Yemane BerhaneGetachew Wako2022-04-012023-11-052022-04-012023-11-051998-12http://etd.aau.edu.et/handle/123456789/31076Health care services in developing countries are reported to suffer from low quality. A descriptive cross-sectional stud y was conducted to assess the quality of reproductive health care, with emphasis all the structural as aspects in two administrative zones in so mh central Ethiopia. Of the 79 health institutions in the stud y area, 74 were visited for a response rate of 94 %. Data were collected using a questiowlllire adopted from die WHO Safe Motherhood Need Assessment and die WHO training modules for EP[ and STDs. Multiple structural deficiencies were identified in all components of reproductive l1ea1th care. Absolute minimlUll equipment for maternity and neonatal care were found 10 be complete and adequate in 20(27 %) and 3(4. 1 %) of the ins titutions, respectively. Consumable supplies were available adequately in 13(17.6%), sterilizer in 13(17 .6%), essential drugs in 16 (21.6%), ergometrine injection i0 49 (66.2%), and alcohol in 22 (29. 7%) oftlle institutions. [n the EP[ section, steam sterilizer was available in 45(60.8 %), and adequate vaccines in 57 (77 .0%) of the institutions . Only 1( 1.4%) health institution had a complete mix of contraceptives. Important laboral Ory tests(syphilis test, hemoglobi nometer. urine atllllysis) were available fu lly in only one ( 1.4%) health ins ti tution. Only 9(12. 1 %) health insti tutions had adequate [EC materials on all reproductive health components. More than haH [44(59.4% )[ of tlle health institution silad no water source in tlle ircompound. Only 8(10.8 %) were found 10 have a telephone or two-way radio. A third. 25(33.8%), of the heal III institutions had no means of transport. ft is concluded that the Structural searing for reproductive health services is very poor in [he majority of [he health institutions. Recommendations include that besides constructing new health institutions, strong emphasis should be given Oll revitalizing the existing health institutions by correcting stnlcrural deficiencies without delay.enQuality , Reproductive Health ServicesThesis