Client Satisfaction in the Quality of Post Abortion Care Among Women Attending in Public Health Facility of Gambella, Ethiopia

Abstract

Background: The quality of post-abortion care services is essential to improve the health of women who experience complications from abortion. Abortion and its complication is the most common cause of maternal death in Africa, particularly in Ethiopia. Despite this fact, little attention is given to the quality of post-abortion care. This study was aimed to assess client satisfaction in the quality of post-abortion care among women in the public health facility of Gambella, Ethiopia. Methods: A facility-based crossectional study was done among 194 participants. A consecutive sampling technique was used to select the study participants. A structured, pretested, and interviewer-administered questioner was used to collecting the data. Binary and multivariable logistic regression analysis was done to identify associated factors. An adjusted odds ratio with 95% CI was used to estimate the direction and strength of the association. Variable with a p-value <0.05 was considered as statistically significant. Results: About 169 (87.1%, 95% CI: (82, 91.8)) participants were satisfied in the quality of post abortion care (PAC) services. Unwanted pregnancy [AOR=1.8, 95% CI: (1.17, 10.9)], history of abortion [2.1, 95% CI: (1.6, 13.8)], assisted by physician [AOR=3.9 95% CI: (1.6, 8.6)], treated politely and respectfully [AOR=6.3, 95% CI: (1.82, 22.2)], the provider adress all questions raised by the client [AOR=5.1, 95% CI: (1.9, 14.5)] were significantly associated factors. Conclusion: The majority of the study participants were satisfied with the quality of post-abortion care services. Enhancing patient care in the facility, strengthening awareness of family planning services, and addressing the questions of the clients in a respected manner are important measures that increase client satisfaction.

Client satisfaction with abortion care service and its associated factors among women in Ethiopia: a systematic review and meta-analysis

“…Among the included studies, the status of CS with abortion care services among women in Ethiopia ranged from 25.00% [95% CI: 21.59, 28.40] [ 22 ] to 87.40% [95% CI: 82.38, 91.82] [ 29 ]. The overall status client satisfaction with abortion care in Ethiopia was 56.13% [95% CI (42.35; 69.91); I2 = 99.1%, P < 0.001] (Fig.…”

“…Though several studies have been conducted on patients' satisfaction with abortion care services and associated factors in some parts of Ethiopia [21][22][23][24][25][26][27][28][29][30], none of them is generalizable or conclusive. Moreover, we still do not know the overall status of client satisfaction in abortion care or presumed factors in this regard.…”

“…All included studies were cross-sectional studies, and sample sizes ranged from 78 [21] to 618 [22]. Regarding the regional distribution of included studies, three were from the Oromia region [23][24][25], two from the Southern Nations, Nationalities, and Peoples Region (SNNPR) [20,26], two from Addis Ababa [27,28], and one from the Amhara, Gambella, and Tigray regions [22,29,30] (Table 2).…”

Profil des utilisatrices et facteurs associés à la satisfaction des clientes de la qualité des soins après avortement au Burkina Faso: étude transversale menée dans six régions

“…La principale raison est une offre de SAA insuffisante dans les structures sanitaires primaires. 18 Cette situation a été décrite dans plusieurs études au Sénégal, en Guinée, en Tanzanie et en Éthiopie 35–39 et précédemment au Burkina Faso. 40 …”

“…Le niveau de satisfaction globale de nos clientes était bon avec plus de huit femmes satisfaites sur dix. Nos résultats sont similaires à ceux rapportés en Guinée (94%) 37 et en Éthiopie (84% et 87%) 35 , 46 et plus élevés qu’en Tanzanie et à Zanzibar (52%). 39 Ce bon niveau de satisfaction pourrait être lié au « biais de courtoisie » ou de désirabilité sociale fréquemment décrit dans les enquêtes de satisfaction à la sortie de l’hospitalisation (« exit interview »).…”