Clients‟ satisfaction with family planning service in guji Zone, oromia regional state, ethiopia

Abstract

Background: Good quality care in family planning services helps individuals and couples meet their reproductive health needs safely and effectively. Studies of contraceptive discontinuation rates have indicated that - with the exception of the desire to become pregnant - the principal reason for discontinuation is dissatisfaction with the quality of services. Over all client satisfaction with family planning service, is the main principal determinants of uptake and continued utilization. There were large numbers of researches conducted on satisfaction of health care in general but, only few studies carried out on satisfaction with family planning services in Ethiopia and particularly in Guji zone. Furthermore, in the study area factors affecting clients‟ satisfaction with family planning service were not studied and well known. Hence, this assessment is believed to make it possible to identify problems that exist in the care to clients and to switch on the solutions, enhance the attraction of clients for family planning and also ensure continued use of the service. Objective: To assess clients‟ satisfaction & contributing factors with family planning services in Guji zone, Oromia Regional state Methods & Materials: Descriptive cross-sectional study was employed in public Health institutions providing family planning service. The study was conducted in randomly selected 32 health facilities of Guji zone. Probability proportionate to sample size used to determine the sample for each health facilities based on their previous monthly client flow. 290 women visiting these health facilities for family planning services were interviewed face to face. A median score of nine likert scale items was used to categorize satisfaction & value above the median were labeled as satisfied. A Bivariate analysis was conducted to select candidate variables at P value of 0.25for multivariate analysis. Result: The overall satisfaction with Family planning service was 140(49.6%). Percentage of users‟ satisfaction in hospital (69.4%) was higher than Health centre (47.7%) and Health post (46.0%). Regarding communication with their provider, 238 (84.4%) responded that time to communicate with provider was sufficient &, 239 (84.8%) clients responded provider was easily understandable. Multivariable logistic regression showed that type of health facility (AOR=0.146, 95% CI (0.024, 0.904)), family size (AOR=3.69595% CI (1.253, 10.895)), time to have next child (AOR=0.16595% CI (0.032, 0.845)), age of women (AOR=0.890 95% CI (0.798, 0.992)) and understanding provider during counseling (AOR=5.329 95% CI (1.177, 24.139)) were significantly associated with satisfaction. Conclusion: The overall satisfaction with family planning service provided was marginal. Sufficient method availability was the major areas where users show high disagreement. Multivariate analysis showed that family size (AOR=3.695) & Understanding provider during counseling (AOR=5.329) were strong predictors of satisfaction with family planning.