to improve the quality of ANC services in the governorate.

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