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Fig. 1 | BMC Pregnancy and Childbirth

Fig. 1

From: Mothers’ satisfaction with care during facility-based childbirth: a cross-sectional survey in southern Mozambique

Fig. 1

Conceptual framework of satisfaction with care during childbirth. Legend: The WHO’s quality of care framework for maternal and newborn health and the Srivastava’s frameworks have been utilized in defining the satisfaction items across each of the three Donabedian’s dimensions of quality of care: cleanliness of the facility and availability of medicines in the structure of care dimension, interaction with providers and the provision of respect in the process of care dimension, and the overall satisfaction of the mothers with the care provided during childbirth in the outcome dimension. Based on this framework, satisfaction is influenced by a variety of factors, and the mother’s level of satisfaction will depend on her evaluation of the distinct dimensions of childbirth. We treated companion support as a key effect modifier, and adjusted for other confounders. We defined, for the analysis, three dimensions: overall satisfaction, interaction with providers and provision of respect. The items included in the overall satisfaction dimension were those about the mothers’ satisfaction with childbirth care, and the level of recommendation for a relative to deliver in the same health facility. The interaction with provider dimension included items about the welcomeness and the willingness of the providers to attend, and about the clarity of the explanations provided. The provision of respect dimension comprised items about the experience of being respectfully treated, the way in which privacy was respected and the issue of disrespect

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