Assessment of Maternal Satisfaction with Facility-based Childbirth Care in the Rural Region of Tambacouda, Senegal

Miyuki Oikawa, Adrien Sonko, Elhadji Ousseynou Faye, Papa Ndiaye, Mohamed Diadhiou, Masahide Kondo

Abstract

In Senegal, only 60% of mothers in rural areas deliver in health facilities. Mothers’ satisfaction with their facility-based childbirth experience is one of the factors in their choosing to deliver in such facilities in subsequent pregnancies. The objective of this study was to assess whether compliance with childbirth care based on the mothers’ perception of facility-based childbirth care contributes to the degree of maternal satisfaction. We conducted a secondary analysis of cross-sectional survey data collected from 259 mothers who had normal deliveries at facilities in rural areas of Senegal in 2011. The association between overall maternal satisfaction with childbirth care and 23 standard care survey items was assessed. The results showed that the degree of compliance with standard care and eight of 23 survey items were associated with maternal satisfaction. We conclude that to improve maternal satisfaction, facilities need to guarantee compliance with standard care. (Afr J Reprod Health 2014; 18[4]:95104).

 

Keywords: facility-based childbirth care, maternal satisfaction, compliance standard care, Senegal, rural           

 

Résumé

Au Sénégal, seulement 60% des mères dans les zones rurales accouchent dans des établissements de santé. La satisfaction des mères avec leur expérience de l'accouchement en établissement de santé est l'un des facteurs dans leur choix d'accoucher dans des établissements pendant les grossesses ultérieures. L'objectif de cette étude était de vérifier si le respect des règles concernant les soins de l'accouchement basé sur la perception des mères  contribue au degré de la satisfaction maternelle. Nous avons effectué une analyse secondaire des données de l'enquête transversales recueillies auprès de 259 mères qui ont eu des accouchements normaux dans les établissements dans les zones rurales du Sénégal en 2011. L'association entre la satisfaction maternelle globale des soins de l'accouchement et 23 éléments de l'enquête de soins standards a été évaluée. Les résultats ont montré que le niveau de conformité aux soins standards et huit  questions  parmi les 23 questions de l'enquête ont été associées à la satisfaction maternelle. Nous concluons que, pour améliorer la satisfaction maternelle, les établissements doivent garantir le respect de soins standard par toutes les mères. (Afr J Reprod Health 2014; 18[4]:95-104).

 

Mots-clés: accouchement soins à base d'installation,  satisfaction maternelle, respect soins standard, Sénégal, rural

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