Client Satisfaction on Family Planning Services and Associated Factors in Sodo Woreda Public Health Facilities of Gurage Zone, South, Ethiopia

Abstract

Back ground: Ethiopia is a country with high population growth rate, high fertility and maternal mortality. Providing clients’ satisfying family planning service is effective approach to control population growth. It has contribution on controls fertility and maternal mortality by minimizing contraceptive discontinuation rate and unmet need of family planning. However, as to the best knowledge of principal investigator, there is inadequate information about client satisfaction on family planning service in the region in general and in the study area in particular. Objective: To assess client satisfaction on family planning services and associated factors in public health facilities of Sodo Woreda, Gurage Zone. Methods: Facility based cross-sectional study was conducted using both quantitative and qualitative data collection methods from April, 1-May, 30, 2015.Atotal of 14 health facilities were selected using simple random sampling after having list of sampling frame. And about 421, clients were determined by single population proportion formula and proportionately allocated to size by using one month client flow at all selected 14 facilities. Data were collected by using pre-tested interviewer guided semi structured questionnaire at exit time by trained data collectors and entered by using EPI-Data V 3.5.1 and exported to SPSS V.21 to analyze. Variables associated with pvalue less than 0.05 were reported with 95% CI and AOR as determinant factor for client satisfaction. For facility audit six health facilities were selected purposively among studied facilities. Data were collected by using standardized structured check lists by observing and asking providers and analyzed by grouping similar categories as presence or absence of a condition. Results about 416 clients were effectively interviewed with response rate of 99%.The overall mean age of clients was 28(SD ± 5) year’s .More than half, (53%) of the clients were injectable users followed by Implanon (36%).The overall client satisfaction of this study was 67%. Regarding factors associated with client satisfaction; information given to clients, (AOR=2.51: CI: 1.466, 4.31).And the odes of clients who didn’t recommended FP service to others were 89% less likely be satisfied than those who were recommended service to others. Chosen family planning method received (AOR=2.32: CI: 1.28, 4.21), discussion about family planning with husbands, (AOR=2.04: CI: 1.16, 3.58).The odes of clients who waited >=30 minutes to get service were 82% times less likely to be satisfied than those who waited<30minutes and clients privacy was maintained (AOR=3.36: CI: 1.893, 5.90), were predictors of client satisfaction. Conclusions in this study, more than half, (67%) of clients were satisfied with the overall service. Recommendation Based on these findings we recommended providing effective counseling by demonstrating practically rather than theoretical information was needed for clients to better informed choice; to enhance community based reproductive health service. Facilities should have designed to maintain auditory and visual privacy.