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Int. J. Environ. Res. Public Health 2018, 15(2), 325; doi:10.3390/ijerph15020325

Are Kazakhstani Women Satisfied with Antenatal Care? Implementing the WHO Tool to Assess the Quality of Antenatal Services

1
Department of Public Health, Semey State Medical University, Semey 071400, Kazakhstan
2
Central Scientific Research Laboratory, Northern State Medical University, 163000 Arkhangelsk, Russia
3
Department of Public Health, Health Care, Hygiene and Bioethics, North-Eastern Federal University, 677000 Yakutsk, Russia
*
Author to whom correspondence should be addressed.
Received: 14 January 2018 / Revised: 9 February 2018 / Accepted: 10 February 2018 / Published: 13 February 2018
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Abstract

Women’s satisfaction is a part of the quality assurance process with potential to improve antenatal health services. The objective of this study was to assess the prevalence of women’s satisfaction with antenatal care in an urban Kazakhstani setting and investigate associated factors. A total of 1496 women who delivered in all maternity clinics from 6 February through 11 July 2013 in Semey, East Kazakhstan, filled out a standardized pretested questionnaire on satisfaction with antenatal care. Independent associations between dissatisfaction and its correlates were studied by logistic regression. Ninety percent of the women were satisfied with the antenatal care. Women who were dissatisfied had lower education. These women would have preferred more checkups, shorter intervals between checkups, more time with care providers, and shorter waiting times. The overall dissatisfaction was associated with long waiting times and insufficient information on general health in pregnancy, results of laboratory tests, treatment during pregnancy, and breastfeeding. Although most of the women in the study setting were satisfied with the new antenatal care model, we identified the main sources of dissatisfaction that should be addressed. Given that Semey is a typical Kazakhstani city, the results can be generalized to other Kazakhstani urban settings. View Full-Text
Keywords: antenatal care; satisfaction; clients; determinants; Kazakhstan; Central Asia antenatal care; satisfaction; clients; determinants; Kazakhstan; Central Asia
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. (CC BY 4.0).

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Dauletyarova, M.A.; Semenova, Y.M.; Kaylubaeva, G.; Manabaeva, G.K.; Toktabayeva, B.; Zhelpakova, M.S.; Yurkovskaya, O.A.; Tlemissov, A.S.; Antonova, G.; Grjibovski, A.M. Are Kazakhstani Women Satisfied with Antenatal Care? Implementing the WHO Tool to Assess the Quality of Antenatal Services. Int. J. Environ. Res. Public Health 2018, 15, 325.

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