Amref Health Africa, Arba Minch, Ethiopia.
Department of Public Health, College of Medicine and Health Science, Arba Minch University, P.O. Box 21, Arba Minch, Ethiopia.
Biomed Res Int. 2019 May 23;2019:9696278. doi: 10.1155/2019/9696278. eCollection 2019.
Evidence shows that services for youths are poorly coordinated and uneven in quality. There is a lack of evidence which informs the level of youth-friendly service quality in the study area. So, this study fills the information gaps and recommends practical solutions.
The main aim of the study was to assess youth-friendly service quality and associated factors at public health facilities in Arba Minch town, Southern Ethiopia.
Facility-based quantitative cross-sectional study supplemented with the qualitative design was conducted from September to December 2017 at two public health centers in Arba Minch town. Sample sizes of 403 young clients were included in the study using a systematic sampling technique. Data was collected by using an interview-administered questionnaire and observation checklist. Quantitative data analysis was made using SPSS version 20.0 to identify the association between the dependent and independent variables. Qualitative findings were coded and analyzed by using content analysis in Microsoft Excel. Finally, results are presented using narrations, tables, and figures.
A total of 403 youth-friendly service clients participated in the study. The overall score input, process, and youth clients' satisfaction was 54.41%, 42.0%, and 49.1%, respectively. Age (15-19) [AOR (95% CI) = 3.2 (1.4-7.8)], employment [AOR (95% CI) = 6.4 (2-17)], place of YFS [AOR (95% CI) = 0.35 (0.1-0.8)], frequency of visit [AOR (95% CI) = 0.03 (0.0-0.3)], waiting time [AOR (95% CI) = 0.02 (0.0-0.09)], and comfort with providers' sex [AOR (95% CI) = 0.07 (0.02-0.2)] were factors which are significantly associated with client satisfaction in this study.
The study revealed that the overall quality of youth-friendly health service is below-set criteria (not good quality) in its all components, i.e., structural, process, and output. So, improvement of facility setup, client-provider interaction, and service sensitivity to all young groups and waiting time of services is essential.
有证据表明，青少年服务的协调和质量参差不齐。缺乏信息来告知研究区域青年友好服务质量的水平。因此，本研究填补了信息空白，并提出了切实可行的解决方案。
本研究的主要目的是评估埃塞俄比亚南部阿尔巴明奇镇公共卫生机构的青年友好服务质量及其相关因素。
2017 年 9 月至 12 月，在阿尔巴明奇镇的两个公共卫生中心进行了基于设施的定量横断面研究，并辅以定性设计。使用系统抽样技术，将 403 名年轻客户纳入研究。使用访谈式问卷和观察清单收集数据。使用 SPSS 版本 20.0 进行定量数据分析，以确定因变量和自变量之间的关联。使用 Microsoft Excel 对定性结果进行编码和分析。最后，使用叙述、表格和图表呈现结果。
共有 403 名青年友好服务客户参加了研究。总体评分投入、过程和青年客户满意度分别为 54.41%、42.0%和 49.1%。年龄（15-19 岁）[优势比（95%置信区间）= 3.2（1.4-7.8）]、就业[优势比（95%置信区间）= 6.4（2-17）]、青年友好服务场所[优势比（95%置信区间）= 0.35（0.1-0.8）]、就诊频率[优势比（95%置信区间）= 0.03（0.0-0.3）]、等待时间[优势比（95%置信区间）= 0.02（0.0-0.09）]和提供者性别舒适度[优势比（95%置信区间）= 0.07（0.02-0.2）]是与本研究中客户满意度显著相关的因素。
研究表明，青年友好型卫生服务的整体质量在其所有组成部分，即结构、过程和产出方面均低于设定标准（质量不佳）。因此，必须改善设施设置、医患互动以及对所有青年群体的服务敏感性和服务等待时间。
