RESUMEN
BACKGROUND: A woman's satisfaction with antenatal care service has immediate and long-term impacts on maternal and her baby's health. It also ensures further use of service. However, it is not well studied in Ethiopia in general and at the southern region in particular. OBJECTIVE: The main objective of this study is to assess the level of a maternal satisfaction with antenatal care services and associated factors. METHODS: An institution-based cross-sectional study that involves both quantitative and qualitative methods of data collection was employed. A systematic sampling technique was used to obtain study participants, and quantitative data were collected using an interviewer-administered questionnaire. For qualitative data, Focus Group Discussions were done among clients that have a repeated visit by taking educational status as homogeneity criteria. EpiData version 3.1 and SPSS version 21 were used for analysis. Descriptive statistics, bivariate and multivariable logistic regression analyses were employed to describe and identify factors associated with maternal satisfaction on antenatal care. The qualitative data were analyzed thematically and manually. RESULTS: Overall, 74% of mothers were satisfied with antenatal care services rendered in public health institutions of Hossana town. Most of the respondents were satisfied with privacy, cleanness, physical facility, and approaches of care. Age, educational status, privacy, cleanness, distance, and respect were significantly associated with a client's satisfaction. CONCLUSION: Three-fourths of the respondents were satisfied with the service. Age, education, living distance, maintenance of privacy, cleanness of the facility, and respect from providers were the significant predictors of the satisfaction level.
RESUMEN
BACKGROUND: Every health professional around the world is at risk of blood/body fluid exposure and needle stick/sharp injury as a result of exposure to blood or body fluids and needle or sharp injuries. However, the extent of these hazards and their driving forces are not well documented in Ethiopia. Thus, the aim of this study was to assess determinants of blood/body fluid exposure and needle stick/sharp injury among nurses working in Jimma zone, southwest Ethiopia. METHODS: An institution-based census was conducted among 318 nurses working in Jimma zone public hospitals from March 10 to 30, 2016. Data were collected by using pretested self-administered questionnaire. Epi info and SPSS were used for data entry and analysis, respectively. Descriptive statistics were done. Bivariate and inter multivariate logistic regression analysis was also carried out to identify predictors of occupational hazards. RESULTS: The overall prevalence of blood/body fluid exposure and needle stick/sharp injury was found to be 249 (78.3%). Blood/body fluid exposure and needle stick/sharp injury incidents were reported by 62.6 and 58.8% of respondents, respectively. Majority of the hazards occurred during morning shift. Being male [AOR: 2.20, 95% confidence interval (CI): 1.09, 4.4], being single (AOR: 2.26, 95% CI: 1.09, 4.69), and having no training on infection prevention (AOR: 5.99, 95% CI: 3.14, 11.41) were positively associated with blood/body fluid exposure and needle stick/sharp injury; while working in chronic illness follow-up clinic (AOR: 0.19, 95% CI: 0.05, 0.71) showed negative association at p value of 0.05. CONCLUSION: Prevalence of blood/body fluid exposure and needle stick/sharp injury was high among the nurses. The safety of nurses depends directly on the degree to which nurses can identify and control the varied occupational hazards specific to jobs. Thus, working unit specific safety precautions and basic infection prevention in-service training might improve nurses' safety practice and thereby decrease the on job hazard.