Material Resource Availability, Clients’ Perception and Satisfaction with Quality of Antenatal Services Delivery: A Comparison of Public and Private Secondary Health Facilities in Anambra, Nigeria

Abstract

Background: The extent to which available antenatal care (ANC) services and its delivery is perceived to be of goodquality among ANC attendees, remains key in achieving effective utilization, compliance and desirable outcomes with interventions. Objective: To assess and compare availability of material resources and supplies, perception and satisfaction with quality of services delivery among women accessing ANC at public and private secondary health facilities in Anambra, Nigeria. Materials and Methods: The study was a comparative, cross-sectional analytical study involving pregnant women attending ANC clinic in public and private secondary health facilities in Anambra state. Multi-stage random sampling technique was used to select all eligible and consenting subjects. Data were collected using pretested, semi-structured, interviewer-administered, questionnaire and observation checklist. Data obtained were analyzed using IBM/SPSS version 22.Association between variables were tested using Chi-square and Binary logistic regression. Results: The overall satisfaction on the quality of ANC received by clients from the private healthcare facilities were significantly more likely to use the centre for ANC again 93 (77.5%) compared to public healthcare facilities studied 79 (65.8%). Also, clients from the private healthcare facilities were significantly more likely to recommend the centre to someone 80 (66.7%) compared to public healthcare facilities studied 64 (53.3%). Occupation of spouse (p = 0.042) and parity (p <0.001) were the socio-demographic determinants of overall perception of quality of ANC.Re-registration and recommending facility to someone, were the predictors. Conclusions: There was availability of functional material resources and supplies. The overall perception and satisfaction with quality of ANC services was good. Stakeholder are to sustainavailability of material resources, quality of delivery and periodic feedback from clients.