Assessment of quality of safe abortion service provision: clientprovider interaction in safe abortion service in public and private Health facilities of adama town, oromiya, ethiopia

Abstract

Background Globally each year nearly 42 million women faced with unintended pregnancies have abortions, of which 20 million are unsafe, mostly in countries where abortion is illegal. The problem is clearly visible in Africa where around 4 million unsafe abortions occur each year. In Ethiopia, the health service are limited and of poor in quality. Only a few studies on client-provider interaction conducted in safe abortion care in Ethiopia and in the study area, as a result there is a gap of information concerning client-provider interaction. Objective To assess quality of client-provider interaction in comprehensive abortion care in health facilities of Adama Special administrative Town. Methods A facility based cross-sectional study was conducted. Data collection tools were direct service observation, client exit interviews and provider interview were used for the assessment. Data analysis was computed by SPSS. A total of 6 heath facilities were selected from Adama town. A single population proportion with assumption of 50% good client-provider interaction was carried out to include 399 safe abortion service users in the study area. Results Overall, data from service delivery observation showed that 332 (83.2%) of observed service procedure had good client-provider interaction. NGO health institution and high education level has an association with good client-provider interaction. Conclusion Client-provider interaction was generally good. However it is suggested that creating a mechanism to enhance providers existing skill towards client interaction and attitude towards dealing with cases of safe abortion.