Women's satisfaction about MCH care services provided to pregnants attend antenatal care units in Erbil city

  • Jwan Muhammad Sabir Lecturer in community and family medicine / College of Medicine / Hawler medical university.
Keywords: satisfaction, health care services, antenatal care (ANC).


Background and objective Quality of antenatal care services and client satisfaction are interrelated concepts. Measuring quality of care conceptualized in such a broad manner represents a true challenge Studies have revealed positive correlations between patient satisfaction and health care utilization. The present study aimed to determine the level of satisfaction for pregnant women in Erbil society for provision of services and health care utilization .

Method Cross sectional study was carried out on 300 pregnant women attending (MCH) maternal &child health unit of three primary health care center (PHC) in Erbil city ( nazdar bamerni, mala-afandi, azadi) from 1st of march 2008 to the 5th of September 2008. The variables included were socio-economic state, age ,occupation ,address, educational state, religion ,satisfaction with overall care provider, drug provision, tetanus vaccine , waiting time ,and health education regarding family planning and breast feeding programs .

Result about two third of the sample at age group 21-30 year, majority of women 76% was housewives, 43.3% with primary school education, most of them 77.7% from moderate socioeconomic status,89.7% satisfied with care services available, 91.4% were satisfied with adequate medicine supply,88.7% satisfied with tetanus vaccine supply , 84% of the sample satisfied with waiting time in less than one hour, while access of session in female health education talking about important family planning and birth spacing method were19.4%, and information of benefit breast feeding 42.3%.

Conclusion: The study revealed that majority of women satisfy with health care services but Erbil need to improve in the program of health education regarding family Planning and benefits of breast feeding.


Donabedian A. The definition of quality and approaches to its assessment. Michigan: Health administration press; 1982,78-9.

Wright G, Newsome R. A review of patient satisfaction: 1. Concepts of satisfaction. British dental journal. 2002, 567-9.

Donabedian A: The quality of care: How can it be assessed? JAMA 1988;260:1743–8.

Baldo MH, Al-Manzrou YY, Farag MK, Asis KMS, Khan MU: Antenatal care, Attitudes and practices. J trop Pediatr1995;41:21–9.

Pearce CW: seeking a healthy baby: Hispanic women’s views of pregnancy and Prenatal care. Clin Excell Nurse Pract 1998;2:352–61.

Thompson H, Sunol R. Expectations as Determinants of Patient Satisfaction: Concepts, Theory and Evidence. International Journal for Quality in Health Care. 1995,56, 8843-8

Schmittdiel J, Selby V. Effect of Physician and Patient Gender Concordance on Patient Satisfaction and Preventive Care Practices. General Internal Medicine. 2000, 67, 125-98.

Zineldin D. The quality of health care and patient satisfaction: an exploratory investigation of the 5Qs model at some Egyptian and Jordanian medical clinics. International journal of health care quality assurance incorporating leadership in health services. 2006, 87, 435-90

Hakobyan T, Nazaretyan M, Makarova T, Aristakesyan M, Margaryants H, Nolte E. Armenia: Health system review. Health Systems in Transition, 2006; 8(6):1–180.

Islam M. Preface, Paediatric and Perinatal epidemiology 2001, 15, supp, 1:v.

Carroli. G, Roony C, Villar J. How effective is antenatal care in preventing maternal mortality and serious morbidity, an over view of the evidence. Paediatric and prenatal epidemiology 2001,15: suppl.1:s1-42.

Villar J.Bergisjo P. Scientific for the content of routine antenatal care. Aia, philosophy, recent studies, and power to eliminate alleviate adverse maternal outcome. Acta obstetrician et gynecolgica scandnavica 1997:76:1-14.

R Sayers S, Powers J. Risk factors for original low birth weight, intrauterine growth retardation and preterm birth in the Darwin Health region. Aust NZJ Public Health 1997;21:524–30

.Nisar N, Amjad R. research of parren of antenatal care provided at public sector hospital hydarabad sindh. Department of Community Medicine, Dow Medical University, Karachi, Bhitai Hospital, Hyderabad, Sindh, Pakistan20. 2004. internet sited 1.2.2009-Antenatal%20Care%20Quality.pdf http://www ayubmed.edu.pk/JAMC/.../03-Nighat Nisar-Antenatal Care Quality.pdf

Hopkins R, Lawton C, and Wight V. Survey of the satisfaction with care in rheumatology outpatient clinic. Ann Rheumatology Dis 1992;51:195-197

Al-ameen M. Altawil N. Clients Satisfaction With Health Care Provided by the consultation clinics of Al-Kadhimiya Teaching Hospital and Al-Noor Teaching Health Care Center. Baghdad, Iraq 2005, Zanco journal of medical sciences , vol.12(specil issue) 2008

18. Primary Healthcar Reform Project. Patient Satisfaction Survey, Baseline evaluation. Armenia, 2006, 345-78.

Thompson H, Sunol R. Expectations as Determinants of Patient Satisfaction: Concepts, Theory and Evidence. International Journal for Quality in Health Care.1995.

Lumbiganon P. Winiyakul N. Chongsomchai C. Chaisiri K. From research of practice:The example of antenatal care in Tailand Bullitenof WHO 2004;82:746-749.

Grigoryan R., MD, MPH candidate, College of Health Sciences American University of Armenias, Investigating Reasons for High Patient Satisfaction Given Low Utilization of Health Care Services, Armenia, 2007: Qualitative Research page 4-11.

How to Cite
Sabir, J. (2018). Women’s satisfaction about MCH care services provided to pregnants attend antenatal care units in Erbil city. Zanco Journal of Medical Sciences (Zanco J Med Sci), 14(1), 16 - 21. Retrieved from https://zjms.hmu.edu.krd/index.php/zjms/article/view/488
Original Articles