Determinants of clients’ satisfaction, toward visual inspection with acetic acid for the prevention of cervical cancer among women visiting health facilities in jimma zone, south west Ethiopia

Abstract

Introduction Recently FMOH considering as cervical cancer is a public health problem, introduced SVA with STA for CC screening programme as routine care of reproductive health services. Assessing patient satisfaction, toward the care or attribute of care has a programmatic importance. Objectives Health facilities based study in jimma zone to asses client satisfaction toward VIA service and to identify challenges for timely intervention in Jimma zone, 3 selected Hospitals ,South West Ethiopia, from January to may , 2016/17 Methods A survey with a mixed method of data collection was used. A complete enumeration of data collection with exit interview of 333 screened women was determined using single population proportion formula (P=68.33%-of women very satisfied which was done previously in Malawi), with margin of error 0.05, and 95% CI.Descriptive statistics computed, summarized for essential Characteristics of participants , checked for fitness to Chi-square test & P value of 0.25 used to declare statistical power at univariate level significant variables selected for multiple logistic regression, at P value 0.05, 95 % CI conducted to assess their relationship with client satisfaction level. Results Out of three hundred thirty three screened women the VIA positivity rate over a given study period was 16(4.8%). At least all women were satisfied to the service, majority 228 (68.5%) being very satisfied. It is only having positive attitude toward curability of cervical cancer (AOR = 0.517[0.299-0.894] at 95% CI) which showed statistically significant association to be very satisfied. Conclusion & recommendation Almost all women were satisfied with the service. Still lack of Knowledge and awareness related to cervical cancer and its preventive strategies including VIA were seen prominently. Already started Community awareness on cervical cancer and its preventive strategies including availability of VIA service has to be further strengthened by possible means and with great effort.