Rajendra Karkee|Andy H. Lee|Paras Kumar Pokharel
Women’s perception of quality of maternity services: a longitudinal survey in Nepal
B.P. Koirala Institute of Health Sciences|Curtin University|B.P. Koirala Institute of Health Sciences
context maternity service mothers assessment quality central emotional cultural respectful supports vital labour delivery process study compared clientperceived quality maternity services birth centres public private hospitals central hills district nepala cohort 701 pregnant women 5 months gestational age recruited interviewed followed another interview within 45 days delivery perception quality measured 20item scale three subscales health facility health care delivery interpersonal aspects perceived quality scores analysed anova posthoc comparisons multiple linear regressionwithin health facility subscale birth centre rated lowest items adequacy medical equipment health staff suited womens health adequacy health staff whereas public hospital rated lowest respect adequacy room adequacy water environment clean privacy adequacy information mean scores total quality subscales health facility health care delivery women attending private hospital higher p 0001 using birth centre public hospital mean score subscale interpersonal aspects public hospital users lower p 0001 delivered private hospital birth centre however perception interpersonal aspects women using public hospital improved significantly delivery p 0001overall perception quality differed significantly types health facility used delivery rated lowest supplies equipment birth centres amenities interpersonal aspects public hospital accordingly attention aspects needed improve quality