ArticleBMC health services research2022
Identifying the determinants of patient satisfaction in the context of antenatal care in Kenya, Tanzania, and Malawi using service provision assessment data.
Article in BMC health services research, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
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13 citing papers in PubMed, 20 citations in OpenAlex.
- Evaluating policy guidelines for the prevention and management of anaemia in pregnancy in Africa: a systematic scoping review of practices and recommendations.Tropical medicine and health · 2026Article
- Healthcare service user-reported quality of care in Malawi: a national multifacility cross-sectional study.BMJ open · 2026Article
- The effect of eye health system strengthening on the productivity of services: a before-and-after evaluation conducted in seven counties in Kenya.Frontiers in health services · 2026Article
- Pregnant women's perspectives on antenatal care utilization in Cameroon: a cross- sectional mixed-methods study.Frontiers in global women's health · 2026Article
- Determinants of antenatal care service satisfaction among pregnant women at Kawaala Health Centre IV, Kampala City: a cross-sectional analytical study.Frontiers in reproductive health · 2026Article
- Assessing health service satisfaction among beneficiaries in Cameroon: a cross-sectional study to inform healthcare improvement.BMC health services research · 2025Article
- Mapping the evidence on environmental health services in healthcare facilities in low- and middle-income countries: A systematic literature inventory of over 4,000 studies.medRxiv : the preprint server for health sciences · 2025Article
- Level of satisfaction with the quality of antenatal care services in public health facilities and associated factors among pregnant women in Unguja, Zanzibar.BMC pregnancy and childbirth · 2025Article
- Assessment of healthcare facilities' readiness to provide antenatal care in Ethiopia: facility based study using service provision assessment data.Archives of public health = Archives belges de sante publique · 2025Article
- Article
- Assessing Maternal Satisfaction: Patient-Centered Care, Hospital Environment, and Information-Seeking in Chanika Hospital in Tanzania.Journal of personalized medicine · 2024Article
- Sociodemographic Data and Factors That Influence Patient Satisfaction with the Occupational Health Service of the Tete Provincial Hospital, Mozambique, 2022.Patient preference and adherence · 2024Article
- Determinants of Patient Satisfaction in Indigenous Cancer Palliative Care Services.Inquiry : a journal of medical care organization, provision and financingArticle
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Authors and funding
3 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundAntenatal care (ANC) is a service that can reduce the incidence of maternal and neonatal deaths when provided by skilled healthcare workers. Patient satisfaction is an important health system responsiveness goal which has been shown to influence adherence to healthcare interventions. This study aims to assess the determinants of pregnant women's satisfaction with ANC across Kenya, Tanzania, and Malawi using nationally representative Service Provision Assessment data.
methodsPatient satisfaction was conceptualised mainly based on Donabedian's theory of healthcare quality with patient characteristics, structure, and process as the major determinants. Bivariate and multivariate analyses were conducted to identify the potential determinants.
resultsFindings show that satisfaction was negatively associated with women's age (AOR: 0.95; 95% CI: 0.92-0.99) and having a secondary (AOR: 0.39; 95% CI: 0.17-0.87) or tertiary education (AOR: 0.41; 95% CI: 0.17-0.99) in Kenya. Women on their first pregnancy were more likely to report satisfaction in Tanzania (AOR: 1.62; 95% CI: 1.00-2.62) while women were less likely to report being satisfied in their second trimester in Malawi (AOR: 0.31; 95% CI: 0.09-0.97). The important structural and process factors for patient satisfaction included: private versus public run facilities in Kenya (AOR: 2.05; 95% CI: 1.22-3.43) and Malawi (AOR: 1.85; 95% CI: 0.99-3.43); level of provider training, that is, specialist versus enrolled nurse in Tanzania (AOR: 0.35; 95% CI: 0.13-0.93) or clinical technician in Malawi (AOR: 0.08; 95% CI: 0.01-0.36); and shorter waiting times across all countries.
conclusionFindings highlight the importance of professional proficiency and efficient service delivery in determining pregnant women's satisfaction with ANC. Future studies should incorporate both patient characteristics and institutional factors at health facilities into their conceptualisation of patient satisfaction.
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