Quality of family planning services and associated factor in jimma town public hospitals, southwest Ethiopia

Abstract

Background: Family planning plays an important role in reproductive rights and the protection of maternal health yet is underutilized in many parts of Sub-Saharan Africa. Studies had shown that quality of care is greatly compromised specially in resource limited settings that influence the uptake and continuation of use of family planning services. But the quality of the service, level of client satisfaction and associated factors was not studied in Jimma Town public hospitals. Objective: The main objective of this study was to assess the quality of family planning services and associated factors in Jimma Town Public Hospitals, Southwest Ethiopia. Methods: A facility based cross-sectional study design using both qualitative and quantitative methods was employed from March 25 to April 25 2018. A total of 278 female family planning users (15-49 years) in Jimma Town Public Hospitals were included in the study that was calculated using single population proportion formula and Consecutive sampling methods was used. Descriptive statistics, simple and multiple logistic regressions were used. Firstly, candidate variables were identified using bivariate logistic regression at P value of < 0.25.OR with 95% CI at P value of < 0.05 was used to declare statistical significance. Results: The mean age of the respondents was 27±5 years old with a range between 17-42 years. The mean waiting time of the client before getting service and mean consultation duration was 23.5 and 12.5 minutes respectively. Those who are unable to read and write were 64 % less likely to be satisfied than those who were completed primary and secondary or preparatory schooling (AOR=0.363:CI:0.160,0.822),and those clients who were waiting < 30 minutes at waiting area were 2.7 times more likely to be satisfied than those who were waited ≥30 minutes(AOR=2.769:CI:1.300,5.898),Clients who received information on what to do if experience any problem were 2.8 times more likely to be satisfied than those who don’t received the information (AOR=2.846:CI:1.371,5.909) Conclusions and recommendations: In this study the satisfaction of clients in family planning service were low. This indicates that there is a need for further research.