MATERNAL SATISFACTION WITH BASIC EMERGENCY OBSTETRIC AND NEW BORN CARE SERVICES AND ASSOCIATED FACTORS AMONG MOTHER WHO GAVE BIRTH IN PUBLIC HEALTH FACILITIES OF GEDEO ZONE, SOUTHREN ETHIOPIA,2020:- A CROSS SECTIONAL STUDY

ABSTRACT Introduction: - Client satisfaction is defined as client reported outcome measure while the structure and processes of care can be measured by client reported experiences. Satisfaction has significant public health impact on reducing maternal and neonatal mortality substantially across the globe by giving information on the gaps of health care service from client perspective. Objective: - Aimed to determine level of maternal satisfaction with basic emergency obstetric and new born care services and associated factors among mothers who gave birth in public health facilities of Gedeo zone, Southern, Ethiopia 2020. Methods: - Institutions based cross sectional study was conducted in Gedeo zone, Southern, Ethiopia. Systematic sampling technique was used to select 413 mothers. Structured questionnaire was used to collect data. Data was entered, using Epidata version 3.1 and analyzed using SPSS version 20. Descriptive statistics was used state frequencies and percentages for categorical variables. Factor analysis was used to determine overall level of client satisfaction. After that binary logistic regression was used to identify association between dependent and independent variables. Variables which had P≤0.25 on the bivariate logistic analysis were considered as candidates’ for multivariable binary logistic regression. Model fitness was assessed using Hosmer and Lemeshow test result of 0.70. Finally, AOR at 95%CI and p-value <0.05 were considered statistically significant. Result:- Overall mothers satisfaction with basic emergency obstetric and new born care service in this study was 44.8% at 95%CI (39.7%-49.4%).Age ≥35 years and above [AOR=3.44, 95%CI(1.32,9.97, presence of birth companion [AOR=1.66, 95%CI (1.02, 2.72)], presence/absence toilets [AOR=3.61, 95%CI (2.05, 6.36)], presence/absence waiting home [AOR=2.79, 95%CI (1.09, 7.17)] were significantly associated with client satisfaction with BEMONC service. Conclusion: - The overall satisfaction of mothers with basic emergency obstetric and new born care service was sub optimal.Materanal age, presence of birth companion, availability of maternity waiting home, availability of clean and functional toilets were factors that significantly associated with mothers’ satisfaction with basic emergency obstetric and new born care services.