DETERMINE CLIENT SATISFACTION REGARDING MATERNAL AND CHILD HEALTHCARE SERVICES IN UNIVERSITY OF CALABAR TEACHING HOSPITAL UCTH, CALABAR, CROSS RIVER STATE, NIGERIA

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TABLE OF CONTENT

PAGES

TITLE                                                                                                                                     i

CERTIFICATION                                                                                                                 ii

DEDICATION                                                                                                                       iii

ACKNOWLEDGEMENT                                                                                                     iv

TABLE OF CONTENTS                                                                                                       v

LIST OF TABLES                                                                                                                 viii

LIST OF FIGURES                                                                                                               ix

ABBREVIATIONS                                                                                                               x

CHAPTER ONE: INTRODUCTION

  1. Introduction / Background                                                                                         1
    1. Statement of problem.                                                                                                            4
    1. Justification of Study                                                                                                 5
    1. Objective of  Study                                                                                                    7

1.4.1    General Objective                                                                                                       7

1.4.2    Specific Objectives                                                                                                     7

CHAPTER TWO: LITERATURE REVIEW

  • Introduction                                                                                                                    8
    • Awareness on Post-natal services                                                                                   9
    • Awareness on Family planning services                                                                         9
    • Awareness on Immunization services                                                                            11
    • Determination of  level of satisfaction among clients                                                   12
    • Identification of reasons/ factors for dissatisfaction among clients                              16
    • Identification of consequences associated with client’s dissatisfaction                        18

CHAPTER THREE: METHODOLOGY

3.1    Study Area                                                                                                                     19

3.2    Study Setting                                                                                                                 20

3.3    Study Design                                                                                                                 21

 3.4   Study Population                                                                                                           21

3.5    Eligibility Criteria                                                                                                          22

3.5.1 Inclusion Criteria                                                                                                           22

3.5.2. Exclusion Criteria                                                                                                         22

3.6    Sample Size Determination                                                                                            22

3.7    Sampling Method                                                                                                          23

3.8    Tool for Data Collection                                                                                                24

3.9    Method of Data Collection                                                                                            24

CHAPTER FOUR: ANALYSIS

4.11 Socio-demographic characteristics of respondents                                                         28

4.12 Socio-Economic characteristics of respondents                                                              28

4.13 MCH clinic visit, Delivery sites and Birth weight of index child                                  30

4.14 Purpose of visit to MCH clinic                                                                                       32

4.15 Knowledge of immunization services by respondents                                                   34

4.16 Knowledge of possible side effects observed following immunization                         36

4.17 Knowledge on VPDs by respondents                                                                            38

4.18 Client’s satisfaction with MCH services                                                                                    40

4.19 Level on client satisfaction on MCH services                                                                42

4.20 Reasons for dissatisfaction by respondents                                                                    44

4.21 Service point of dissatisfaction among clients                                                                46

4.22 Consequences of client dissatisfaction                                                                           48

4.23 Reasons clients chose to access immunization services at MCH clinic                          50

4.24 Percentage of respondents who were willing to recommend MCH                              

        Services                                                                                                                           52

4.25 Suggestions by respondents to improve MCH services                                                  54

4.26 Association between socio-demographic variables and client satisfaction                     56

CHAPTER FIVE:  DISCUSSION                                                                                     57-60

CHAPTER SIX:  SUMMARY, CONCLUSION AND RECOMMENDATIONS

6.1. Summary                                                                                                                          61

6.2. Conclusion                                                                                                                       61

6.3. Recommendation                                                                                                             63

REFERENCES

APPENDIX I

APPENDIX II

LIST OF TABLES

Table 1a: Socio-demographic characteristics                                                                          26

Table 1b: Socio-economic characteristics                                                                               27

Table 2: MCH clinic visits, Delivery sites and Birth weight of index child                           29

Table 3: Knowledge on immunization services                                                                       33

Table 4: Client Satisfaction with MCH services                                                                     41

Table 5: Consequences of Client Dissatisfaction                                                                    47

Table 6: Reasons respondents chose MCH clinic for Immunisation                                     

                Services                                                                                                                   49

Table 7: Respondents suggestions to improve MCH services                                                53

Table 8:  Association between socio-demographic variables and client satisfaction 55

LIST OF FIGURES

Figure 1:  Purpose of visit of respondents to MCH clinic                                                      31

Figure 2: Knowledge of possible side effects observed following immunization                  35

Figure 3: Knowledge on VPDs by respondents                                                                     37

Figure 4: Level of clients’ satisfaction with MCH services                                                    39

Figure 5: Reasons for dissatisfaction by respondents                                                             43

Figure 6: Service points of dissatisfaction by respondents                                                     45

Figure 7: Percentage of respondents willing to recommend MCH services                           51

ABBREVIATION

WHO              –           World Health Organization

MCH               –           Maternal and Child Health

PNC                –           Post Natal Care

FP                    –           Family Planning

EPI                  –           Expanded Programme on Immunization

VPDs              –           Vaccine Preventable Diseases

NPC                –           National Population Commission

UNICEF         –           United Nations Children’s Fund

UNFPA           –           United Nations Population Fund

DETERMINE CLIENT SATISFACTION REGARDING MATERNAL AND CHILD HEALTHCARE SERVICES IN UNIVERSITY OF CALABAR TEACHING HOSPITAL UCTH, CALABAR, CROSS RIVER STATE, NIGERIA