Abera Legesse, Ejigu Ezira, Hailu Mickiale, Tadesse Daniel, Omer Abdu
Department of Public Health, College of Medicine and Health Sciences in Dire Dawa University, Dire Dawa, Ethiopia.
Department of Anesthesia College of Medicine and Health Sciences in Dire, Dawa University, Dire Dawa, Ethiopia.
Contracept Reprod Med. 2023 May 23;8(1):33. doi: 10.1186/s40834-023-00231-1.
Improving the quality of care has been a necessary goal for family planning programs worldwide. Even though extensive work has been done, the contraceptive prevalence rate is still low (41% in Ethiopia, 30.5% in Dire Dawa) and the unmet need for contraception is high (26%) in Ethiopia. Moreover, quality of care in family planning services has an important role in increasing coverage of services and program sustainability. Therefore, the objective of this study was to assess quality of family planning services and associated factors among reproductive age women attending family planning unit in public health facilities in Dire Dawa, Eastern Ethiopia.
A facility-based cross-sectional study was conducted among reproductive-age women attending a family planning unit in Dire Dawa, Eastern Ethiopia, from September 1-30/2021. A total of 576 clients were selected by systematic random sampling and interviewed using a pre-tested structured questionnaire. SPSS version 24 was used to analyze the data, which included descriptive statistics, bi-variable and multivariable logistic regression analyses. To determine the presence of an association between dependent and independent variables, AOR, P-value 0.05, and 95% CI were used.
A total of 576 clients participated in the study and provided a response rate of 99%. The overall satisfaction of clients with FP services was 79%[95% CI:75.2%, 82.9%]. Having primary education (AOR = 2.11, 95% CI(1.11-4.24), convenient facility opening hours (AOR = 3.13, 95% CI (2.12-5.75), maintaining privacy (AOR = 4.1, 95% CI(2.50-8.12), demonstrating how to use F/P method (AOR = 1.98, 95% CI (1.01-5.20), and discussing F/P issues with husbands (AOR = 5.05, 95% CI: 3.33-7.64) were positively significantly associated with client satisfaction.
This study revealed that about four-fifth of the clients was satisfied with the service they received. Clients' education, facility opening hour, maintained privacy, discussion with husband, and demonstration of how to use the methods were associated with client satisfaction. Therefore, health facility heads should improve facility opening hour. Health care providers should maintain client privacy every time, and should consistently utilize information, education, and communication materials during consultation sessions by giving more attention to client who has no education. Partner's discussion on family planning issues should also be encouraged.
提高护理质量一直是全球计划生育项目的必要目标。尽管已经开展了大量工作，但避孕普及率仍然很低（埃塞俄比亚为41%，德雷达瓦为30.5%），埃塞俄比亚未满足的避孕需求很高（26%）。此外，计划生育服务的护理质量在扩大服务覆盖范围和项目可持续性方面发挥着重要作用。因此，本研究的目的是评估埃塞俄比亚东部德雷达瓦公共卫生设施中计划生育单位就诊的育龄妇女的计划生育服务质量及相关因素。
2021年9月1日至30日，在埃塞俄比亚东部德雷达瓦的一个计划生育单位对育龄妇女进行了一项基于机构的横断面研究。通过系统随机抽样选取了576名客户，并使用预先测试的结构化问卷进行访谈。使用SPSS 24版分析数据，包括描述性统计、双变量和多变量逻辑回归分析。为了确定因变量和自变量之间是否存在关联，使用了调整后的比值比（AOR）、P值<0.05和95%置信区间（CI）。
共有576名客户参与了研究，回复率为99%。客户对计划生育服务的总体满意度为79%[95%CI：75.2%，82.9%]。接受过小学教育（AOR = 2.11，95%CI（1.11 - 4.24））、设施开放时间便利（AOR = 3.13，95%CI（2.12 - 5.75））、保持隐私（AOR = 4.1，95%CI（2.50 - 8.12））、演示如何使用计划生育方法（AOR = 1.98，95%CI（1.01 - 5.20））以及与丈夫讨论计划生育问题（AOR = 5.05，95%CI：3.33 - 7.64）与客户满意度呈显著正相关。
本研究表明，约五分之四的客户对所接受的服务感到满意。客户的教育程度、设施开放时间、隐私保护、与丈夫的讨论以及方法演示与客户满意度相关。因此，卫生机构负责人应改善设施开放时间。医护人员应每次都保护客户隐私，并在咨询过程中持续使用信息、教育和宣传材料，尤其要更多关注未受过教育的客户。还应鼓励伴侣参与计划生育问题讨论
