Satisfaction levels with antenatal care services among postnatal women attending public hospitals in Sana`a City Yemen
- 1Al-Razi University, Faculty of Medicine and Health Sciences, Community Health and Nutrition Department
Abstract
BackgroundWomens satisfaction with antenatal care (ANC) is an important indicator of maternal healthcare quality and is associated with the utilization of maternal health services. Identifying factors associated with satisfaction can help inform improvements in ANC service delivery. The study aims to assess womens satisfaction and examine factors associated with ANC satisfaction among postnatal women attending public hospitals in Sanaa City, Yemen.
MethodsA descriptive cross-sectional study was conducted among 232 postnatal women attending three public hospitals in Sanaa City, Yemen. Participants were proportionally allocated across the three hospitals according to delivery volume, and eligible postnatal women were recruited consecutively until the required sample size was achieved. Data were collected through face-to-face interviews using a structured questionnaire. Descriptive statistics summarized participants characteristics and satisfaction levels. Chi-square tests assessed associations between categorical variables, and variables with p<0.05 in bivariate analysis were included in multivariable regression. Adjusted Odds Ratio (AORs) with 95% confidence intervals (CIs) were calculated, with statistical significance set at p<0.05.
ResultsOverall, 105 of 232 women (45.3%) were classified as highly satisfied and 127 (54.7%) as having low satisfaction based on the median split. Several factors were independently associated with womens satisfaction. Attendance at ANC education sessions was significantly associated with higher satisfaction, with women who attended sessions more likely to report satisfaction (AOR=6.60, p<0.001). Women with four or fewer children had higher odds of satisfaction (AOR=3.07, p=0.026). Waiting times of less than 30 minutes were associated with higher odds of satisfaction (AOR=3.14, p=0.024), while receiving a delivery plan was also positively associated with satisfaction (AOR=2.77, p=0.009). Residence and education were not significantly associated with womens satisfaction after adjustment.
ConclusionsWomens satisfaction with ANC was mainly associated with service-related and obstetric factors. Strengthening ANC education, reducing waiting times, and improving individualized care planning may improve womens satisfaction with ANC services.
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BibTeX
@misc{alwadhaf2026satisfaction,
title = {{Satisfaction levels with antenatal care services among postnatal women attending public hospitals in Sana`a City Yemen}},
author = {A. F. AL-Wadhaf and N. A. Al-Rabeei and G. I. Hafed and L. S. Al-Sofiani and E. H. Al-Jadi},
howpublished = {medRxiv},
year = {2026},
month = sep,
doi = {10.64898/2026.09.04.26362239},
url = {https://www.medrxiv.org/content/10.64898/2026.09.04.26362239v1},
note = {CC BY},
}
RIS
TY - UNPB
TI - Satisfaction levels with antenatal care services among postnatal women attending public hospitals in Sana`a City Yemen
AU - A. F. AL-Wadhaf
AU - N. A. Al-Rabeei
AU - G. I. Hafed
AU - L. S. Al-Sofiani
AU - E. H. Al-Jadi
PY - 2026
DA - 2026/09/04
PB - medRxiv
DO - 10.64898/2026.09.04.26362239
UR - https://www.medrxiv.org/content/10.64898/2026.09.04.26362239v1
AB - BackgroundWomens satisfaction with antenatal care (ANC) is an important indicator of maternal healthcare quality and is associated with the utilization of maternal health services. Identifying factors associated with satisfaction can help inform improvements in ANC service delivery. The study aims to assess womens satisfaction and examine factors associated with ANC satisfaction among postnatal women attending public hospitals in Sanaa City, Yemen. MethodsA descriptive cross-sectional study was conducted among 232 postnatal women attending three public hospitals in Sanaa City, Yemen. Participants were proportionally allocated across the three hospitals according to delivery volume, and eligible postnatal women were recruited consecutively until the required sample size was achieved. Data were collected through face-to-face interviews using a structured questionnaire. Descriptive statistics summarized participants characteristics and satisfaction levels. Chi-square tests assessed associations between categorical variables, and variables with p<0.05 in bivariate analysis were included in multivariable regression. Adjusted Odds Ratio (AORs) with 95% confidence intervals (CIs) were calculated, with statistical significance set at p<0.05. ResultsOverall, 105 of 232 women (45.3%) were classified as highly satisfied and 127 (54.7%) as having low satisfaction based on the median split. Several factors were independently associated with womens satisfaction. Attendance at ANC education sessions was significantly associated with higher satisfaction, with women who attended sessions more likely to report satisfaction (AOR=6.60, p<0.001). Women with four or fewer children had higher odds of satisfaction (AOR=3.07, p=0.026). Waiting times of less than 30 minutes were associated with higher odds of satisfaction (AOR=3.14, p=0.024), while receiving a delivery plan was also positively associated with satisfaction (AOR=2.77, p=0.009). Residence and education were not significantly associated with womens satisfaction after adjustment. ConclusionsWomens satisfaction with ANC was mainly associated with service-related and obstetric factors. Strengthening ANC education, reducing waiting times, and improving individualized care planning may improve womens satisfaction with ANC services.
ER -