Womens' Satisfaction on Post Natal Health Care Services in Chitwan Medical College, Bharatpur, Nepal
DOI:
https://doi.org/10.70280/njph(2025)v2i1.23Abstract
Introduction: Maternal satisfaction is a key indicator of healthcare quality, particularly during the postnatal period. Positive postnatal experience is important for enhancing service utilization and maternal well-being. This study aimed to evaluate postnatal satisfaction levels and associated factors among women.
Methods: A descriptive cross-sectional study was conducted with 274 postnatal women at Chitwan Medical College from March to April 2020. Using a structured questionnaire based on the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS), satisfaction levels across various aspects were assessed. Descriptive statistics, chi-square test, and odds ratio were used for analysis.
Results: Approximately 54.7% of women reported satisfaction with hospital postnatal services with higher satisfaction in domains related to nursing behaviour (77.4%), and hospital cleanliness (96.4%). Satisfaction was associated with factors such as age, religion, education, income, and parity (p<0.005). Prim parous women, those over 24 years of age, and higher-income families reported greater satisfaction.
Conclusion: Most of the women were satisfied with nursing care while areas such as medication, counselling, and cleanliness require attention. Enhancing maternal satisfaction can foster improved healthcare utilization which makes it necessary for health systems to align services with maternal expectations and cultural contexts.
References
1. Panth A, Kafle P. Maternal satisfaction on delivery service among postnatal mothers in a government hospital, Mid‐Western Nepal. Obstetrics and Gynecology International. ;2018(1):4530161. DOI: 10.1155/2018/4530161
2. Saharoy R, Potdukhe A, Wanjari M, Taksande AB. Postpartum depression and maternal care: exploring the complex effects on mothers and infants. Cureus. 2023 Jul;15(7). DOI: https://doi.org/10.7759/cureus.41381
3. Abdollahpour S, Motaghi Z. Lived traumatic childbirth experiences of newly delivered mothers admitted to the postpartum ward: a phenomenological study. Journal of Caring Sciences. 2019 Mar;8(1):23. DOI: https://doi.org/10.15171/jcs.2019.004
4. Ayalew MM, Nebeb GT, Bizuneh MM, Dagne AH. Women’s satisfaction and its associated factors with antenatal care services at public health facilities: a cross-sectional study. International Journal of Women's Health. 2021 Mar 1:279-86. DOI: https://doi.org/10.2147/IJWH.S293725
5. Jiang X, Jiang H, Shan SS, Huang R. Breastfeeding experience of postnatal mothers separated from preterm infants after discharge: a phenomenology qualitative approach. BMC Pregnancy and Childbirth. 2024 Jan 4;24(1):28. DOI: https://doi.org/10.1186/s12884-023-06230-z
6. Family Welfare Division. Nepal safe motherhood and newborn health road map 2030. https://fwd.gov.np/wp-content/uploads/2021/08/SMNH-Roadmap-2030-SGOP.pdf
7. Ministry of Health and Population. Nepal Demographic Health Survey [Internet]. www.dhsprogram.com. 2021. Available from: https://dhsprogram.com/pubs/pdf/FR379/FR379.pdf
8. Neupane S, Rana G. Satisfaction Regarding Postnatal Nursing Care among Mothers Admitted At Koshi Zonal Hospital, Biratnagar. Journal of Nursing and Health Science (IOSR-JNHS). 2019 8(5). DOI: https://doi.org/10.9790/1959-0805101016
9. Adnan FI, Noor NM, Junoh NA. Associated factors of labor satisfaction and predictor of postnatal satisfaction in the north-east of Peninsular Malaysia. PLOS ONE. 2020. DOI: https://doi.org/10.1371/journal.pone.0238310
10. Paudel YR, Mehata S, Paudel D, Dariang M, Aryal KK, Poudel P, King S, Barnett S. Women’s satisfaction of maternity care in Nepal and its correlation with intended future utilization. International Journal of Reproductive Medicine. 2015(1):783050. DOI: https://doi.org/10.1155/2015/783050
11. Sapkota D, Sapkota M, Shrestha B. Mothers' satisfaction on maternity Care Services in bharatpur hospital Chitwan, Nepal. Intern J Sci Res Pub. 2018;8(10.29322). DOI: https://doi.org/10.29322/IJSRP.8.9.2018.p8196
12. Healthcare Commission. Women's experiences of maternity care in the NHS in England: key findings from a survey of NHS trusts carried out in 2007. London: Commission for Healthcare Audit and Inspection; 2007.
13. Kebede DB, Belachew YB, Selbana DW, Gizaw AB. Maternal satisfaction with antenatal care and associated factors among pregnant women in Hossana town. International Journal of Reproductive Medicine. 2020(1):2156347. DOI: 10.1155/2020/2156347
14. Adhikari M, Paudel NR, Mishra SR, Shrestha A, Upadhyaya DP. Patient satisfaction and its socio-demographic correlates in a tertiary public hospital in Nepal: a cross-sectional study. BMC Health Services Research. 2021 Dec;21:1-0. DOI: 10.1186/s12913-021-06155-3
15. Regmi S, Sligl W, Carter D, Grut W, Seear M. A controlled study of postpartum depression among Nepalese women: validation of the Edinburgh Postpartum Depression Scale in Kathmandu. Tropical Medicine & International Health. 2002 Apr;7(4):378-82. DOI: 10.1046/j.1365-3156.2002.00866.x
16. Khaki J. Factors associated with the utilization of postnatal care services among Malawian women. Malawi Medical Journal. 2019 Mar 31;31(1):2-11. DOI: https://doi.org/10.4314/mmj.v31i1.2
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2025 Smriti Poudel Devkota, Srijana Ghimire
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
All articles published in the Nepal Journal of Public Health (NJPH) are licensed under the Creative Commons Attribution 4.0 International (CC BY 4.0) License. This license allows others to:
- Share: Copy and redistribute the material in any medium or format.
- Adapt: Remix, transform, and build upon the material for any purpose, even commercially.
Under the following terms:
- Attribution: Appropriate credit must be given, a link to the license must be provided, and any changes made must be indicated. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.
For more details about the license, please visit the Creative Commons website.
