Evaluation of quality of safe abortion care service; the case of health facilities of jimma town, south west, Ethiopia

Abstract

Background: Unsafe abortions make up severe threats to women’s health globally. Ethiopia is facing different challenges to deliver accessible and quality abortion care service. hence, showing the gaps will lead for right actions to solve those issues .Evaluation was not conducted on quality of safe abortion care services in Jimma town where the abortion service need was prevalent. Evaluation objective: to evaluate the quality of safe abortion care service at Jimma town health facilities in 2019 GC. Method: Single case study involving both quantitative and qualitative data collection method was conducted from March 11-2019 to April 26-2019 in Jimma town health facilities. This evaluation focused on process components of the program based on Donabedian structureprocess-outcome model of health care quality with formative evaluation approach. A total of 209 clients were interviewed using a structured and interviewer administered questionnaires. Moreover, 12 key informants and 24 observations were undertaken. Furthermore, 24 client records, comprehensive abortion care Registration books, bin cards and monthly reports were reviewed, In addition to the Resource inventory. Quantitative data were checked, coded and entered into EPI data version 3.1 and exported to SPSS window version 21 for Logistic regression analysis was used. Qualitative data were analyzed manually under each thematized area. Result: based on pre sated criteria and judgments: Availability, compliance and Client satisfaction dimensions achieved, 80.7%, 73.1% and 64.8 %, respectively. However, trained staffs do SAC service with other services at a time, intermittent supply of basic supplies for SAC service provision, absences of national guideline at SAC service provision units, not documenting of clients major findings on client cards, non-respectfulness of providers during service provision, poor practice in explanation of the steps of procedures for clients and absences and not using of IEC materials for consultation and information provision was affecting availability and compliance. In addition, Educational level, facility type and days it takes to get abortion service were predictors for client’s satisfaction level on SAC service at Jimma town health facilities. Conclusion and Recommendation: overall quality of SAC service at health facilities of Jimma town is good. Availability, compliance and Client satisfaction dimensions achieved very good, good and good, respectively. We recommend that More efforts to be exerted on improving providers’ compliance, availing of necessary resources to enhance the status of SAC services.