Chalachew Getahun (PhD)Aknanaw Bezabih2024-12-122024-12-122023-10https://etd.aau.edu.et/handle/123456789/3864Background of the study: Family planning is a conscious decision by individuals or couples to choose for themselves when to start having children, how many children to have, how to space them or when to stop having children by using (modern) contraception and natural methods. Good quality care in family planning services helps individuals and couples meet their reproductive health needs safely and effectively. Objective: To assess the quality of family planning services and its determinants in public health centers of Arada sub-city Addis Ababa, Ethiopia. Method: Facilitybased cross-sectional study was conducted from 15th March to May 25 th 2023 on family planning clients in Arada sub-city Addis Ababa, Ethiopia. Systematic simple random sampling technique was used to get a total of 301 clients in ten health centers as study population. Data was collected using structured questionnaires and was analyzed using SPSS version 24. Bi-variable and multivariable analysis was used to identify the determinant factors associated with client satisfaction among family planning service utilizers in Arada sub-city. Result: The study revealed the quality measure components as 98% for regular availability of methods, 78.5% for information provision with full explanation of methods, 78% for interpersonal relationship with communication clarification, 97.7% clients’ agreement on provider competence. The overall composite satisfaction score was 75.2%. The multivariable analysis results revealed that the service quality satisfaction for those clients’ marital status, educational status, source of information, and the availability of sufficient methods were important factors and significance associations. Regarding marital status, the results showed that being married (78.1%), divorced (62.5%), or widowed (58.3%) was significantly associated with a higher perception of receiving quality family planning service compared to being single. Married had a crude odds ratio (COR) of 4.854, divorced had a COR of 8.100, and widowed had the highest COR of 9.643. The marital status (married, divorced, or widowed) associations were statistically significant with p-values of 0.038, 0.007, and 0.007, respectively. Overall, the interview results indicate that most family planning service providers are skilled and educated in providing high-quality services, even though there is room for improvement. Conclusion: This study revealed that about three-fourth (75.2%) of the clients was satisfied with the service they received and the overall quality measure is good in the provisions of FPS. However, approximately one third of the clients (23.5%) express the need for targeted improvements in two specific areas: the availability of supplies and the presence of trained personnel. By addressing these areas, it is believed that client satisfaction regarding the quality of family planning services can be enhanced, leading to better alignment with client needs. Policymakers and healthcare providers should consider these factors when designing targeted interventions and improving service delivery to ensure equitable access to family planning services, and to explore additional factors and their impact on the quality of family planning services to ensure comprehensive and effective reproductive healthcare services.enfamily planningclient satisfactionquality of FP servicehealth centerThesis