Evidence map›Paper›PMID 31320830›Full record

ArticleTropical medicine and health2019

Women's overall satisfaction with health facility delivery services in Ghana: a mixed-methods study.

Kwame K Adjei, Kimiyo Kikuchi, Seth Owusu-Agyei, Yeetey Enuameh, Akira Shibanuma, Evelyn Korkor Ansah, Junko Yasuoka, Kwaku Poku-Asante, Sumiyo Okawa, Margaret Gyapong and 9 more

Open access · goldAbstract read
In one paragraph

Article in Tropical medicine and health, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
2.6field-weighted citation impact, top 11% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 19 citations in OpenAlex.

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  11. Who Is More Satisfied with Health Services? A Cross-Sectional Study in China.Inquiry : a journal of medical care organization, provision and financing
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

19 authors at 8 institutions in 2 countries.

Kwame K Adjei1Kintampo Health Research Centre, Kintampo, Brong-Ahafo Ghana.
Kimiyo Kikuchi2Institute of Decision Science for a Sustainable Society, Kyushu University, Fukuoka, Japan.
Seth Owusu-Agyei1Kintampo Health Research Centre, Kintampo, Brong-Ahafo Ghana.
Yeetey Enuameh1Kintampo Health Research Centre, Kintampo, Brong-Ahafo Ghana.
Akira Shibanuma5Department of Community and Global Health, Graduate School of Medicine, The University of Tokyo, 7-3-1, Hongo, Bunkyo-ku, Tokyo, 113-0033 Japan.
Evelyn Korkor Ansah3University of Health and Allied Science, Ho, Ghana.
Junko Yasuoka6Research and Education Center for Prevention of Global Infectious Diseases of Animals, Tokyo University of Agriculture and Technology, Tokyo, Japan.
Kwaku Poku-Asante1Kintampo Health Research Centre, Kintampo, Brong-Ahafo Ghana.
Sumiyo Okawa5Department of Community and Global Health, Graduate School of Medicine, The University of Tokyo, 7-3-1, Hongo, Bunkyo-ku, Tokyo, 113-0033 Japan.
Margaret Gyapong3University of Health and Allied Science, Ho, Ghana.
Charlotte Tawiah1Kintampo Health Research Centre, Kintampo, Brong-Ahafo Ghana.
Abraham Rexford Oduro7Navrongo Health Research Centre, Navrongo, Ghana.
Evelyn Sakeah7Navrongo Health Research Centre, Navrongo, Ghana.
Doris Sarpong8Dodowa Health Research Centre, Dodowa, Greater Accra Ghana.
Keiko Nanishi9Office of International Academic Affairs, Graduate School of Medicine and Faculty of Medicine, The University of Tokyo, Tokyo, Japan.
Gloria Quansah Asare10Ghana Health Service, Accra, Ghana.
Abraham Hodgson11Research and Development Division, Ghana Health Service, Accra, Ghana.
Masamine Jimba5Department of Community and Global Health, Graduate School of Medicine, The University of Tokyo, 7-3-1, Hongo, Bunkyo-ku, Tokyo, 113-0033 Japan.
Ghana EMBRACE Implementation Research Project Team
Kintampo Health Research Centre · GHThe University of Tokyo · JPGhana Health Service · GHNavrongo Health Research Centre · GHUniversity of Health and Allied Sciences · GHDodowa Health Research Centre · GHKyushu University · JPTokyo University of Agriculture and Technology · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSkilled birth delivery has increased up to nearly 74% in Ghana, but its quality has been questioned over the years. As understanding women's satisfaction could be important to improving service quality, this study aimed to determine what factors were associated with women's overall satisfaction with delivery services quantitatively and qualitatively in rural Ghanaian health facilities.

resultsThis cross-sectional, mixed methods study used an explanatory sequential design across three Ghana Health Service research areas in 2013. Participants were women who had delivered in the preceding 2 years. Two-stage random sampling was used to recruit women for the quantitative survey. Relationships between women's socio-demographic characteristics and their overall satisfaction with health facility delivery services were examined using univariate and multiple logistic regression analyses. For qualitative analyses, women who completed the quantitative survey were purposively selected to participate in focus group discussions. Data from the focus group discussions were analyzed based on predefined and emerging themes. Overall, 1130 women were included in the quantitative analyses and 136 women participated in 15 focus group discussions. Women's mean age was 29 years. Nearly all women (94%) were satisfied with the overall services received during delivery. Women with middle level/junior high school education [adjusted odds ratio (AOR) = 0.50, 95% confidence interval (CI) = (0.26-0.98)] were less likely to be satisfied with overall delivery services compared to women with no education. Qualitatively, women were not satisfied with the unconventional demands, negative attitude, and unavailability of healthcare workers, as well as the long wait time.

conclusionsAlthough most women were satisfied with the overall service they received during delivery, they were not satisfied with specific aspects of the health services; therefore, higher quality service delivery is necessary to improve women's satisfaction. Additional sensitivity training and a reduction in work hours may also improve the experience of clients.

Indexed as

Child healthClient satisfactionGhanaMaternal healthMixed methodsPregnancy

Identifiers

PMID31320830
PMCPMC6612170
OpenAlexW2954800806

What OpenQuestion holds

Textmetadata
LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.