埃塞俄比亚东部莫霍镇公共卫生设施中女性对堕胎护理的满意度及相关因素

Women's Satisfaction with Abortion Care and Associated Factors in Public Health Facilities of Mojo Town, East Ethiopia.

作者信息

Oda Tola, Sento Midekso, Negera Atoma

机构信息

Clinician at Meki Hospital, Oromia Regional State, Eastern Ethiopia, Ethiopia.

Anatomy Course Unit, Biomedical Department, Adama Hospital Medical College, Eastern Ethiopia, Ethiopia.

出版信息

Int J Reprod Med. 2023 Mar 27;2023:4726878. doi: 10.1155/2023/4726878. eCollection 2023.

DOI:10.1155/2023/4726878

PMID:37021141

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10070018/

Abstract

BACKGROUND

Client satisfaction is an important and commonly used indicator for measuring the quality of health care as it affects clinical outcomes, patient retention, and medical malpractice claims. To limit unintended pregnancies and avoid repeated abortions promoting abortion care services is crucial. In Ethiopia, problems related to abortion were neglected, and access to quality abortion care was very limited. Similarly, information related to abortion care service, particularly clients' satisfaction, and associated factors are limited in the study area that the study will be going to fill.

METHODS

A facility-based cross-sectional study design was employed on 255 women who came for abortion service in public health facilities of Mojo town and were included consecutively. The data was coded and entered into Epi info version 7 software and exported to SPSS version 20 for analysis. Bivariable and multivariable logistic regression models were applied to identify the associated factors. Model fitness and multicollinearity were checked by using the Hosmer-Lemeshow goodness of fit test and the variance inflation factor (VIF). Adjusted odds ratios and their 95% confidence were reported.

RESULTS

A total of 255 study subjects were included in this study with a 100% response rate. The study depicted that 56.5% (95% CI: 51.3, 61.7 of the clients were satisfied with abortion care service. Having college and above educational level (AOR: 0.27; 95% CI: (0.14, 0.95), employee occupation (AOR: 1.86; 95% CI: (1.41, 2.93), medical abortion as a type of uterine evacuation (AOR: 3.93; 95% CI: (1.75, 8.83), and natural method of family planning users (AOR: 0.36; 95% CI: (0.08, 0.60) were factors associated with women's satisfaction.

CONCLUSION

The overall satisfaction towards abortion care was considerably lower. Waiting time, cleanness of rooms, lack of laboratory service, and availability of service providers are mentioned factors for client dissatisfaction.

摘要

背景

客户满意度是衡量医疗保健质量的一个重要且常用的指标，因为它会影响临床结果、患者留存率和医疗事故索赔。为了限制意外怀孕并避免重复堕胎，推广堕胎护理服务至关重要。在埃塞俄比亚，与堕胎相关的问题被忽视，获得高质量堕胎护理的机会非常有限。同样，在本研究即将开展的研究区域，与堕胎护理服务相关的信息，尤其是客户满意度及其相关因素也很有限。

方法

采用基于机构的横断面研究设计，对在莫霍镇公共卫生机构前来接受堕胎服务的255名女性进行连续纳入研究。数据进行编码后录入Epi info 7软件，并导出到SPSS 20版本进行分析。应用双变量和多变量逻辑回归模型来识别相关因素。通过使用Hosmer-Lemeshow拟合优度检验和方差膨胀因子（VIF）来检查模型拟合度和多重共线性。报告调整后的比值比及其95%置信区间。

结果

本研究共纳入255名研究对象，应答率为100%。研究表明，56.5%（95%置信区间：51.3，61.7）的客户对堕胎护理服务感到满意。具有大专及以上教育水平（调整后的比值比：0.27；95%置信区间：（0.14，0.95））、雇员职业（调整后的比值比：1.86；95%置信区间：（1.41，2.93））、作为一种子宫排空方式的药物流产（调整后的比值比：3.93；95%置信区间：（1.75，8.83））以及采用自然计划生育方法的使用者（调整后的比值比：0.36；95%置信区间：（0.08，0.60））是与女性满意度相关的因素。