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

<i>Introduction</i>: Pregnant women’s satisfaction is a crucial indicator for the continuous improvement of health services, particularly in the management of antenatal care. <i>Objective</i>: 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. <i>Methods</i>: 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. <i>Results</i>: 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. <i>Conclusion</i>: 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.