Is Maternal Healthcare Meeting Expectations in Agogo? A Critical Review of Service Satisfaction at Presbyterian Hospital, Akim North Municipality

Résumé

This study evaluates the quality of maternal healthcare services at Presbyterian Hospital, Agogo, following the implementation of quality improvement (QI) interventions. Using a mixed-methods approach, the research combines surveys of patients, review of patient records, and qualitative interviews and focus group discussions to assess satisfaction and clinical performance. The findings reveal high levels of patient satisfaction, with the majority rating their care positively and describing communication with providers as excellent. Clinical adherence to evidence-based practices was consistently strong, and most patients reported timely access to services. However, some inconsistencies remain, particularly related to delays, complications, and gaps in follow-up care. Despite these gains, infrastructural gaps, such as shortages in fetal monitoring equipment and sociocultural influences, continue to pose challenges. The study underscores that sustainable maternal health improvements require a holistic approach that addresses systemic resource shortages and sociocultural factors. Future strategies should combine infrastructural upgrades with culturally sensitive community engagement to foster trust and ensure long-term progress.

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