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Quality of Family Planning Services in Kersa Woreda, Jimma Zone, Southwest Ethiopia: A Facility Based Cross-Sectional Study

Received: 23 June 2021     Accepted: 14 July 2021     Published: 22 July 2021
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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.

Published in American Journal of Clinical and Experimental Medicine (Volume 9, Issue 4)
DOI 10.11648/j.ajcem.20210904.12
Page(s) 86-101
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2021. Published by Science Publishing Group

Keywords

Family Planning, Quality, Kersa Woreda

References
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[3] Mona Sharan, Saifuddin Ahmed, John May, and Agnes Soucat. Family Planning Trends in Sub-Saharan Africa: Progress, Prospects, and Lessons Learned), accessed date November 22, 2015.
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[22] Asfaw Y. Assessment of quality of care in family planning service in AA, 1995).
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[24] Masoumeh Simbar, Mahboobeh Ahmadi, Golnoosh Ahmadi, Hamid Reza and Alavi Majd. Quality assessment of family planning services in urban health centers of Shahid Beheshti Medical Science University Iran. International Journal of Health Care Quality Assurance. 2006, Volume. 19, No. 5.
[25] Semu, Y. Clients’ satisfaction with family planning service in Guji zone, oromia regional state, Ethiopia, 2014.
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  • APA Style

    Tarekegn Jabara, Elias Ali, Zalalem Kaba. (2021). Quality of Family Planning Services in Kersa Woreda, Jimma Zone, Southwest Ethiopia: A Facility Based Cross-Sectional Study. American Journal of Clinical and Experimental Medicine, 9(4), 86-101. https://doi.org/10.11648/j.ajcem.20210904.12

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    ACS Style

    Tarekegn Jabara; Elias Ali; Zalalem Kaba. Quality of Family Planning Services in Kersa Woreda, Jimma Zone, Southwest Ethiopia: A Facility Based Cross-Sectional Study. Am. J. Clin. Exp. Med. 2021, 9(4), 86-101. doi: 10.11648/j.ajcem.20210904.12

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    AMA Style

    Tarekegn Jabara, Elias Ali, Zalalem Kaba. Quality of Family Planning Services in Kersa Woreda, Jimma Zone, Southwest Ethiopia: A Facility Based Cross-Sectional Study. Am J Clin Exp Med. 2021;9(4):86-101. doi: 10.11648/j.ajcem.20210904.12

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  • @article{10.11648/j.ajcem.20210904.12,
      author = {Tarekegn Jabara and Elias Ali and Zalalem Kaba},
      title = {Quality of Family Planning Services in Kersa Woreda, Jimma Zone, Southwest Ethiopia: A Facility Based Cross-Sectional Study},
      journal = {American Journal of Clinical and Experimental Medicine},
      volume = {9},
      number = {4},
      pages = {86-101},
      doi = {10.11648/j.ajcem.20210904.12},
      url = {https://doi.org/10.11648/j.ajcem.20210904.12},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajcem.20210904.12},
      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.},
     year = {2021}
    }
    

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  • TY  - JOUR
    T1  - Quality of Family Planning Services in Kersa Woreda, Jimma Zone, Southwest Ethiopia: A Facility Based Cross-Sectional Study
    AU  - Tarekegn Jabara
    AU  - Elias Ali
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    DO  - 10.11648/j.ajcem.20210904.12
    T2  - American Journal of Clinical and Experimental Medicine
    JF  - American Journal of Clinical and Experimental Medicine
    JO  - American Journal of Clinical and Experimental Medicine
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    EP  - 101
    PB  - Science Publishing Group
    SN  - 2330-8133
    UR  - https://doi.org/10.11648/j.ajcem.20210904.12
    AB  - 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.
    VL  - 9
    IS  - 4
    ER  - 

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Author Information
  • Marie Stopes International Ethiopia, Ambo, Ethiopia

  • Health Science Institute of Jimma University, Jimma, Ethiopia

  • East Wollega Zonal Health Office, Nekemte, Ethiopia

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