Original Research

Patient satisfaction with peri-partum care at Bertha Gxowa district hospital, South Africa

Nonhlanhla Khumalo, Edrone Rwakaikara
African Journal of Primary Health Care & Family Medicine | Vol 12, No 1 | a2409 | DOI: https://doi.org/10.4102/phcfm.v12i1.2409 | © 2020 Nonhlanhla Khumalo, Edrone Rwakaikara | This work is licensed under CC Attribution 4.0
Submitted: 15 March 2020 | Published: 13 August 2020

About the author(s)

Nonhlanhla Khumalo, Department of Family Medicine and Primary Care, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa
Edrone Rwakaikara, Department of Family Medicine and Primary Care, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa


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Abstract

Background: Patient satisfaction is one of the key outcome measures of healthcare services.

Aim and Setting: To explore factors that influence women’s satisfaction with peri-partum care at Bertha Gxowa district hospital, South African primary care.

Methods: A cross-sectional study involving 260 women was conducted. A structured questionnaire collected information from participants on pain relief, health education provided by healthcare providers, privacy, cleanliness of the ward and their participation in decision-making about care received in the peri-partum period.

Results: Most respondents were co-habiting with their partners (100, 38%) and had completed only secondary school education (119, 46%). The average participant age was 27 years, with an average parity of two children. Most participants were satisfied with the privacy (218, 84%) and the general cleanliness of the wards (233, 90%). However, large proportions of women were dissatisfied with the information given to them by doctors (104, 55%) and nurses (89, 37%), and the rest were unsure. About 189 (73%) participants were dissatisfied with the extent of their participation in decision-making about their own care. The study had a caesarean rate of 53 (20%). Compared to normal vaginal delivery, participants who had caesarean section were significantly more likely to report being satisfied with pain relief during labour (p < 0.001).

Conclusion: The study findings showed varying levels of satisfaction with different aspects of peri-partum care and suggested the need for better pain relief during vaginal delivery, information sharing by doctors and patient emancipation for decision-making about their own care.


Keywords

patient satisfaction; peri-partum; care; family medicine; primary care; general practice; maternal health

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