Determinants of women’s satisfaction with maternal health care: a review of literature from developing countries

Aradhana Srivastava; Bilal I Avan; Preety Rajbangshi; Sanghita Bhattacharyya

doi:10.1186/s12884-015-0525-0

Table 2 Major determinants of maternal satisfaction identified in the review

From: Determinants of women’s satisfaction with maternal health care: a review of literature from developing countries

Quality of Care Framework	Themes	Major determinants	Minor determinants
Quality of Care Framework	Themes	(reported in five or more studies)	(reported in fewer than five studies)
Access	Convenience of access	Distance & transport connectivity	Access to drugs; opening and closing timings
Structure	Physical environment	-	Good infrastructure, electricity, water supply, waiting area, seating arrangement, facility management (patient access and consultation systems, information channels, financial management)
	Cleanliness	Cleanliness, clean toilets, hygiene maintenance	Housekeeping services
	Human resources	-	Staffing adequacy, availability of doctors to manage emergencies, availability of nursing personnel
	Medicines, supplies & services	Availability of drugs and equipment	Availability of - ‘good’ services; ambulance services; lab services; blood supply & transfusion services
Process of care	Promptness of care	Waiting time before admission or consultation	Timely attendance, constant attention; prompt referral; immediate contact with newborn
	Interpersonal behavior	Respectful behavior by doctors, nurses and support staff	Therapeutic communication; encouragement during delivery
	Privacy & confidentiality	Privacy & confidentiality during examinations and delivery	-
	Perception of ‘good’ care	Length of consultation; completeness of procedures; perception of negligent care; perceived provider competence	-
	Cognitive support	Prenatal counseling and health education	Information shared with women about their condition and care; sense of ‘participation’ in the process; culturally sensitive communication
	Emotional support	Birth companion of choice	Social networks of expectant mothers; support from family members
	Preference for female providers	Preference for female providers	-
Cost	Cost of care	Financial cost of care	Affordable drugs, availability of financial support for care
Outcome	Delivery outcome	-	Healthy newborn; survival of maternal illness; successful labour outcome for mother & baby
Other determinants	Maternal characteristics	-	Age, parity, whether pregnancy was intended, stress during delivery and postpartum
Other determinants	Socio-cultural determinants	Literacy	Ethnicity, religion, type of locality where facility is located, expectation of baby’s gender, positive impact of first experience of care

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