Autor(es): Dulá, Janeth ; Chicumbe, Sérgio ; Martins, Maria do Rosário O.
Data: 2024
Identificador Persistente: http://hdl.handle.net/10362/172878
Origem: Repositório Institucional da UNL
Assunto(s): Antenatal consultations; Determinants; Mozambique; Primary Health Care; Satisfaction; Obstetrics and Gynaecology
Funding Information: We thank all women who answered the study questionnaires. We would also like to express our thanks to the Instituto Nacional de Saúde of Mozambique and the World Health Organization – the Raise project – for sponsoring and funding the survey, respectively. We also express our gratitude to the Women Scientists Fellowship funded by the Elsevier Foundation “Rede Mulheres Trop” for the opportunity of training in the writing of scientific manuscripts and for the support throughout the writing process of this article. We acknowledge the Fundação para a Ciência e a Tecnologia for resources for GHTM-UID/04413/2020 and LA-REAL-LA/P/0117/2020. Funding Information: We thank all women who answered the study questionnaires. We would also like to express our thanks to the Instituto Nacional de Saúde of Mozambique and the World Health Organization – the Raise project – for sponsoring and funding the survey, respectively. We also express our gratitude to the Women Scientists Fellowship funded by the Elsevier Foundation “Rede Mulheres Trop” for the opportunity of training in the writing of scientific manuscripts and for the support throughout the writing process of this article. We acknowledge the Fundação para a Ciência e a Tecnologia for resources for GHTM-UID/04413/2020 and LA-REAL-LA/P/0117/2020. Publisher Copyright: © The Author(s) 2024.
Background: The Ministry of Health of Mozambique (MISAU) and the World Health Organization (WHO) recommend enhancing pregnant women’s satisfaction with health care services in order to advance maternal and child health. This study aims to assess the levels and determinants of pregnant women’s satisfaction regarding their interactions with antenatal care (ANC) providers, the services of which were provided at the primary health care level in southern Mozambique. Methodology: We conducted an observational, quantitative, and cross-sectional study from November 4 to December 10, 2021. A structured questionnaire was administered to pregnant women who attended ANC during that period. The characteristics of the participants were illustrated using descriptive statistics; to analyse pregnant women’s satisfaction determinants, we estimated crude and adjusted odds ratios (AOR) and 95% confidence intervals (95% CI) using logistic regression models. All analyses were performed in SPSS version 24 using a 5% significance level. Results: We selected 951 pregnant women with a mean age of 25 years old; 14% attained a secondary educational level, 36% were married or living in a marital relationship, and 85.9% reported being satisfied with their current ANC. Factors that reduced the odds of being satisfied were the following: an “insufficient” ANC duration (AOR = 0.173; 95% CI: 0.079, 0.381); inadequate ANC waiting area (AOR = 0.479; 95% CI: 0.265, 0.863); women’s perception about the existing norm of nonattendance in case of late arrival to the ANC (AOR = 0.528; 95% CI 0.292, 0.954); the perception of the existing norm that women are obliged to give birth in same health facility where ANC occurred (AOR = 0.481; 95% CI: 0.273, 0.846); and the perception that delivered ANC is not important for foetal health (AOR = 0.030; 95% CI:0.014, 0.066). Conclusions: Most of the pregnant women mentioned being satisfied with the ANC they received. The perception of short consultation duration, inadequate waiting spaces, strict linkage rules to specific health facilities and ANC norms, the perception that the received ANC is not relevant for foetal well-being are determinants of not being satisfied with ANC, and these determinants can be addressed by reorganizing ANC and, indeed, are modifiable by the improved paced implementation of the MISAU strategies for quality maternal and child health care.
