Enhancing Maternal Care: Exploring the Psychometric Properties of Antenatal Care Satisfaction Instrument
DOI:
https://doi.org/10.31674/mjn.2025.v16i03.002Abstract
Background: The quality of antenatal care dispensed to pregnant women is vital for her adherence to antenatal schedules and compliance. However, most of the instruments currently used in India are either non-validated or reflect fragmented models of care. Objective: To develop an “Antenatal Care Satisfaction Instrument” to assess the satisfaction of pregnant women regarding the care received in a public health care facility. Methods: The initial instrument was developed after reviewing the relevant literature and referring the standards developed by various agencies. This was then given to subject matter experts for ensuring the content validity, subsequently, field testing was done in a sample of 300 pregnant women. Further, the exploratory factor analysis was done to confirm the construct validity. Principal component method and Varimax rotation method were used to extract the items, Internal reliability was assessed by Cronbach Alpha. Results: Initially developed 42 items were reduced to 32 after assessing the content validity by CVI –I (>0.78) and CVI –S (0.8). The items were reduced to 20, under five factors as determined by the exploratory factor analysis. Factor V was omitted as Cronbach alpha is 0.45. Thus, the final instrument contains 18 items with four factors, respectful maternity care, interpersonal behaviour, antenatal education, structural aspects of OPD, and preparation for motherhood. Conclusion: The Antenatal Care Satisfaction Instrument (ACSI) can be used as a valid and reliable instrument for assessing the satisfaction of pregnant women and thus to enhance antenatal care.
Keywords:
Antenatal Care, Antenatal Satisfaction, Assessment ToolsDownloads
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