Womens' Satisfaction on Post Natal Health Care Services in Chitwan Medical College, Bharatpur, Nepal

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.