Satisfaction with malaria care among pregnant women and mothers of under-five years children in Ibadan, Southwest Nigeria
Bibliographic record
Abstract
Abstract Background Patient satisfaction is as an important measure of program assessment and health system performance. In our study, we assessed patient’s satisfaction with malaria care among pregnant women (PW) and mothers of children less than five years of age (MU5) in Ibadan, Nigeria. Methods A cross-sectional design, patient satisfaction with malaria care was assessed among 1,373 participants (818 PW and 555 MU5) with the anti-malarial care they received in a comprehensive hospital in Ibadan, Nigeria. Data on patient satisfaction was obtained using a validated eighteen-item questionnaire (PSQ-18) and analyzed using the standard satisfaction scales and quantitative scores. Results Majority of the study respondents were married and within the age group 25-34years. Overall, indecisive satisfaction (mean range of 3.0-3.99) was observed for items 4, 7, 9, 10, 12, 13, and 16 in the PSQ-18 tool. From the satisfaction sub-scales derived, lowest mean score reflecting poor satisfaction (mean 2.96) was observed for the domain ‘time spent with doctor’ among the pregnant women, while in mothers of children aged under five years, poor satisfaction (mean 2.95) was observed for the general satisfaction sub-scale. Results of the multivariate analysis showed that pregnant women in the upper socioeconomic class had statistically significant lower odds of satisfaction (OR: 0.29, 95% CI: 0.10 – 0.84) with the interpersonal way malaria care was provided. Among mothers of children less than five years old, education and socioeconomic status were significant predictors of higher odds of satisfaction with financial aspects of malaria care.Conclusion Socio economic status and one of its indicators, education plays significant roles in mothers’ satisfaction with health care access, level of care received and most importantly their prospective health seeking behaviour. Important aspect, such as patient’s perception of being well treated by the health care provider should be a key consideration for formulate a patients’ centred strategy to improve health care for malaria in malaria endemic settings.
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.001 | 0.001 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.000 | 0.000 |
| Science and technology studies | 0.000 | 0.000 |
| Scholarly communication | 0.000 | 0.000 |
| Open science | 0.000 | 0.000 |
| Research integrity | 0.000 | 0.000 |
| Insufficient payload (model declined to judge) | 0.001 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".