Quality of comprehensive emergency obstetric and newborn care services and associated factors among mothers with obstetric emergencies in public hospitals of west shoa zone, central Ethiopia: A cross-sectional study design

Introduction The obstetric complications remain the leading cause of death in women of reproductive age and their neonates in low and middle-income countries. These deaths are largely preventable through providing quality of care. However, there is limited information about quality of emergency obstetric and newborn care and its associated factors in Ethiopia. Objectives This study aims to assess quality of comprehensive emergency obstetric and newborn care and factors associated with mother satisfaction in public hospitals of West Shoa Zone. Methods and materials A facility-based cross-sectional study design was conducted at four public hospitals of West Shoa Zone from September 01, 2023 to February 28, 2024. A facility audit was conducted at 04 selected public hospitals, and 348 mothers were randomly selected to participate in observation of care, mother exit interview and their medical record reviews. Then, the input, process and output components of quality care were computed. Furthermore, linear regression analysis was fitted and variables having p-value of <0.05 in multivariate analysis were considered as statistically significant predictors for mother satisfaction with quality care. Results The result of the study finding indicates the input, process, and output components of quality care were 81.2%, 78.2%, and 75.9%, respectively. The study also identified mothers’ waiting time for receiving care (B =-2.68, 95% CI: -4.66, -0.70) and duration of hospital stays (B =-0.17, 95%CI:-0.34, -0.01) were significantly associated with mother satisfaction with quality of comprehensive emergency obstetric and newborn care services. Conclusion and recommendations The input, process and output dimensions of quality care were acceptable level in the study area. Mother waiting time and duration of hospital stays were significant predictors of mother satisfaction toward quality of care. Therefore, the health system should strengthen facility infrastructures, availability of essential supplies, and enforcing health care providers’ adherence to standards of care.