{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,8]],"date-time":"2026-07-08T21:40:44Z","timestamp":1783546844651,"version":"3.55.0"},"reference-count":32,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2006,8,8]],"date-time":"2006-08-08T00:00:00Z","timestamp":1154995200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Tropical Med Int Health"],"published-print":{"date-parts":[[2006,9]]},"abstract":"<jats:title>Summary<\/jats:title><jats:p><jats:bold>Objectives\u2002<\/jats:bold> To describe mothers\u2019 satisfaction with perinatal care received during hospitalization for delivery, and to identify sociodemographic and health\u2010care\u2010related factors associated with satisfaction.<\/jats:p><jats:p><jats:bold>Method\u2002<\/jats:bold> A cross\u2010sectional study of 446 mother\u2013newborn pairs from five hospitals in Puttalam district, Sri Lanka, was carried out by stratified randomization. Client satisfaction was measured using a 16\u2010item survey instrument with high internal consistency (Cronbach's <jats:italic>\u03b1<\/jats:italic>\u2003=\u20030.81), through exit interview.<\/jats:p><jats:p><jats:bold>Results\u2002<\/jats:bold> The proportion of mothers who were fully satisfied varied from 10.8% to 31.4% for interpersonal aspects, and from 10.1% to 28.9% for technical aspects of care. The satisfaction rates were lower with physical environment (6.1\u201310.1%) and higher with outcome of care (41.0\u201348.0%). Multivariate analyses indicated that mothers were more satisfied with the services available from lower level hospitals. Multiparae were more satisfied than primiparae. Determinants of satisfaction included providing immediate mother\u2013newborn contact, information after examination and counselling on family planning. Higher satisfaction with the physical environment was associated with being Moor or Tamil as opposed to Sinhalese and with lower family income.<\/jats:p><jats:p><jats:bold>Conclusions\u2002<\/jats:bold> The factors associated with client satisfaction identified in this study may be helpful in improving quality of care. Hospital staff should ensure that these are addressed and develop interpersonal relationships, especially with the first\u2010time mothers and in higher level hospitals. Maternity units of lower level institutions should be upgraded with essential facilities.<\/jats:p>","DOI":"10.1111\/j.1365-3156.2006.01698.x","type":"journal-article","created":{"date-parts":[[2006,8,8]],"date-time":"2006-08-08T08:01:19Z","timestamp":1155024079000},"page":"1442-1451","source":"Crossref","is-referenced-by-count":59,"title":["Factors determining client satisfaction with hospital\u2010based perinatal care in Sri Lanka"],"prefix":"10.1111","volume":"11","author":[{"given":"Upul","family":"Senarath","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dulitha N.","family":"Fernando","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ishani","family":"Rodrigo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2006,8,8]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1017\/S002193200002160X"},{"key":"e_1_2_7_3_1","first-page":"512","article-title":"Client satisfaction and quality of health care in rural Bangladesh","volume":"79","author":"Aldana JM","year":"2001","journal-title":"Bulletin of the World Health Organization"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.socscimed.2004.05.019"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1523-536X.1994.tb00909.x"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.midw.2004.09.002"},{"key":"e_1_2_7_7_1","volume-title":"Sri Lanka Demographic and Health Survey","author":"Department of Census and Statistics Sri Lanka","year":"2000"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.1988.03410120089033"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1093\/bmb\/ldg008"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.1097\/00005650-199808001-00008"},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.0730-7659.2005.00342.x"},{"key":"e_1_2_7_12_1","doi-asserted-by":"publisher","DOI":"10.1054\/midw.2002.0317"},{"key":"e_1_2_7_13_1","volume-title":"International Standard Classification of Occupations (ISCO 88)","author":"International Labour Organization","year":"1988"},{"key":"e_1_2_7_14_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365-3156.2000.00611.x"},{"key":"e_1_2_7_15_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1523-536x.2000.00235.x"},{"key":"e_1_2_7_16_1","doi-asserted-by":"publisher","DOI":"10.1097\/00001786-200110000-00005"},{"key":"e_1_2_7_17_1","doi-asserted-by":"publisher","DOI":"10.1002\/nur.20021"},{"key":"e_1_2_7_18_1","first-page":"5","article-title":"Technique for the measurement of attitudes","volume":"140","author":"Likert RA","year":"1932","journal-title":"Archives of Psychology"},{"key":"e_1_2_7_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0020-7292(03)00148-6"},{"key":"e_1_2_7_20_1","volume-title":"Clinical Trials: A Practical Approach","author":"Pocock SJ","year":"1983"},{"key":"e_1_2_7_21_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.mlr.0000128005.27364.72"},{"key":"e_1_2_7_22_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365-3156.2003.01111.x"},{"key":"e_1_2_7_23_1","doi-asserted-by":"publisher","DOI":"10.1097\/00005650-199312000-00006"},{"key":"e_1_2_7_24_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1523-536X.1989.tb00878.x"},{"key":"e_1_2_7_25_1","first-page":"148","article-title":"Assessment of client satisfaction in a paediatric ward","volume":"41","author":"De Silva KS","year":"1996","journal-title":"The Ceylon Medical Journal"},{"key":"e_1_2_7_26_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0277-9536(97)00128-7"},{"key":"e_1_2_7_27_1","doi-asserted-by":"publisher","DOI":"10.1136\/qhc.10.1.17"},{"key":"e_1_2_7_28_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1523-536X.2003.00224.x"},{"key":"e_1_2_7_29_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0277-9536(01)00045-4"},{"key":"e_1_2_7_30_1","volume-title":"The millennium development goals report","author":"United Nations","year":"2005"},{"key":"e_1_2_7_31_1","doi-asserted-by":"publisher","DOI":"10.1016\/0149-7189(83)90005-8"},{"key":"e_1_2_7_32_1","doi-asserted-by":"publisher","DOI":"10.1080\/13557850500086721"},{"key":"e_1_2_7_33_1","doi-asserted-by":"publisher","DOI":"10.1097\/00005650-200003000-00009"}],"container-title":["Tropical Medicine &amp; 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