Abstract
Improving quality of care has been a necessary goal for family planning programme worldwide. The unmet need for family planning services in Ethiopia is believed to be high (26%) while the already available services do not appear to be optimally used by potential clients. It was assessed the quality of family planning services provision. Facility based quantitative and qualitative cross-sectional study based on James Bruce analytical framework was employed from May 1-30, 2016. Three hundred one (301) family planning service users for exit interview and 40 female clients observed while taking service and 4 service providers from four health centers participated for in-depth interview. Facility audit was made on four health centers. Linear regression was used for data analysis. Based on the overall satisfaction score; 68.8% of clients were satisfied in family planning services. Having more children, currently breast feeding, discussion of family planning with husband or partner, and family size were the significant predictors of client satisfaction to family planning services. It revealed that, for a single individual increase in family size the satisfaction score decreases on average by 0.8 at p=0.007, CI (0.005-0.034). For a unit increase in need to have more child, client satisfaction decreases by 0.947 at p=0.002, CI (0.019, 0.088). Utilization of information, education and communication material during consultations was low (65%). Providers didn’t assessed critical information’s in more than two third of observed sessions of history taking and physical examinations. Hence, service providers should be sensitized and motivated to give complete information on a method to the client. The way family planning providers comply with guideline recommendations and utilize information, education and communication materials consistently during client consultations need to be designed by respective health centers.
Highlights
Planning is the planning of when to have children, and the use of birth control and other techniques to implement such plans with services commonly used like sexuality education, prevention and management of sexually transmitted infections, pre-conception counseling and management, and infertility management
The objective of this study was to assess the satisfaction of family planning clients towards the services, investigate the technical competence, interpersonal relations and examine the facilities and resources useful for the provision of effective family planning services in health facilities of Kersa Woreda, Jimma Zone, South west Ethiopia town of the Woreda is called Serbo
Kersa Woreda is one of the eighteen Woredas in Jimma zone in Oromia region, which is located in the Southwestern part of Ethiopia 330 km from Addis Ababa; the nation capital, and 22 km East of Jimma town on the road to Addis Ababa bounded by Tiro Afeta Woreda in the north, Jimma town in west, Omonada Woreda in the east and Dedo Woreda in southern part
Summary
Planning is the planning of when to have children, and the use of birth control and other techniques to implement such plans with services commonly used like sexuality education, prevention and management of sexually transmitted infections, pre-conception counseling and management, and infertility management. Planning is today considered as important in reproductive health and human rights. It is an important component of primary health care, maternal and child health. It is the means of planning families that want space according to choice and time to fit in with life decisions. Contraception is an important issue for all couples, and the method used should be decided by the women and her partner jointly This process is facilitated by establishing a trusting relationship with the client and by providing unbiased, accurate information about all methods available [2,3,4]
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