Quality of Family Planning Services in Kersa Woreda, Jimma Zone, Southwest Ethiopia: A Facility Based Cross-Sectional Study

摘要

Improving quality of care has been a necessary goal for family planning programme worldwide. The unmet need for family planning services in Ethiopia is believed to be high (26%) while the already available services do not appear to be optimally used by potential clients. It was assessed the quality of family planning services provision. Facility based quantitative and qualitative cross-sectional study based on James Bruce analytical framework was employed from May 1-30, 2016. Three hundred one (301) family planning service users for exit interview and 40 female clients observed while taking service and 4 service providers from four health centers participated for in-depth interview. Facility audit was made on four health centers. Linear regression was used for data analysis. Based on the overall satisfaction score; 68.8% of clients were satisfied in family planning services. Having more children, currently breast feeding, discussion of family planning with husband or partner, and family size were the significant predictors of client satisfaction to family planning services. It revealed that, for a single individual increase in family size the satisfaction score decreases on average by 0.8 at p=0.007, CI (0.005-0.034). For a unit increase in need to have more child, client satisfaction decreases by 0.947 at p=0.002, CI (0.019, 0.088). Utilization of information, education and communication material during consultations was low (65%). Providers didn't assessed critical information's in more than two third of observed sessions of history taking and physical examinations. Hence, service providers should be sensitized and motivated to give complete information on a method to the client. The way family planning providers comply with guideline recommendations and utilize information, education and communication materials consistently during client consultations need to be designed by respective health centers.