Qualität in der Primärversorgung Offener Zugang

Abstrakt

Client Satisfaction with Abortion Service and Associated Factors among Clients Visiting Health Facilities in Jimma Town, Jimma, South West, Ethiopia

Sena Belina Kitila

Background: Having a child outside marriage is not uncommon in many countries and it is not inevitable that unwanted/non-marital or teenage pregnancy ends in abortion. 46 million women around the world have induced abortions each year, 78 % of whom live in developing countries. Ethiopia is among countries where unwanted pregnancy is challenging. Client satisfaction is the level of satisfaction that clients experience having used service. The aim of this study was to assess clients’ satisfaction with abortions service among adolescent visiting health facilities in Jimma town.

Methods: Facility based cross sectional study was employed. The data was collected through face to face administered questionnaire from 228 clients and 28 service providers.

Results: Of 228 study subjects 54(23.7%) were not satisfied with the service. Being primary student 21.9 %, UOR of 0. 219; history of family planning use 2.064, UOR of 2.064, information on availability of the service 3.317, UOR of 3.317, history of abortion 3.232 times more likely to be satisfied with the service, UOR of 3.232 respectively but those live with friends 35.3% , UOR of 0. 353, used injectable 23.0%, UOR of 0.230, utilized surgical abortion 28.5% times less likely to be satisfied with the service, UOR of 0. 285 respectively. However; multi-variate logistic regression showed being preparatory and above were 22.0% times less likely to be satisfied than those less than preparatory [AOR (95% CI) = 0.004 (0.079 0.619)] and those had medical abortion were 23.6 % times more likely to be satisfied than those had surgical methods [AOR (95% CI) = 0.001 (0. 118, 0.471)] .

Conclusions and recommendation: One fourth of the clients were not stratified with the service, the predictors were educational level, with whom they live, information about the service, history of previous abortion, information about family planning, history of family planning use and types of uterine evacuation done. Hence, relevant authorities have to facilitate and develop a system to control it. Further studies in terms of clinical observation are also recommended.