Evaluation of Modern Family Planning Program Quality at Public Health centers of Jimma Town, Southwest Ethiopia

Abstract

Background:Good quality of care in modern family planning services help individuals and couples to meet their reproductive health needs safely and effectively.Therefore, assessment and improvement of the quality of family planning services could enhance family planning services utilization. This study was thus conducted to assess the quality of family planning servicesin public health centers of Jimma town, Southwest Ethiopia. The objective of the evaluation: The purpose of this evaluation is to assess the quality of the modern family planning services at public health facilities of Jimma town in 2022. Evaluation Methods and Materials: Facility-based single case study using qualitative and quantitative methods of data collection was conducted from (Jun 1, 2022, to July 5, 2022). This process evaluation employed a formative evaluation approach with the dimensions of availability, compliance, and client satisfaction components. A consecutive sampling technique was used to select 420 eligible participants for quantitative, and eleven key informants were selected purposively for qualitative data, 60 observation sessions and resource inventory. Bivariate and multivariable logistic regression was used for quantitative; the association was declared at p-value < 0.05. A manual thematic analysis technique was used for qualitative. Finally, the result was presented with tables, and figures, and narrated by triangulating with qualitative findings Results:A total of 408 women completed the study with a response rate of 96.6%. In this study, the overall client satisfaction with modern family planning was (52.5%), availability of resourceswas 73% and compliancewas 63.3% withthe overall quality of 62.9% in this study.Being 25-29 years of age was about 4 times more likely to be satisfied by modern family planning as compared to those who were greater than 40 years (AOR = 3.932, CI: 1.039, 14.884). The odds of having two live children were 56.8% less likely satisfied as compared with having three and above children (AOR =0.432, 95% CI = 0.168, 0.862). The odds of planning to no have the next child was 2.520 and were more likely satisfied with using modern family planning as compared with planning to have a child (AOR =2.520, 95% CI = 1.009, 5.320,). The odds of knowing the use of modern family planning were 12 times more likely to be satisfied for spacing b/n children as compared with healthy children(AOR =11.768, 95% CI = 1.369, 200.265). Conclusions: The overall quality of the service as measured by using the three dimensions (availability, compliance, and satisfaction) was found to be fair, which requires improvement. The availability of program resources showed a good performance. Therefore, we highly recommend health centers management and town health office that efforts should be made to improve the quality of the service in the public health centers of Jimma town