ArticleBMC pregnancy and childbirth2017
Factors determining satisfaction among facility-based maternity clients in Nepal.
Article in BMC pregnancy and childbirth, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers.
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Who cites it
33 citing papers in PubMed.
- Trial
- Maternal Satisfaction With Delivery Services and Associated Factors at Public Health Centers in Horro Guduru Wollega Zone 2024: Institutional-Based Cross-Sectional Study.Health science reports · 2026Article
- Maternal Satisfaction With Midwives' Caregiving in Public Health Facilities: A Scoping Review.Cureus · 2026Review
- Article
- Patient satisfaction with services at dental out patient department- mulago hospital, Uganda.BMC oral health · 2025Article
- Satisfaction of Mothers in the Puerperium Period With the Quality of Inpatient Stay: A Cross-Sectional Study in Mogadishu Public Hospitals.Nursing open · 2025Article
- Maternal satisfaction on delivery service and associated factors among mothers delivered at Arba Minch town governmental health facilities, South Ethiopia: A cross-sectional study.SAGE open medicine · 2024Article
- Factors influencing the implementation of integrated screening for HIV, syphilis, and hepatitis B for pregnant women in Nepal: A qualitative study.PLOS global public health · 2024Article
- A critical review: developing a birth integrity framework for epidemiological studies through meta-ethnography.BMC women's health · 2023Review
- Evaluation of the National Health Insurance Program of Nepal: are political promises translated into actions?Health research policy and systems · 2023Review
- Maternal satisfaction with intrapartum care and associated factors among mothers who gave birth in public hospitals of the South West Shewa Zone, Ethiopia, 2022.Frontiers in global women's health · 2023Article
- A Type II hybrid effectiveness-implementation study of an integrated CHW intervention to address maternal healthcare in rural Nepal.PLOS global public health · 2023Article
- Quality improvement initiative reduces overcrowding on labour and delivery unit in a university hospital in Haiti.BMJ open quality · 2023Article
- Women's perspectives on the quality of hospital maternal and newborn care around the time of childbirth during the COVID-19 pandemic: Results from the IMAgiNE EURO study in Slovenia, Croatia, Serbia, and Bosnia-Herzegovina.International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics · 2022Observational
- Best and worst performing health facilities: A positive deviance analysis of perceived drivers of primary care performance in Nepal.Social science & medicine (1982) · 2022Article
- High coverage but low quality of maternal and newborn health services in the coverage cascade: who is benefitted and left behind in accessing better quality health services in Nepal?Reproductive health · 2022Article
- Investigation of technical quality of antenatal and perinatal services in a nationally representative sample of health facilities in Nepal.Archives of public health = Archives belges de sante publique · 2022Article
- Psychometric Evaluation of the Malay Version of the Childbirth Experience Questionnaire (CEQ-My).International journal of environmental research and public health · 2022Article
- Gender and Antimicrobial Resistance: What Can We Learn From Applying a Gendered Lens to Data Analysis Using a Participatory Arts Case Study?Frontiers in global women's health · 2022Article
- Respectful Maternity Care in South Asia: What Does the Evidence Say? Experiences of Care and Neglect, Associated Vulnerabilities and Social Complexities.International journal of women's health · 2022Review
Corrections and comments
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Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundWith an increasing number of institutional deliveries, the Nepalese health system faces a challenge to ensure a quality of service provision. This paper aims to identify the determinants of client satisfaction with maternity care in Nepal using data from a nationally representative health facility survey.
methodsA total of 447 exit interviews, with women who had either recently delivered or who had experienced obstetric complications, were conducted across 13 districts in Nepal (87% in hospitals, 8% in Primary Health Care Centres (PHCCs), and 5% in Sub/Health Posts(S/HPs). Client satisfaction was measured using an eight item scale that covered accessibility, interpersonal communication, physical environment, technical aspect of care and decision making. A client satisfaction index was computed using ordinal principal component analysis. A multivariate probit model was used to assess the net effect of explanatory variables on client satisfaction.
resultsLonger waiting times and overcrowding increased the likelihood of dissatisfaction. Having an opportunity to ask questions was positively associated with client satisfaction. Respondents from hill districts and rural areas were more likely to be satisfied in comparison to respondents from mountain, terai and urban areas. Socio-demographic factors (age, parity, caste/ethnicity, education, and ecological zone) and supply side factors (the time taken to reach a facility, type of facility, payment for services, and unknown heath worker or anyone entering the delivery room) were not statistically associated with satisfaction.
conclusionsThe findings suggest client satisfaction with the quality of maternity services in Nepal could be improved by reducing waiting times and overcrowding, and giving the mothers adequate time to ask questions. If clients are more satisfied they are more likely to use the facility again/recommend to a friend.
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