Tibebu Nebiyu Solomon, Alemu Melaku Birhanu, Rade Bayew Kelkay, Kassie Belayneh Ayanaw, Bicha Mequanint Melesse, Mihret Muhabaw Shumye, Gedef Getachew Muluye
Department of Clinical Midwifery, School of Midwifery, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia.
Department of Health Systems and Policy, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia.
Front Reprod Health. 2024 Oct 1;6:1400359. doi: 10.3389/frph.2024.1400359. eCollection 2024.
Abortion complications are the leading causes of maternal death in low and middle-income countries, including Ethiopia. Providing quality and comprehensive abortion care services is crucial for improving the health of women and increased their satisfaction. Evaluating a client's satisfaction with abortion care is clinically relevant since women's satisfaction with health services is one of the key indicators of high-quality healthcare services. Therefore, this study aimed to assess women's satisfaction with comprehensive abortion care services and associated factors.
An institution-based cross-sectional study was implemented among 333 women in Central Gondar Zone public primary hospitals from October 1, 2022, to April 30, 2023. Eligible participants were selected using a systematic random sampling technique. The data was collected using an interviewer-administered semi-structured, and pretested questionnaire. STATA version 17 and SPSS version 25 software were used for data entry and analysis respectively. Bivariable and multivariable logistic regression models were used to identify factors associated with clients' satisfaction with comprehensive abortion care services. A -value of ≤0.05 with a 95% confidence interval was the cutoff point for determining statistical significance.
This study revealed that the level of client satisfaction with comprehensive abortion care services was 60.4% (95% CI: 55.0%, 66.0%). The use of abortion medication (AOR = 4.41, 95% CI: 2.59, 7.48), women's age 20-24 years (AOR = 2.94, 95% CI: 1.02, 8.48), and being a student (AOR = 2.88, 95% CI: 1.10, 7.51) were significantly associated with women's satisfaction with comprehensive abortion care services.
Women's satisfaction with comprehensive abortion care services was relatively low, and it was strongly correlated with the method of abortion, age, and occupation. To improve women's satisfaction requires a comprehensive understanding of women's values and perspectives, providing sexual and reproductive health education, and quality abortion care services are recommended.
堕胎并发症是包括埃塞俄比亚在内的低收入和中等收入国家孕产妇死亡的主要原因。提供高质量的综合堕胎护理服务对于改善妇女健康和提高她们的满意度至关重要。评估客户对堕胎护理的满意度具有临床相关性，因为妇女对医疗服务的满意度是高质量医疗服务的关键指标之一。因此，本研究旨在评估妇女对综合堕胎护理服务的满意度及其相关因素。
2022年10月1日至2023年4月30日，在中贡德尔地区的公立基层医院对333名妇女进行了一项基于机构的横断面研究。采用系统随机抽样技术选取符合条件的参与者。数据通过访谈员管理的半结构化且经过预测试的问卷收集。分别使用STATA 17版和SPSS 25版软件进行数据录入和分析。采用双变量和多变量逻辑回归模型来确定与客户对综合堕胎护理服务满意度相关的因素。以P值≤0.05且95%置信区间作为确定统计学显著性的临界点。
本研究显示，客户对综合堕胎护理服务的满意度水平为60.4%（95%置信区间：55.0%，66.0%）。使用堕胎药物（调整后比值比[AOR]=4.41，95%置信区间：2.59，7.48）、年龄在20 - 24岁的妇女（AOR = 2.94，95%置信区间：1.02，8.48）以及学生身份（AOR = 2.88，95%置信区间：1.10，7.51）与妇女对综合堕胎护理服务的满意度显著相关。
妇女对综合堕胎护理服务的满意度相对较低，且与堕胎方式、年龄和职业密切相关。为提高妇女满意度，需要全面了解妇女的价值观和观点，提供性与生殖健康教育，并推荐高质量的堕胎护理服务。
