Table 9 Healthcare acceptability measurement tool using factor analysis

Healthcare acceptability measurement tool using factor analysis

Health Institution: Sub-District of Johannesburg

Service: Maternal healthcare

Data collection period:2008/2009

General information

Observed

Reference

Number of included indicators for “Provider” construct

12

Minimum 3

Number of included indicators for “Healthcare” construct

6

Minimum 3

Number of included indicators for “Community” construct

6

Minimum 3

Number of indicator response options (scale)

3

Minimum 3

Number of participants (sample size):

359

 ≥ 250

Suitability

Correlation matrix Bartlett’s test p-value

˂ 0.01

 < 0.05

Kaiser–Meyer–Olkin (KMO) measure of sampling adequacy

0.64

 > 0.50

Exploratory factor analysis

Number of retained factors^a

3

3

Percentage of variability explained

0.83.1

 ≥ 0.60

Confirmation factor analysis

Structural Equation Model (SEM) fitness

chi-square p-value

0.003

 < 0.05

Root mean square error of approximation (RMSA)

0.05

 < 0.5 (ideal); (0.5–0.8): acceptable

Comparative fit index (CFI)

0.97

 > 0.95 (ideal); (> 0.90): acceptable

Tucker-Lewis index (TLI)

0.96

 > 0.95 (ideal); (> 0.90): acceptable

Standardized root mean residual (SRMR)

0.055

 < 0.05 (ideal); (0.05–0.10): acceptable

Reliability

Composite reliability (CR)

 > 0.70 (ideal); (0.45 – 0.70) (acceptable)

Provider

0.001

Healthcare

0.81

Community

0.44

Cronbach’s alpha value (Reliability)

 > 0.70 (ideal); (0.45—70): acceptable

Provider

0.54

Healthcare

0.81

Community

0.67

Validity

Convergent validity (AVE)

 > 0.50

Provider

0.38

Healthcare

0.64

Community

0.49

Discriminating validity (

AVE

MSV

AVE > MSV

Provider

0.38

0.0004

Healthcare

0.64

0.0004

Community

0.49

0.0001

Acceptability index

Scale range (1–100%)

Mean

Std.dev

Min

Max

Provider index

32.93

14.31

17

100

Healthcare Index

48.33

24.31

25

100

Community Index

68.25

14.32

50

100

Maternal healthcare index (1–100%)

52.65

11.21

50

100

List of indicators included

Provider construct variables

Healthcare construct variables

Community construct variables

The doctors and nurses (health workers) explained what to expect when giving birth

The facilities (including waiting area and toilets) are dirty

I had all the support that I needed during my pregnancy from the father of the child

It is a problem that the health workers DO NOT speak my language

Were you allowed to have a companion during your labour?

I had all the support that I needed from my family

Was your privacy respected?

Did you get referred for follow up care for you and the baby?

I had all the support that I needed from my friends

The health workers understood the difficulty of being in labour and assisted me where possible

For birth registration, did you get all the necessary documents?

I received financial help from the father of the child

Were you offered fluids?

Were you told about the child-care grant & where to go for the childcare grant if you qualify?

I received financial help from my family

I DID NOT receive sufficient pain relief during my labour

Did you get referred for follow up care for you and the baby?

I received financial help from my friends

In this clinic are you able to talk to the doctors or nurses in private?

The health workers were too busy to listen to my problems

Were you shouted at during labour?

Were you ever hit, slapped or pinched during labour?

Some staff DO NOT treat patients with sufficient respect

The health workers I saw cared about me

Confirmation of dataset availability

Yes

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