Factors Influencing in-School Adolescents’ Satisfaction with the Quality of Healthcare Delivery in Ghana

Abstract

Adolescents satisfaction with healthcare delivery is critical in enhancing health seeking behaviors in Ghana. Using a cross sectional design, this study sought to find out factors influencing in-school adolescents’ satisfaction with quality of health service delivery in the Cape Coast Metropolis of Ghana. A sample size of 486 was obtained using multi-stage sampling. The RATER model was used for data collection and analysis of the data was done using frequencies, percentages and multiple linear regressions. The results showed that in-school adolescents had higher level of satisfaction with the highest indicators being how they were treated (81%, n = 395) and recommendation of the health facility to friends with (81%, n = 395). Findings also revealed that help from hospital staff (β = .14, p = .002), health personnel responsiveness (β = .13, p = .003), immediate response from staff (β = .15, p = .002) and prompt service delivery (β = .14, p = .002) were significant determinants of client-personnel relationship. Also, availability of enough chairs (β = .18, p < .001) and neat and open washrooms (β = .25, p < .001) were the significant determinants of satisfaction with the physical environment. Again, special attention from the hospital staff (β = .19, p < .001), competence and professionalism of staff (β = .14, p = .001) and uniformity in duty performance (β = .16, p < .001) were the significant determinants of treatment satisfaction. To improve on adolescents’ health seeking behaviour and utilization of health services, it is important to address the determinants of adolescent satisfaction with healthcare delivery systems in the country. It was recommended that heads of the various health facilities should inculcate the culture of delivering prompt service supported with good interpersonal relationship with the adolescents.