Assessment of Quality of Family Planning Services in Akaki Kality Sub City, Addis Ababa

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Addis Ababa University


Family planning programs have contributed greatly to fertility decline in developing countries, quality of family planning services have contributed in increasing contraceptive use and declining fertility rates .Good quality care in family planning services helps individuals and couples meet their reproductive health needs safely and effectively. A cross sectional study that employed exit interviews with clients, service provider interviews, observations of client- provider interactions, an assessment of the availability of the necessary resources and mystery client observation was conducted in eleven governmental, private and non-governmental service delivery points operating in Akaki-Kality sub city. The study included 415 women through a cross sectional study design to collect primary data. Qualitative and quantitative methods of data collection and analysis were employed. The necessary data were generated both from primary and secondary sources to answer the research questions. Of all the respondents, 76.9% of clients were satisfied with the overall quality of family planning services. The staff treated the clients respectfully in 65.5% of the cases and privacy was maintained for 70.4% of women. Information given about the method was sufficient for 65.3% of clients and 28.2% of clients had an opportunity to ask question. The waiting area was comfortable for 66.5% of women using family planning service and 86.5% of clients were satisfied with the cleanness of the clinic room. Logistic regression analysis of clients’ satisfaction indicated constraints in delivering quality of FP services, which mostly accounts from information given to clients, treating the clients respectfully, maintaining privacy during consultation, cleanness of the clinic room and uncomfortable waiting area lacking seat that accommodate client load. Further, infection prevention procedures were not applied in the majority of the facility. Several aspects of the quality of services observed by this study need to be improved and measures should also be taken to improve the provision of family planning services through training, maintaining adequate resources and supportive supervision.



Assessment of Quality of Family Planning Services