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


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           



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

Full Text:



United Nations. The Millennium Development Goals Report 2012. New York: United Nations Pubns, 2012.

Campbell OMR, Graham WJ. Strategies for reducing maternal mortality: getting on with what works. Lancet 2006; 368: 1284-99.

Agence Nationale de la Statistique et de la Démographie [Sénégal], et ICF International. Enquête Démographique et de Sante a Indicateurs Multiples au Sénégal (EDS-MICS) 2010-2011(in French). Calverton, Maryland, USA : ANSD et ICF

International. 2012.

Kobinsky M, Mattews Z, Hussein J et al. Going to scale with professional skilled care. Lancet 2006; 368: 1377-86.

Faye A, Niane M, Ba I. Home birth in women who have given birth at least once in a health facility: contributory factors in a developing country. Acta Obstet Gynecol Scand 2011; 90: 1239-43.

Wanjira C, Mwangi M, Mathenge E et al. Delivery practices and associated factors among mothers seeking child welfare services in selected health facilities in Nyandarua south district, Kenya. BMC Public Health 2011; 11:360.

MacKeith N, Chinganya OJM, Ahmed Y et al. Zambian women’s experiences of urban maternity care: results from a community survey in Lusaka. Afr J Reprod Health 2003; 7: 92-102.

Devaux T, Aké-Tano O, Gohou-Kouassi V et al. Quality of normal delivery care in Côte d’Ivoire. Afr J Reprod Health 2007; 11: 22-32.

Harvey SA, Blandón YCW, McCaw-Binns A et al. Are skilled birth attendants really skilled? A measurement method, some disturbing results and a potential way forward. Bull World Health Organ 2007; 85: 783-90.

Hulton LA, Matthews Z, Srones RW. Applying a framework for assessing the quality of maternal health services in urban India. Soc Sci Med 2007; 64: 208395.

Shimizu M. Preliminary findings: problems and further improvement of maternal care in Senegal. The Journal of the Japan Medical Association 2008; 51:128-30.

Sitzia J, Wood N. Patient satisfaction: a review of issues and concepts. Soc Sci Med 1997; 45: 1829-43.

Fitzpatrick R. The assessment of patient satisfaction: Assessment and evaluation of health and medical care. In: Jenkinson C, editor. Assessment and evaluation of health and medical care. Buckingham: Open

University Press, 1997. P. 88-90.

Bazant ES, Koenig MA. Women’s satisfaction with delivery care in Nairobi’s informal settlements. Int J Qual Health Care 2009; 21:79-86.

Avortri GS, Beke A, Abekah-Nkrumah G. Predictors of satisfaction with child birth services in public hospitals in Ghana. Int J Health Care Qual Assur 2011; 24: 223-37.

Tayelgn A, Zegeye DT, Kebede Y. Mothers’ satisfaction with referral hospital delivery service in Amhara region, Ethiopia. BMC Pregnancy and Childbirth 2011; 11:78.

Hondnett ED. Pain and women’s satisfaction with the experience of childbirth: a systematic review. Am J Obstet Gynecol 2002; 186: S160-72.

World Health Organization. Making pregnancy safer: the critical role of the skilled attendant: A joint statement by WHO, ICM, FIGO. Geneva: WHO, 2004.

Franco LM, Bennett S, Kanfer R. Health sector reform and public sector worker motivation: a conceptual framework. Soc Sci Med 2002; 54: 1255-66.

Senarath U, Fernando DN, Rodrigo I. Factors determining client satisfaction with hospital-based perinatal care in Sri Lanka. Trop Med Int Health 2006; 11:1442-51.

Donabedian A. The Quality of Care: How Can It Be Assessed? 1988. Arch Pathol Lab Med 1997; 121(1): 1145-50.

Hosmer DW, Lemeshow S. Applied logistic regression. 2nd ed. New York: A Wiley-Interscience Publication, 2000.

Spencer FA, Allegrone J, Goldberg RJ, Gore JM, Fox KAA, Granger CB, Mehta RH, et al. Association of stain therapy with outcomes of acute coronary syndromes: The Grace study. Ann Intern Med. 2004; 140:857-67.

Rowe AK, de Savigny D, Lanata CL et al. How can we achieve and maintain high-quality performance of health workers in low-resource setting?. Lancet 2005;366:1026-35.

Willians B. Patient satisfaction : a valid concept ?. Soc Sci med. 1994 ; 38 : 45-53.

Massoud MR, Mensah-Abrampah N, Sax S et al. Charting the way forward to better quality health care: how do we get there and what are the next steps? Recommendations from the Salzburg Global Seminar on making health care better in low- and middleincome economies. Int J Qual Health Care. 2012; 24: 558-63.


  • There are currently no refbacks.