Prevalence and Associated Factors of Person-Centred Maternity Care Among Women Who Gave Birth in Public Hospitals of West Arsi Zone, Oromia, Ethiopia, 2023

Background : Person-centered maternity care (PCMC) is critical for improving maternal and neonatal outcomes, yet its prevalence and determinants in Ethiopia remain underexplored. This study assessed the prevalence of PCMC and associated factors among women who gave birth in public hospitals in West Arsi Zone, Oromia, Ethiopia, in 2023. Methods : A facility-based cross-sectional study was conducted from July to September 2023, involving 381 women who gave birth in four public hospitals (Shashamene Comprehensive Specialized Hospital, Melka Oda General Hospital, Nagelle Arsi Primary Hospital, and Dodola General Hospital). Systematic sampling was used to select participants. Data were collected using a validated PCMC scale adapted from prior studies, entered into COBO software, and analyzed using SPSS version 25. Descriptive statistics summarized prevalence, while bivariate and multivariable logistic regression identified factors associated with PCMC, with significance set at p<0.05. Results : The prevalence of PCMC was 47% (95% CI: 41.9–52.1%). Communication and autonomy scored highest (57.2%), followed by dignity and respect (56.4%), and supportive care (45.4%). Significant predictors of lower PCMC included lack of formal education (AOR=0.236, 95% CI: 0.058–0.960), primary education (AOR=0.228, 95% CI: 0.062–0.836), antenatal care (ANC) at private clinics (AOR=0.314, 95% CI: 0.144–0.688), fewer than four ANC visits (AOR=0.436, 95% CI: 0.259–0.735), complications during delivery (AOR=0.518, 95% CI: 0.295–0.907), neonatal death (AOR=0.170, 95% CI: 0.057–0.510), and lower monthly income (<2500 birr: AOR=0.266, 95% CI: 0.110–0.645; 5001–10000 birr: AOR=0.387, 95% CI: 0.158–0.947). Conclusions : PCMC in West Arsi Zone public hospitals is low, particularly in supportive care. Interventions targeting education, ANC access, and income disparities, alongside improved provider training, are needed to enhance PCMC and maternal health outcomes.