Goyomsa Girma Garedew, Geleta Leta Adugna, Debela Sisay Abebe, Reshid Nejiba, Ogeto Luke Amana, Lamaro Abota Tafesse, Girma Derara, Dejene Hiwot
Public Health Department, College of Health Science, Salale University, Fitche, Ethiopia.
Blood Donation, National Blood Bank Service of Ethiopia, Addis Ababa, Ethiopia.
Front Glob Womens Health. 2022 Dec 1;3:939783. doi: 10.3389/fgwh.2022.939783. eCollection 2022.
Ethiopia has achieved a remarkable improvement in the provision of family planning. The modern contraceptive prevalence rate has shown a fivefold increment in the last two decades, yet the family planning service in the country is still deficient and characterized by poor counseling quality.
The aim of the study is to assess the quality of family planning counseling provided and the associated factors at selected health centers in Akaki Kality sub-city, Addis Ababa, Ethiopia.
A cross-sectional study was conducted among 678 randomly selected women attending family planning services at health centers in Addis Ababa, Ethiopia. Multivariable logistic regression analysis was performed to identify factors associated with the quality of family planning counseling.
A total of 678 women participated in the study. About 29.1% [95% confidence interval (CI): 25.7%-32.6%] of the respondents were adequately counseled. Age groups 37-49 [adjusted odds ratio (AOR) = 2.7; 95% CI: 1.1-6.6], being in marital union (AOR = 2.8; 95% CI: 1.2-6.7), attaining secondary education (AOR = 1.9; 95% CI: 1.1-3.6) or higher education (AOR = 2.2; 95% CI: 1.2-4.3), and visit status (AOR = 1.6; 95% CI: 1.1-2.4) were significantly associated with good counseling.
Less than one in three women was counseled adequately. Health professionals should give due attention to younger women, single clients, and clients with their first presentation to the health facility. It also indicates that promoting education among Ethiopian women is crucial for a positive outcome of family planning counseling.
埃塞俄比亚在计划生育服务提供方面取得了显著进步。现代避孕普及率在过去二十年中增长了五倍，但该国的计划生育服务仍然不足，且咨询质量较差。
本研究旨在评估埃塞俄比亚亚的斯亚贝巴阿卡基卡利蒂次市选定健康中心提供的计划生育咨询质量及其相关因素。
在埃塞俄比亚亚的斯亚贝巴健康中心随机选取678名接受计划生育服务的女性进行横断面研究。进行多变量逻辑回归分析以确定与计划生育咨询质量相关的因素。
共有678名女性参与了研究。约29.1%[95%置信区间（CI）：25.7%-32.6%]的受访者得到了充分咨询。年龄在37 - 49岁之间[调整后的优势比（AOR）= 2.7；95% CI：1.1 - 6.6]、已婚（AOR = 2.8；95% CI：1.2 - 6.7）、接受过中等教育（AOR = 1.9；95% CI：1.1 - 3.6）或高等教育（AOR = 2.2；95% CI：1.2 - 4.3）以及就诊状态（AOR = 1.6；95% CI：1.1 - 2.4）与良好的咨询显著相关。
不到三分之一的女性得到了充分咨询。卫生专业人员应给予年轻女性、单身客户以及首次到医疗机构就诊的客户应有的关注。这也表明在埃塞俄比亚女性中促进教育对于计划生育咨询取得积极成果至关重要。
