Antenatal Care Satisfaction and Willingness to Come Back to the Hospital in Southwestern Nigeria: A Qualitative study

Patient satisfaction is a subjective and dynamic perception of the extent to which the patient’s expected healthcare needs are met. If the pregnant women are satisfied with the quality of service received, they will be willing to come back. The aim of this study is to explore the satisfaction of the pregnant women in Ekiti State University Teaching Hospital, Ado-Ekiti and their willingness to use the facility. The study was a qualitative design with 36 participants in 4 FGD in the antenatal clinic of a tertiary hospital to explore the factors enhancing their satisfaction and their willingness to come back to the hospital. During the discussions, note was taken and recorded with an android phone. Discussions were transcribed and analysed by themes manually. Many of the participants were satisfied with the services received in the hospital. The following were the reasons for their satisfaction; competency, confidentiality, health talk and respect by the health workers. Due to these factors, they were willing to come back to the hospital and to recommend to others. Some were dissatisfied because of the high cost, stress of moving from one pay point to another and lack of regular power supply and shortage of doctors at the radiology department. The factors associated with dissatisfaction are modifiable, and if they can be improved upon utilization rate will increase. We therefore recommend that cost should be reduced, harmonise the pay points, employ more doctors and ensure regular power supply in the radiology department.