Level of Women-friendly Care Provision Among Mothers in Immediate Post-delivery Period at Public Hospitals of Southeast Ethiopia: a Cross-sectional Study

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Abstract Background: Providing good-quality care is one of the most effective ways of ensuring that maternal health services are used and that women's lives are saved. This quality care can be achieved through improving the women-friendly care services. The women-friendly approach focuses on women’s rights to have access to quality care for themselves as individuals, as mothers, and for their infants. However, access to quality health services is not guaranteed for many women, particularly in low and middle-income countries. This study aimed to assess the level of women-friendly care provision and associated factors among mothers in the immediate post-delivery period at public hospitals of Bale Zone, Southeast Ethiopia 2021. Methods: An institutional-based cross-sectional survey was employed among mothers in the immediate post-delivery period in public hospitals of Bale Zone from March 1-30, 2021. A total of 363 mothers in the immediate postnatal period were included in this study. To recruit the study participants a systematic random sampling technique was used. Data was collected through pre-tested structured questioners. After checking for completeness, the data were entered into Epi Data version 4.6.2.0 and exported to SPSS version 26.0 for analysis. The bivariate and multivariable logistic regression model was fitted to identify factors associated with a level of women-friendly care provision. Odds ratio with 95 % confidence interval was computed to determine factors independently associated with outcome. Results: The level of women-friendly care provision among mothers in immediate post-delivery at public hospitals of Bale Zone was found to be 61% [95%CI (55.73-66.04)]. Being prim para mother [AOR=1.88(1.07-3.33)], having planned pregnancy [AOR= 1.94(1.04-3.63)] and staying at a health facility after delivery [AOR=4.8(1.71-13.39)] were found to be statistically significant predictors of level of women-friendly care provision. Conclusion: The women-friendly care provision among mothers in the immediate post-delivery period at this study area was found to be low. All staff should be cooperative to provide good women-friendly care provision in health facilities.

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