Abstract:
Background: A significant program to prevent unbalanced human population growth, maternal mortality,
unplanned pregnancy, and unsafe abortion, is the immediate postpartum family planning program. Family planning
averts 32% of all maternal deaths and 10% of childhood deaths that occur each year. Yet there is a shortage of
resources & issue of compliance to the national guideline in the program problem in the hospital. Evaluation
assessment on the program is important to increase service implementation & utilization.
Evaluation Objective: To evaluate the implementation status of the Immediate Postpartum family planning
program at Assosa general hospital in, 2022.
Methods: Single Case study design using both quantitative and qualitative method of data collection were
conducted in Assosa general hospital from June 01, 2022, to July 24, 2022. A total sample of 375 mothers was
interviewed by using a semi-structured and interviewer-administered questionnaire. Samples of 55 direct
observations of service provision processes were conducted. Document reviews were carried out three months
back during the study period. Quantitative data were entered into Epi-data 4.6 and exported to SPSS version 23 for
analysis. Bivariate and multivariate logistic regressions were done to determine the predictor of client satisfaction.
Qualitative data were collected from 20 Key informants. The qualitative data were analyzed manually using
thematic analysis.
Results: Availability of program resources were scored 64.75%. For antenatal care, postnatal care units, and
maternity wards, there were regulations, registries, and reporting formats. The major concerns were the dearth of
private rooms, stock out of long-acting family planning supplies, and shortage of trained healthcare workers in the
hospital. Compliance of health care workers with national FP guidelines was scored 62.7%. The overall client
satisfaction was 59%. Cleanliness (AOR=2.46, CI= 1.13, 5.36 ), availability of FP methods (AOR=3.33, CI= 1.23,
9.01), waiting time (AOR=4.91, CI= 1.55, 11.91 ), privacy (AOR=7.61, CI= 2.86, 20.2), respectful care
(AOR=4.3, CI= 1.69, 11.01 ), counseling (AOR) 4.796, CI=1.67, 13.8 ), age greater than 34 years (AOR=4.36,
95% CI= 1.95, 9.74 ), and education level secondary school (AOR=3.33, CI= 1.13, 9.82), and college/higher
education level (AOR=3.39, CI= 1.03, 11.82 ) were the predictor of client satisfaction.
Conclusion: the overall implementation of immediate postpartum family planning service was good with an
overall achievement score of 61.94% in the three dimensions.
Recommendations Rapid action should be taken to address the shortages of private rooms, long-acting family
planning supplies, and trained staff to improve client satisfaction and utilization.
