Abstracto

Clients’ satisfaction with contraceptive counseling and associated factors among reproductive-age women visiting the public health facilities for family planning service at Jimma town, southwest Ethiopia

Tolesa Gemeda, Desta Workneh , Mr. Gadisa Bekele

Background: Clients’ satisfaction is the best indicator of quality service provision and has been found to associate with continuity of care received by the client. It is usually measured through women’s perceptions of services.

Objective: To assess the level of clients’ satisfaction with contraceptive counseling and associated factors among reproductive-age women at the public health centers of Jimma town, southwest Ethiopia, 2020.

Method: Facility-based cross-sectional study design was conducted from April one to May one 2020. A systematic sampling technique was done to select 377 study participants. Data was collected using structured pretested questionnaires through a face-to-face interview. The collected data was entered into the Eip Data version of 3.1. The logistic regression analysis was used to investigate the association of the independent variables with clients’ satisfaction. The variables with a p-value <0.25 in the bivariate analysis were subsequently entered into the final model to build a multivariable model and factors with a p-value <0.05 in the final model were considered as statistically significant predictors. The results were reported as adjusted odds ratios with a 95% Confidence Interval. The thematic analysis approach was used for the qualitative strand.

Results: Altogether 376 participated in the study; giving a 99.73% response rate. The mean age of respondents was 25 ± 4.86 years. The overall level of clients’ satisfaction with contraceptive counseling was 47.1%. Unable to read and write (AOR=3.879 [1.682,8.946]), adequacy of the information (AOR=2.671 [1.221,5.842]), tailoring key information (AOR=2.212 [1.367,3.579]) and residing within 30 minute distance (AOR=3.765 [1.528,9.277]), were independent predictors of clients’ satisfaction with contraceptive counseling.

Conclusion and recommendation: Clients’ satisfaction with contraceptive counseling was low. Improving adequacy of the information given during counseling and tailoring key information to meet the specific need of the client is recommended to improve clients’ satisfaction.