Determinants of Antenatal Care Service Satisfaction among Women in Ethiopia: A systematic Review and Meta-Analysis

Abstract Background: Antenatal care service satisfaction is a measure of the degree to which a woman seeking care is happy with the antenatal care service provided to her. It is important to increase woman utilization of antenatal care service and to improve maternal health. Thus, the aim of this study is to identify factors that determine antenatal care service satisfaction in Ethiopia.Method: PubMed, Hinari, and Google Scholar were systematically searched for eligible studies. The author also conducted gray literature search (e.g., in Google) and hand searched the reference lists of all included studies. All articles reported in the English language irrespective of their duration of publication were included. The Joanna Briggs Institute's (JBI) critical appraisal tools were used to assess the quality of included articles. The Cochrane Q-statistics and I2 tests were used to assess heterogeneity among included studies. Publication bias was assessed using Egger’s tests. Results: Of the 274 articles identified through systematic search of literatures, 13 studies fulfilling inclusion criteria were included in this meta-analysis. First antenatal care visit (AOR = 0.62 and 95% CI: 0.40, 0.96), women waited <60 min (AOR: 1.87 and 95% CI: 1.40-2.50), women whose privacy was maintained (AOR: 3.91 and 95% CI: 1.97-7.77), women treated respectfully (AOR: 5.07 and 95% CI: 2.34-10.96), and unplanned pregnancies (AOR = 0.28 and 95% CI: 0.10-0.77) were significantly associated with antenatal care service satisfaction.Conclusion: The study assessed determinants of antenatal care service satisfaction in Ethiopia. First antenatal care visit, waiting time (<60 min) to see care provider, maintenance of privacy, respectful treatment, and pregnancy unplanned were found to be determinants of antenatal care service satisfaction. Counselling a woman to comply with minimum required antenatal care visit and compassionate and respectful maternity care will increase maternal satisfaction with antenatal care service.