BackgroundGood quality of care in family planning (FP) services help individuals and couples to meet their reproductive health needs safely and effectively. Therefore, assessment and improvement of the quality of family planning services could enhance family planning services utilization. This study was thus conducted to assess the quality of family planning services in primary health centers of Jimma Zone, Southwest Ethiopia.MethodsA cross-sectional facility based study was conducted from March 1st–25th, 2011 among family planning clients of government primary health care centers in southwest Ethiopia. Exit interview of 301 family planning clients identified through systematic random sampling technique was carried out using a pre-tested structured questionnaire. Availability of resources was checked using provider interview and inventory checklist. Moreover, a total of 150 consultation sessions were observed using checklist. Descriptive statistics and linear regression coefficients were generated to meet the objective of the study.ResultsThere was a shortage of some medical equipment, trained staffs, and information education and communication materials (IEC) in all of the family planning clinics. The mean waiting time at the service delivery points and consultation duration were 16.4 and 10.5 minutes, respectively. The providers used at least one information education and communication material in 33.3% of the consultation sessions. The overall satisfaction score was 8.64. Clients' perception on adequacy of information during consultation (β=0.24; ( 95%CI=0.02-0.16) ease of getting the clinic site, short waiting time (β=0.17; 95%CI=0.15–029) and educational level (β=0.09; 95%CI =0.09–0.29) were significantly associated with overall satisfaction.ConclusionsThe findings of this study showed that there was lack of critical resources for the provision of quality family planning services in all of the primary health care centers included in the study. This has affected important aspects of service provision including the use of IEC materials during consultations. Hence, it is advisable that health managers of the health facilities and the district health office ensure improved availability of trained personnel, IEC materials and other supplies at the clinics.

Background: Self-reported client satisfaction is vital in order to address service provider and facility-based factors that can be upgraded to maximise antenatal care (ANC) satisfaction and utilisation in service-providing institutions. Objective: This study aimed to assess ANC service satisfaction and associated factors among pregnant women attending Hawassa city public health centres (HC), Sidama regional state, Southern Ethiopia. Methods: This health facility–based cross-sectional study was conducted on 422 pregnant women from 14 March to 13 April 2017. Exit interview data were collected from pregnant women attending care service at five randomly selected public HC. Results: Overall, 79.2% were satisfied with the ANC service. As per specific components, 74.2% of respondents were satisfied with the information provided, and 74.2% were satisfied with the institution’s health care. Respondents who had received iron tablets were 3.2 times more likely to be satisfied than their counterparts (adjusted odds ratio (AOR)=3.2, 95% confidence interval (CI) 1.7–5.9). Pregnant women who were counselled on human immunodeficiency virus infection and its testing were 4.3 times more likely to be satisfied than those who had not received such counselling (AOR=4.3, 95% CI 2.2–8.4). Also, those women who waited ⩽30 minutes (AOR=2.6, 95% CI 1.2–5.5) and who received information on foetal movement (AOR=3.5, 95% CI 1.8–6.5) were significantly associated with ANC service satisfaction. Conclusion: More than 20% of pregnant women were not satisfied with ANC services. This reflects a need for attention in each aspect of health-care service provision in order to assure client satisfaction.

BackgroundFamily planning (FP) program is a key program to avert unbalanced human population growth, maternal mortality, unintended pregnancy, unsafe abortion, sexually transmitted diseases and malnutrition. To address these aims, all services that clients receive must be of consistently high quality. So, services that clients receive should be monitored and evaluated.MethodsCase study was carried out in January, 2011, in Omo Nada district, Oromia region. Data were collected using different data collection methods. Process of FP program was evaluated using Judith Bruce model. Geographical accessibility, availability of resources for service provision and technical compliance were assessed. Level of program implementation was measured using stakeholders’ agreed indicators and judgment matrix.ResultsThough overall program implementation level was good and clients were satisfied, notable gaps observed were absence of crucial materials, poor provision of information in relation to method given, poor technical performance in following aseptic procedure, and poor integration of services.ConclusionService provision should be monitored to maintain quality of service by integrating available services in resource limited setting.Electronic supplementary materialThe online version of this article (10.1186/s40834-018-0068-7) contains supplementary material, which is available to authorized users.

Purpose. There are very limited evidences showing the status of adolescent-parent communication in rural areas of Ethiopia as most of the studies focus in urban areas and were school-based. Therefore, this study intends to determine the adolescent-parent communication on sexual and reproductive health matters and its determinants among rural adolescents in Jimma Zone, Southwest Ethiopia. Methods. Community-based cross-sectional study design was employed using the multistage sampling technique. Structured questionnaire was used to collect the data. The data was cleaned and entered into Epi data version 3.1 and exported to SPSS version 23 for descriptive and regression analysis. Results. From 833 adolescents participated in the study, only 364 (43.7%) of them had ever discussed sexual and reproductive health matters of which males represent 196 (53.8%) followed by females 168 (46.2%). Among these, only 35 (9.6%) had discussed with their mother, and 24 (6.6%) had discussed with their father. The proportion of adolescents who communicated with their parents on sexual and reproductive health issues was 364 (43.7%). Multivariable logistic regression analysis indicated that never getting information on SRH issues ( AOR = 0.5 , 95% CI, 0.4-0.8) and particularly on sexually transmitted infections ( AOR = 0.5 , 95% CI, 0.4-0.7) and unknowing the period in which there is a possibility to be pregnant for a girl ( AOR = 0.2 , 95% CI, 0.04-0.9) were found to be independent factors affecting adolescent-parental communication negatively. Conclusion. This study’s result implies that the majority of the adolescents in the rural area were not communicating with their parents about sexual and reproductive health issues. However, most of them knew about different sexual and reproductive health services and where they could be found. Therefore, the provision of detailed information on the importance of communication with their parents on such a sensitive issue is suggested. Further research is needed to identify the barrier from the parents’ side.