Assessment of quality of family planning services in Dilla town, Gedeo Zone, SNNPR National Regional State.
No Thumbnail Available
Date
2012-05
Authors
Journal Title
Journal ISSN
Volume Title
Publisher
Addis Abeba University
Abstract
Background: Family planning programs have contributed greatly to fertility decline in developing
countries, quality of family planning services is to have contributed to increasing contraceptive useand declining fertility rates. Good quality care in family planning services helps individuals and
couples meet their reproductive health needs safely and effectively.
Objective: To assess the status of quality of Family Planning services in Dilla town Gedeo Zone,
SNNPR National Regional State.
Methods: A facility based cross sectional survey was conducted from January 15- Feb 6,2012 in six
service delivery points in Dilla town using a Bruce-Jain framework consisting six elements of
quality measuring tools such as; method choice, provider-client information exchange, provider
competence, client-provider interaction (interpersonal relation), mechanism to encourage continuity,
and appropriate constellation of services. Observation was made 89 clients interacting with their
providers, exit interview was conducted with 401 clients, and facility audit was also carried out.
Result: Overall 67.1 %clients were satisfied on perception of quality of care on family planning
services. The providers treated the clients respectfully in 52 % of the consultations and Privacy
was maintained 68.9% of women. Information given to clients; clearly explained, informed about
other contraceptive method other than client’s preference and a opportunity to ask question and
clarity was 37.2%, 45.9% and 28.7% were responded that the method respectively.
Multivariate analysis of clients’ satisfaction shown that Client follower of Orthodox and protestant
were 70 and 69 %less likely to be satisfied than client who had follower of Muslim and Catholic
religion, were [AOR= 0.30 (95%CI 0.12-0.80)] and [AOR= 0.31 (95%CI 0.12-0.81)] respectively.
Clients who perceived that provider easily understandable were nearly seven times more likely to
be satisfied than those clients who perceived that provider was difficult or don't understandable.
[AOR =6.7 (95% CI 3.28-13.88)]. Clients who the method was clearly explained three point six
times more likely to be satisfied than those clients the method was not clearly explained.[AOR=
3.6 (95% CI 1.96-6.40)].
Conclusion: A study revealed that constraint in the delivery of family planning quality care,
overall client satisfaction on perception on quality of family planning services was moderate,
which mostly account from information given to clients, and treated the clients respectfully,
maintained privacy during consultation and waiting area lacked seat accommodate client load.
Description
Keywords
Family planning,Quality