Background: Antenatal care is the care women receive while pregnant. It is an important health service which detects and sometimes curbs the risk of complications among pregnant women (PW). The way women perceive the quality-of-care render during ANC influences utilization and consequently the outcome of pregnancy. This study investigated women’s satisfaction with the quality of antenatal care in the BHD. Women presenting for antenatal care for their second or subsequent visits at 14 health facilities in the Bamenda health district were interviewed in a cross-sectional designed study, using a semi-structured questionnaire. The questionnaire included sociodemographic and obstetric variables, and level of satisfaction with various aspects of antenatal care. Data analysis was done using EPI info. The p-value was set at P<0.05. 396 women participated in the study. 70% of the women were between 20 and 30yrs of age. 81.8% of them were married while. 49.2% had secondary education, 49.7% were self- employed while 10.4% were unemployed. Parity mean of 1.55 ± 1.357. 73.2% began ANC after the first trimester of pregnancy, mean number of ANC visits was 3.82 ±1.721. 84.6% of women were satisfied with elements of quality ANC services, 81.3% with the health education they received and only 41.0% were satisfied interventions for physiological problems of pregnancy. Women who attended faith-based health facilities (FBHF) were more satisfied with elements of quality ANC than those who attended public health facilities the reverse was true for health education messages received where women were more satisfied with public health facilities. There was no significant difference in the interventions during pregnancy for both faith-based and public health facilities (PHF). We concluded that apart from the physiological interventions during pregnancy, women were satisfied with the ANC services they receive in the BHD although there were gaps to be filled to improve on the quality of ANC. The use of antenatal care guidelines was recommended to enable a comprehensive delivery of antenatal care for an optimum satisfaction.
Published in | Journal of Gynecology and Obstetrics (Volume 10, Issue 2) |
DOI | 10.11648/j.jgo.20221002.21 |
Page(s) | 131-138 |
Creative Commons |
This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited. |
Copyright |
Copyright © The Author(s), 2022. Published by Science Publishing Group |
Antenatal Care, Bamenda Health District, Quality of Antenatal Care
[1] | Saad–Haddad, G, DeJong, J, Terreri, N, Restrepo–Méndez, M, Perin, J, Vaz, L, Newby, H, Amouzou, A, Barros, A & Bryce, J 2016, ‘Patterns and determinants of antenatal care utilization: analysis of national survey data in seven countdown countries’ J Glob Health, vol. 6, no. 1 pp: 010404. |
[2] | UNICEF (2018). Maternal Mortality. UNICEF. |
[3] | INS 2014, ‘4ème Enquête Démographique et de Santé et à Indicateurs Multiples EDS-MICS Yaoundé’, Institut National de la Statistique. |
[4] | Tumasang, EN, Mbu, R & Mbacham W. Cost Benefit Analysis of Four and Eight Antenatal Care Visits in Bamenda Health District, Cameroon. International Journal of Health Economics and Policy. Vol. 6, No. 3, 2021, pp. 79-84. doi: 10.11648/j.hep.20210603.11. |
[5] | World Health Organization 2016, WHO recommendations on antenatal care for a positive pregnancy experience, Geneva, Switzerland, https://apps.who.int/iris/bitstream/handle/10665/250796/9789241549912-eng.pdf. |
[6] | Dowswell, T, Carroli, G, Duley, L, Gates, S, Gülmezoglu, AM, Khan-Neelofur, D & Piaggio, GGP 2010, ‘Alternative versus standard packages of antenatal care for low-risk pregnancy’ Cochrane Database Syst Rev, no. 10: CD000934. |
[7] | Chiliba, C & Koch, S 2013, ‘Utilization of focused antenatal care in Zambia: Examining individual- and community-level factors using a multilevel analysis’ PubMed. Health Policy and Planning vol. 30, no. 1 DOI: 10.1093/heapol/czt099. |
[8] | Phillips, E, Stoltzfus, RJ, Michaud, L, Pierre, GLF, Vermeylen, F & Pelletier, D 2017, ‘Do mobile clinics provide high-quality antenatal care? A comparison of care delivery, knowledge outcomes and perception of quality of care between fixed and mobile clinics in central Haiti’ BMC Pregnancy and Childbirth vol. 17, no. 361. |
[9] | Williams, SA (1998) ‘Quality and Care: Patients' Perceptions’ J Nurs Care Qual. Vol. 12, no. 6, pp: 18-25. doi: 10.1097/00001786-199808000-00006. Accessed 11 June 2020. |
[10] | Davies, AR & Ware, JE 1988, ‘Involving consumers in quality of care’ Health Aff, pp: 33–48. http://dx.doi.org/10.1377/hlthaff.7.1.33, PMid: 3360392. |
[11] | Larrabee, JH & Bolden, LV 2001, ‘Defining patient-perceived quality of nursing care’ Journal of Nursing Care Quality, vol. 16, no. 1, pp: 34-60. |
[12] | Gishu, T, Weldetsadik, AY, & Tekleab, AM 2019, ‘Patients’ perception of quality of nursing care; a tertiary center experience from Ethiopia’ BMC Nursing https://doi.org/10.1186/s12912-019-0361-z. |
[13] | Iliyasu Z, Abubakar IS, Abubakar S, Lawan UM & Gajida AU 2010, ‘Patients' satisfaction with services obtained from Aminu Kano Teaching Hospital, Kano, Northern Nigeria’ Niger J Clin Pract [serial online] 2010 [cited 2021 Oct 7]; 13: 371-8. Available from: https://www.njcponline.com/text.asp?2010/13/4/371/74619 |
[14] | Donabedian, A 1980, ‘Explorations in quality assessment and monitoring: the definition of quality and approaches to its assessment. Vol. 1. Washington DC: Health Administration Press. |
[15] | Ekabua, J, Ekabua, K. & Njoku, C 2011, ‘Proposed framework for making focussed antenatal care services accessible: a review of the Nigerian setting’, ISRN Obstetrics and Gynecology, doi: 10.5402/2011/253964 ID 253964. |
[16] | Nwaeze, IL, Enabor, OO; Oluwasola, TAO; & Aimakh, CO 2013, ‘Perception and satisfaction with quality of antenatal care services among pregnant women at the University college hospital, Ibadan, Nigeria’ Ann Ibd. Pg. Med, Vol. 11, no. 1, 22-28. |
[17] | Warri, D & George, A 2020, ‘Perceptions of pregnant women reasons for late initiation of antenatal care: aqualitative interview study’ BMC Pregnancy and Childbirth, vol. 20, no. 70 https://doi.org/10.1186/s12884-020-2746-0 |
[18] | Krejcie, RV, & Morgan, DW 1970, ‘Determining Sample Size for Research Activities. Educational and Psychological Measurement. |
[19] | Siniscalco, MT, & Auriat, N 2005, ‘Questionnaire design. In: Ross K, Quantitative research methods in educational planning’, Paris. UNESCO. Google Scholar. |
[20] | Oladapo OT, et al. 2008, Quality of antenatal services at the primary care level in Southwest Nigeria. Afr J Reprod Health, vol. 12 (3): 71-92. |
[21] | Venyuy, MA, 2020, ‘Determinants to late antenatal clinic start among pregnant women: the case of Saint Elizabeth General Hospital, Shisong, Cameroon’ Pan African Medical Journal. 2020; 35: 112. [doi: 10.11604/pamj.2020.35.112.18712] |
[22] | Ebonwu, J, Mumbauer, A, Uys, M, Wainberg, ML & Medina-Marino, A 2018, ‘Determinants of late antenatal care presentation in rural and peri-urban communities in South Africa: A cross-sectional study’, PLoS ONE, vol. 13, no. 3 e0191903. https://doi.org/10.1371/journal.pone.0191903. |
[23] | Halle-Ekane, GE, Obinchemti, TE, Tamufor, EN, Njie, MM, Njamen, TN & Achidi, EA 2015b, ‘Perceptions of antenatal care services by pregnant women attending government health centres in the Buea Health District, Cameroon: a cross sectional study’, Pan African Medical Journal, vol. 21, no. 45, doi: 10.11604/pamj.2015.21.45.4858. |
[24] | Myer, L & Harrison, A 2003, ‘Why do women seek antenatal care late? Perspectives from rural South Africa’, J Midwifery Women’s Health, vol. 48, no. 4, pp. 268-272. |
[25] | Jallow, I K, Chou, Y, Liu, T & Huang, N 2012, ‘Women’s perception of antenatal care services in public and private clinics in the Gambia, International Journal for Quality in Health Care, Vol. 24, no. 6: pp. 595 –600. |
[26] | Fawole, AO, Okunlola, MA & Adekunle, AO 2008, ‘Clients’ perceptions of the Quality of Antenatal Care. J Nat Med Assoc, vol. 100, no. 9, pp: 1052-1057. |
[27] | Lakew, S, Ankala, A, & Jemal, F 2018, ‘Determinants of client satisfaction to skilled antenatal care services at Southwest of Ethiopia: a cross-sectional facility-based survey’ BMC Pregnancy and Childbirth 18: 479 https://doi.org/10.1186/s12884-018-2121-6. |
[28] | Onyeajam DJ, Xirasagar S, Khan M M, James W. Hardin J W & Odutolu O 2018, ‘Antenatal care satisfaction in a developing country: a cross-sectional study from Nigeria’ BMC Public Health, 18: 368 https://doi.org/10.1186/s12889-018-5285-0. |
[29] | Akin, JS, & Hutchinson, P 1999, ‘Health-care facility choice and the phenomenon of by-passing’ Health Policy and Planning, vol. 14, no. 2, pp: 135-151 DOI: 10.1093/heapol/14.2.135. |
[30] | Balogun, OR 2007, ‘Patients perception of quality of antenatal services in four selected private facilities in Ilorin, Kwara State of Nigeria’ Nigerian Medical Practitioner, vol. 51, no. 4, pp: 80-84. |
APA Style
Eyvonne Ngequih Tumasang, Eric Nuvadga Kamando, Kinga Bertila Mayin. (2022). Women’s Satisfaction with the Quality of Antenatal Care Services Being Offered in Bamenda Health District. Journal of Gynecology and Obstetrics, 10(2), 131-138. https://doi.org/10.11648/j.jgo.20221002.21
ACS Style
Eyvonne Ngequih Tumasang; Eric Nuvadga Kamando; Kinga Bertila Mayin. Women’s Satisfaction with the Quality of Antenatal Care Services Being Offered in Bamenda Health District. J. Gynecol. Obstet. 2022, 10(2), 131-138. doi: 10.11648/j.jgo.20221002.21
AMA Style
Eyvonne Ngequih Tumasang, Eric Nuvadga Kamando, Kinga Bertila Mayin. Women’s Satisfaction with the Quality of Antenatal Care Services Being Offered in Bamenda Health District. J Gynecol Obstet. 2022;10(2):131-138. doi: 10.11648/j.jgo.20221002.21
@article{10.11648/j.jgo.20221002.21, author = {Eyvonne Ngequih Tumasang and Eric Nuvadga Kamando and Kinga Bertila Mayin}, title = {Women’s Satisfaction with the Quality of Antenatal Care Services Being Offered in Bamenda Health District}, journal = {Journal of Gynecology and Obstetrics}, volume = {10}, number = {2}, pages = {131-138}, doi = {10.11648/j.jgo.20221002.21}, url = {https://doi.org/10.11648/j.jgo.20221002.21}, eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.jgo.20221002.21}, abstract = {Background: Antenatal care is the care women receive while pregnant. It is an important health service which detects and sometimes curbs the risk of complications among pregnant women (PW). The way women perceive the quality-of-care render during ANC influences utilization and consequently the outcome of pregnancy. This study investigated women’s satisfaction with the quality of antenatal care in the BHD. Women presenting for antenatal care for their second or subsequent visits at 14 health facilities in the Bamenda health district were interviewed in a cross-sectional designed study, using a semi-structured questionnaire. The questionnaire included sociodemographic and obstetric variables, and level of satisfaction with various aspects of antenatal care. Data analysis was done using EPI info. The p-value was set at P<0.05. 396 women participated in the study. 70% of the women were between 20 and 30yrs of age. 81.8% of them were married while. 49.2% had secondary education, 49.7% were self- employed while 10.4% were unemployed. Parity mean of 1.55 ± 1.357. 73.2% began ANC after the first trimester of pregnancy, mean number of ANC visits was 3.82 ±1.721. 84.6% of women were satisfied with elements of quality ANC services, 81.3% with the health education they received and only 41.0% were satisfied interventions for physiological problems of pregnancy. Women who attended faith-based health facilities (FBHF) were more satisfied with elements of quality ANC than those who attended public health facilities the reverse was true for health education messages received where women were more satisfied with public health facilities. There was no significant difference in the interventions during pregnancy for both faith-based and public health facilities (PHF). We concluded that apart from the physiological interventions during pregnancy, women were satisfied with the ANC services they receive in the BHD although there were gaps to be filled to improve on the quality of ANC. The use of antenatal care guidelines was recommended to enable a comprehensive delivery of antenatal care for an optimum satisfaction.}, year = {2022} }
TY - JOUR T1 - Women’s Satisfaction with the Quality of Antenatal Care Services Being Offered in Bamenda Health District AU - Eyvonne Ngequih Tumasang AU - Eric Nuvadga Kamando AU - Kinga Bertila Mayin Y1 - 2022/04/20 PY - 2022 N1 - https://doi.org/10.11648/j.jgo.20221002.21 DO - 10.11648/j.jgo.20221002.21 T2 - Journal of Gynecology and Obstetrics JF - Journal of Gynecology and Obstetrics JO - Journal of Gynecology and Obstetrics SP - 131 EP - 138 PB - Science Publishing Group SN - 2376-7820 UR - https://doi.org/10.11648/j.jgo.20221002.21 AB - Background: Antenatal care is the care women receive while pregnant. It is an important health service which detects and sometimes curbs the risk of complications among pregnant women (PW). The way women perceive the quality-of-care render during ANC influences utilization and consequently the outcome of pregnancy. This study investigated women’s satisfaction with the quality of antenatal care in the BHD. Women presenting for antenatal care for their second or subsequent visits at 14 health facilities in the Bamenda health district were interviewed in a cross-sectional designed study, using a semi-structured questionnaire. The questionnaire included sociodemographic and obstetric variables, and level of satisfaction with various aspects of antenatal care. Data analysis was done using EPI info. The p-value was set at P<0.05. 396 women participated in the study. 70% of the women were between 20 and 30yrs of age. 81.8% of them were married while. 49.2% had secondary education, 49.7% were self- employed while 10.4% were unemployed. Parity mean of 1.55 ± 1.357. 73.2% began ANC after the first trimester of pregnancy, mean number of ANC visits was 3.82 ±1.721. 84.6% of women were satisfied with elements of quality ANC services, 81.3% with the health education they received and only 41.0% were satisfied interventions for physiological problems of pregnancy. Women who attended faith-based health facilities (FBHF) were more satisfied with elements of quality ANC than those who attended public health facilities the reverse was true for health education messages received where women were more satisfied with public health facilities. There was no significant difference in the interventions during pregnancy for both faith-based and public health facilities (PHF). We concluded that apart from the physiological interventions during pregnancy, women were satisfied with the ANC services they receive in the BHD although there were gaps to be filled to improve on the quality of ANC. The use of antenatal care guidelines was recommended to enable a comprehensive delivery of antenatal care for an optimum satisfaction. VL - 10 IS - 2 ER -