Abstract:
BACKGROUND: Good quality of care in family planning (FP) services help individuals and couples to
meet their reproductive health needs safely and effectively. Therefore, assessment and improvement of
the quality of family planning services could enhance family planning services utilization. This study was
thus conducted to assess the quality of family planning services in primary health centers of Jimma
Zone, Southwest Ethiopia.
METHODS: A cross-sectional facility based study was conducted from March 1st-25th, 2011 among
family planning clients of government primary health care centers in southwest Ethiopia. Exit interview
of 301 family planning clients identified through systematic random sampling technique was carried out
using a pre-tested structured questionnaire. Availability of resources was checked using provider
interview and inventory checklist. Moreover, a total of 150 consultation sessions were observed using
checklist. Descriptive statistics and linear regression coefficients were generated to meet the objective of
the study.
RESULTS: There was a shortage of some medical equipment, trained staffs, and information education
and communication materials (IEC) in all of the family planning clinics. The mean waiting time at the
service delivery points and consultation duration were 16.4 and 10.5 minutes, respectively. The providers
used at least one information education and communication material in 33.3% of the consultation
sessions. The overall satisfaction score was 8.64. Clients’ perception on adequacy of information during
consultation ( =0.24; ( 95%CI=0.02-0.16) ease of getting the clinic site, short waiting time ( =0.17;
95%CI=0.15-029) and educational level ( =0.09; 95%CI =0.09-0.29) were significantly associated with
overall satisfaction.
CONCLUSIONS: The findings of this study showed that there was lack of critical resources for the
provision of quality family planning services in all of the primary health care centers included in the
study. This has affected important aspects of service provision including the use of IEC materials during
consultations. Hence, it is advisable that health managers of the health facilities and the district health
office ensure improved availability of trained personnel, IEC materials and other supplies at the clinics.
