Quality of Family Planning Service in Public Health Centers in Addis Ketema Sub-city, Addis Ababa, Ethiopia, 2017: facility based cross sectional study
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Date
2018-08
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Addis Ababa Universty
Abstract
Background: Quality is an important and commonly used indicator for measuring the health service delivery. Understanding and identifying factors hindering the service delivery are important for improving the quality of service delivered which is a continuous process and shall be done regularly to improve and maintain maximum clients‟ satisfaction level. Though health centers are the common encounter site for most family planning service users, there is no study done separately at these lower facility level (health centers).
Objective: The objective of this study is to assess quality of family planning services provided at health center level in Addis Ababa, Addis ketema sub city.
Methods: Facility based cross sectional study was conducted from 15th April to 30th June 2017 on family planning clients in Addis Ketema sub city. Systematic simple random sampling technique has been used to get a total of 422 clients as study population, 107 observational study and facility audit was conducted in 5 health centers. Data was collected using structured questionnaire and was analyzed using SPSS version 20. Bi variable and multivariable analysis used on components of family planning service quality.
Result: The quality measure components findings were 86% for choice of method, 86.7% for information provision with full explanation of methods, 91.5% for interpersonal relationship with communication clarification, 91% clients‟ agreement on provider competence & only 9.3% for appropriate constellation of service while 90.5% was for follow up and continuity mechanism. Providers used at least one information education and communication material (IEC) in only 22.4% of the consultation sessions. From the inventory part; there was less stock out of supplies though high turnover of trained staff is prevalent. The overall composite satisfaction score was 73.9%. The multivariable analysis revealed that service quality for those clients demonstrated on how to use contraceptive methods was AOR 0.048(95% CI, 0.019, 0.126), decision on method continuation was AOR 0.047(95%CI: 0.018, 0.123) and privacy was AOR 0.0284(95% CI, 0.090, 0.901) times less likely to get poor quality service.
Conclusion: The overall quality measure was 50.2% which is good though it is found to be deficient in different aspects. Concerned bodies should work on improved availability of supply, IEC materials and trained personnel on family planning to maintain the quality of family planning service delivery.
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Keywords
family planning, client satisfaction, quality of FP service, health center