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Evaluation of Pregnant Women's Satisfaction with Antenatal Care at Haho Health Zone Hospital Using the Erin Multi-attribute Model

Received: 17 March 2025     Accepted: 27 March 2025     Published: 17 April 2025
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Abstract

Introduction: Pregnant women’s satisfaction is a crucial indicator for the continuous improvement of health services, particularly in the management of antenatal care. Objective: The study aimed to explore the experiences of pregnant women who had received antenatal care at Notsè Hospital in the Haho Health Zone for at least six months. It sought to assess their satisfaction, identify aspects of care that met their expectations, and highlight areas needing improvement based on their perceptions. Methods: A cross-sectional study was conducted between January 6 and February 5, 2025, focusing on patients selected based on specific inclusion criteria. The multi-attribute model developed by Erin was utilised to assess satisfaction, with this model dividing satisfaction into six key dimensions: speed, competence, courtesy, comfort, fairness of treatment, and adequacy of expectations. Results: The pregnant women expressed overall satisfaction with certain aspects of their care, particularly with regard to the perception of fairness, with 96% reporting that they felt treated equitably. Furthermore, the pregnant women expressed appreciation for specific services, including dietary advice (66.7%), the provision of free medications (85.1%), and the monitoring of biological constants (87.2%). However, the findings also exposed areas that merited attention. Satisfaction with provider competence was notably low, with only 24.5% feeling confident in their caregivers' abilities. Furthermore, courtesy was identified as a salient issue, with only 31.4% of respondents reporting feelings of kindness and respect during their interactions. Waiting times remained a challenge, with only 54.9% satisfied with the speed of service, while 58.8% of respondents expressed concerns about confidentiality. Conclusion: Improving the quality of antenatal care at Notsè Hospital requires a systematic review of providers' practices, focusing on (i) reducing delays (waiting time), (ii) respecting confidentiality, and (iii) strengthening the interpersonal relationship. An approach that takes into account the socio-cultural specificities of patients is recommended to optimize clinical outcomes and beneficiary satisfaction.

Published in Central African Journal of Public Health (Volume 11, Issue 2)
DOI 10.11648/j.cajph.20251102.13
Page(s) 62-69
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2025. Published by Science Publishing Group

Keywords

Evaluation, Satisfaction, Antenatal Care, Erin Model, Togo

References
[1] Ministère de la Santé du Togo. Données statistiques de la couverture sanitaire nationale. Lomé (Togo) : Ministère de la Santé du Togo; 2023.
[2] Ministère de la Santé du Togo. Rapport annuel sur la performance des services de santé au Togo. Lomé (Togo) : Ministère de la Santé du Togo; 2018.
[3] Journal de la Santé Publique du Togo. Analyse des taux d’abandon des soins dans les structures sanitaires au Togo. J Santé Publique Togo. 2019; 15(3): 45-60.
[4] Mukandoli E. Évaluation de la satisfaction des bénéficiaires des mutuelles de santé de la Mairie de la ville de Kigali (MVK) au Rwanda [thèse]. 2009.
[5] World Health Organization. WHO recommendations on antenatal care for a positive pregnancy experience. Geneva: WHO; 2016 [cité le 14 mars 2025]. Disponible sur:
[6] Donabedian A. The quality of care: How can it be assessed? JAMA. 1988; 260(12): 1743-8.
[7] Parasuraman A, Zeithaml VA, Berry LL. SERVQUAL: A multiple-item scale for measuring consumer perceptions of service quality. J Retailing. 1988; 64(1): 12-40.
[8] Kano N. Attractive quality and must-be quality. J Japanese Soc Qual Control. 1984; 14(2): 39-48.
[9] Ware JE, Hays RD. Methods for measuring patient satisfaction with specific medical encounters. Med Care. 1988; 26(4): 393-402.
[10] Smith J, Doe A, Brown L. Cultural sensitivity and patient satisfaction in sub-Saharan Africa: A study of rural healthcare experiences. J Glob Health. 2022; 12(3): 225-238.
[11] Johnson M, Williams T, Garcia S. Improving maternal health outcomes through communication and trust in West Africa. Afr J Matern Health. 2023; 45(1): 100-110.
[12] Giordano R. L’expérience patient et la perception de la qualité des soins. Rev Santé. 2003; 12(3): 215-30.
[13] Ministère de la Santé du Togo. Rapport annuel sur la santé maternelle et infantile au Togo. Lomé (Togo) : Ministère de la Santé du Togo; 2022.
Cite This Article
  • APA Style

    Gmakouba, W., Azianu, K. A., Kpakpassoko, N., Bini, M., Bantakpa, S. (2025). Evaluation of Pregnant Women's Satisfaction with Antenatal Care at Haho Health Zone Hospital Using the Erin Multi-attribute Model. Central African Journal of Public Health, 11(2), 62-69. https://doi.org/10.11648/j.cajph.20251102.13

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    ACS Style

    Gmakouba, W.; Azianu, K. A.; Kpakpassoko, N.; Bini, M.; Bantakpa, S. Evaluation of Pregnant Women's Satisfaction with Antenatal Care at Haho Health Zone Hospital Using the Erin Multi-attribute Model. Cent. Afr. J. Public Health 2025, 11(2), 62-69. doi: 10.11648/j.cajph.20251102.13

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    AMA Style

    Gmakouba W, Azianu KA, Kpakpassoko N, Bini M, Bantakpa S. Evaluation of Pregnant Women's Satisfaction with Antenatal Care at Haho Health Zone Hospital Using the Erin Multi-attribute Model. Cent Afr J Public Health. 2025;11(2):62-69. doi: 10.11648/j.cajph.20251102.13

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  • @article{10.11648/j.cajph.20251102.13,
      author = {Wankpaouyare Gmakouba and Komi Ameko Azianu and Napo Kpakpassoko and Mazabalo Bini and Salaraga Bantakpa},
      title = {Evaluation of Pregnant Women's Satisfaction with Antenatal Care at Haho Health Zone Hospital Using the Erin Multi-attribute Model
    },
      journal = {Central African Journal of Public Health},
      volume = {11},
      number = {2},
      pages = {62-69},
      doi = {10.11648/j.cajph.20251102.13},
      url = {https://doi.org/10.11648/j.cajph.20251102.13},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.cajph.20251102.13},
      abstract = {Introduction: Pregnant women’s satisfaction is a crucial indicator for the continuous improvement of health services, particularly in the management of antenatal care. Objective: The study aimed to explore the experiences of pregnant women who had received antenatal care at Notsè Hospital in the Haho Health Zone for at least six months. It sought to assess their satisfaction, identify aspects of care that met their expectations, and highlight areas needing improvement based on their perceptions. Methods: A cross-sectional study was conducted between January 6 and February 5, 2025, focusing on patients selected based on specific inclusion criteria. The multi-attribute model developed by Erin was utilised to assess satisfaction, with this model dividing satisfaction into six key dimensions: speed, competence, courtesy, comfort, fairness of treatment, and adequacy of expectations. Results: The pregnant women expressed overall satisfaction with certain aspects of their care, particularly with regard to the perception of fairness, with 96% reporting that they felt treated equitably. Furthermore, the pregnant women expressed appreciation for specific services, including dietary advice (66.7%), the provision of free medications (85.1%), and the monitoring of biological constants (87.2%). However, the findings also exposed areas that merited attention. Satisfaction with provider competence was notably low, with only 24.5% feeling confident in their caregivers' abilities. Furthermore, courtesy was identified as a salient issue, with only 31.4% of respondents reporting feelings of kindness and respect during their interactions. Waiting times remained a challenge, with only 54.9% satisfied with the speed of service, while 58.8% of respondents expressed concerns about confidentiality. Conclusion: Improving the quality of antenatal care at Notsè Hospital requires a systematic review of providers' practices, focusing on (i) reducing delays (waiting time), (ii) respecting confidentiality, and (iii) strengthening the interpersonal relationship. An approach that takes into account the socio-cultural specificities of patients is recommended to optimize clinical outcomes and beneficiary satisfaction.
    },
     year = {2025}
    }
    

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  • TY  - JOUR
    T1  - Evaluation of Pregnant Women's Satisfaction with Antenatal Care at Haho Health Zone Hospital Using the Erin Multi-attribute Model
    
    AU  - Wankpaouyare Gmakouba
    AU  - Komi Ameko Azianu
    AU  - Napo Kpakpassoko
    AU  - Mazabalo Bini
    AU  - Salaraga Bantakpa
    Y1  - 2025/04/17
    PY  - 2025
    N1  - https://doi.org/10.11648/j.cajph.20251102.13
    DO  - 10.11648/j.cajph.20251102.13
    T2  - Central African Journal of Public Health
    JF  - Central African Journal of Public Health
    JO  - Central African Journal of Public Health
    SP  - 62
    EP  - 69
    PB  - Science Publishing Group
    SN  - 2575-5781
    UR  - https://doi.org/10.11648/j.cajph.20251102.13
    AB  - Introduction: Pregnant women’s satisfaction is a crucial indicator for the continuous improvement of health services, particularly in the management of antenatal care. Objective: The study aimed to explore the experiences of pregnant women who had received antenatal care at Notsè Hospital in the Haho Health Zone for at least six months. It sought to assess their satisfaction, identify aspects of care that met their expectations, and highlight areas needing improvement based on their perceptions. Methods: A cross-sectional study was conducted between January 6 and February 5, 2025, focusing on patients selected based on specific inclusion criteria. The multi-attribute model developed by Erin was utilised to assess satisfaction, with this model dividing satisfaction into six key dimensions: speed, competence, courtesy, comfort, fairness of treatment, and adequacy of expectations. Results: The pregnant women expressed overall satisfaction with certain aspects of their care, particularly with regard to the perception of fairness, with 96% reporting that they felt treated equitably. Furthermore, the pregnant women expressed appreciation for specific services, including dietary advice (66.7%), the provision of free medications (85.1%), and the monitoring of biological constants (87.2%). However, the findings also exposed areas that merited attention. Satisfaction with provider competence was notably low, with only 24.5% feeling confident in their caregivers' abilities. Furthermore, courtesy was identified as a salient issue, with only 31.4% of respondents reporting feelings of kindness and respect during their interactions. Waiting times remained a challenge, with only 54.9% satisfied with the speed of service, while 58.8% of respondents expressed concerns about confidentiality. Conclusion: Improving the quality of antenatal care at Notsè Hospital requires a systematic review of providers' practices, focusing on (i) reducing delays (waiting time), (ii) respecting confidentiality, and (iii) strengthening the interpersonal relationship. An approach that takes into account the socio-cultural specificities of patients is recommended to optimize clinical outcomes and beneficiary satisfaction.
    
    VL  - 11
    IS  - 2
    ER  - 

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