Health system responsiveness and its associated factors for delivery care in public health facilities of West Arsi Zone, Oromia, Ethiopia

More than half of the respondents reported that the overall level of health system responsiveness during delivery was good. Adverse neonatal outcome, obstetrics complications and history of admission during current pregnancy had shown statistically significant association with health system responsiveness for delivery care. Enhancing health system responsiveness during delivery needs targeted investments in infrastructure, continuous training for healthcare providers, and tailored support for women who experience adverse neonatal outcomes or obstetric complications. Strengthening these areas is essential for ensuring respectful, timely, and women centered maternity care.