Assessment of client satisfaction with contraceptive counseling and associated factors among women attending family planning clinics in Asella public health institutions, Oromia regional state, 2018

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Date

2018-06

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Addis Ababa University

Abstract

Background: Family planning (FP) saves lives of women and children and improves the quality of life for all. It is one of the best investments that can be made to ensure the health and well-being of women, children, and communities by decreasing maternal mortality and improves women's health through preventing unwanted and high-risk pregnancies and reducing the need for unsafe abortions. To increase modern contraceptive prevalence rate and decrease discontinuation rate, satisfying clients with contraceptive counseling is crucial. It empowers people to exercise their right to good quality family planning care. Unfortunately, counseling is a deficient process especially in third world countries and sometimes not present at all and can lead to family planning discontinuation, unintended pregnancy and unsafe abortion Objective: To assess client satisfaction with contraceptive counseling and associated factors among women attending family planning clinics in Asella town public health institutions, Ethiopia, 2018 Methods: Facility based cross-sectional study was conducted from February – March, 2018 to assess client satisfaction with contraceptive counseling and associated factors among women attending family planning clinics in Asella public health institutions. Study subjects were selected by using systematic random sampling. Data was collected by questionnaire and entered onto a computer using Epi-info version 3.5.4 statistical program then exported to SPSS version 20 for analysis. Logistic regression was used to predict the relation between dependent and independent variables. Lastly, significant of statistical association was assured or tested using 95% confidence interval and p value <0.05. Results: This study revealed that 62.8% of the study respondents were satisfied with contraceptive counseling. Multiple logistic regression showed that, being urban in residence (AOR=1.93, 95%CI=1.09, 3.41), Time taken to reach nearby health facility(AOR= 2.18,95%CI=1.06,4.49), Explain side effect (AOR=0.408,95%CI=0.22 0.77),being asked reproductive history (AOR=1.918, 95%CI=1.062, 3.465), Asked worries and concern about the method (AOR= 2.409, 5%CI=1.269, 4.557), Explain side effect(AOR= 0.408,95%CI=0.22,0.77), Use of leaflet(AOR= 0.41,95%CI=0.19,0.86) have shown significant association with client satisfaction with contraceptive counseling. Conclusion and recommendation: This study showed that 62.8% of clients who came for family planning services were satisfied with contraceptive counseling. The findings suggested a need for further large scale studies in Ethiopian setup to analyze the institutional contraceptive counseling situation of as to formulate precise strategies to reduce client dissatisfaction and increase contraceptive prevalence rate

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Keywords

Contraceptive counseling, satisfaction, family planning, Asella

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