Determinants of maternal health services satisfaction at Jaramogi Oginga Odinga teaching and referral hospital, Kenya

Abstract

Maternal satisfaction is a multi-dimensional healthcare construct affected by; range of services, convenient access of services, interpersonal skills, and physical environment where services are delivered. Dissatisfaction with quality of maternal health services may make women shy away from using such services resulting to poor maternal health outcomes. This study aimed to assess the determinants of maternal health services satisfaction at Jaramogi Oginga Odinga Teaching and Referral Hospital (JOOTRH) in Kenya, premised on the range of maternal services, convenient access, physical environment, and interpersonal skills of health care workers offering maternity services. Mixed Methods Cross-Sectional Study Design was adopted to collect data from 147 pre, natal and postnatal women attending JOOTRH for maternal services, with Health Care Workers subjected to KII and FGD. Systematic sampling was used, and data were analyzed using chi-square testing, binary logistic regression analysis, bivariate analysis, Overall, 53.1% of women were satisfied with maternal services at JOOTRH, Chi-square analysis revealed significant association between range of maternal services, interpersonal skills of healthcare workers which had a very strong correlation with maternal satisfaction with (p<0.001). Convenient access to maternal services and physical environment had a strong statistically significant correlation with maternal satisfaction with (p<0.05 and (p<0.01) respectively. The study at JOOTRH highlights the importance of comprehensive maternity services, convenient access, a well-maintained physical environment, and positive provider interactions in enhancing maternal satisfaction and health outcomes. Improving these areas can significantly contribute to maternal satisfaction, aligning with global health objectives. Recommendations include expanding and integrating maternal services, improving access through reduced waiting times and extended hours, upgrading facilities for comfort and safety, and enhancing healthcare providers' interpersonal skills through regular training and patient feedback mechanisms. Further research should focus on evaluating facility maintenance, provider training on maternal satisfaction and healthcare delivery improvements.