Abstract:
Background: Client satisfaction is considered as one of the desired outcome of the health care and it is directly related with utilization of health service. Efforts to increase contraceptive prevalence rate are intensified through affordable and accessible service provision. But measures to assure client satisfaction with family planning service are not yet the focus of attention and literatures on the level of client satisfaction are limited.
Objectivities: To Assess Clients’ Satisfaction with Family Planning Services and its associated factors among family planning users in Bahir Dar city Public Health Facilities, Amharic region, northwest Ethiopia.
Methods: A Facility based quantitative cross sectional study was conducted in Bahir Dar city Public Health Facilities. Data were collected using pretested interviewer administered questionnaire from 490 family planning users from March 1 to 30, 2017.Use Epi Info and SPSS for data analysis. Bivariable and multivariable logistic regression were done to identify independent variables that have significant association with the dependent variable. Variables with P value < 0.2 were entered to multivariable logistic regressions model and variables with p-value less than 0.05 was used as cut off point for statically significance.
Results: A total of 490 clients participated yielding a 100% response rate. Sixty six (66.1%) with (95% CI 61.2%, 70.1%) of respondents were satisfied with family planning services. In multivariable logistic analyses satisfaction of clients were found to be associated with clients who were merchants AOR=2.5(95% CI =1.2,5.2),house wives AOR=2.4 (95% CI=1.3,4.4),daily laborers were AOR=3.9(95% CI =1.8,8.6) times more likely to be satisfied with the family planning service as compared with governmental employees. New FP user clients were AOR=2.3 (95% CI =1.3-4.0)] times more likely to be satisfied with FP service than repeat users. Clients who reported convenient service hour were AOR=2.4(95% CI =1.4-4.3) times more likely to be satisfied than those who reported the service hour inconvenient. Clients who reported less than half hour waiting time were AOR=9.7(95% CI =3.2-29.3),half an hour to one hour waiting time AOR=6.4 (95% CI =2.1-19.2), and clients who reported one hour to two hours waiting time were AOR=4.6(95% CI=1.3-16.7)times more likely to be satisfied than those who reported more than two hours waiting time. Clients whose privacy was during consultation and procedures were AOR=3.2 (95% CI =1.8-5.5) times more likely to be satisfied than those whose privacy was not maintained.
Conclusion and recommendations: The finding of this study concludes that client satisfaction with family planning service was low as compared to other studies and service waiting time, convenience working hours, privacy during consultation, occupation and frequency of visit were significant predictors for client satisfaction among family planning users. Health facilities and other stakeholders arrange service hours that are convenient for all clients including the civil servants, better to give attention to ensure clients privacy, better to strength women friendly family planning service and also further studies are recommended in terms of observation and qualitative data collection.