Overall user satisfaction with family planning services and associated quality care factors: a cross-sectional analysis

Slater, Allison; Estrada, Fátima; Suárez-López, Leticia; Vara-Salazar, Elvia de la; Campero, Lourdes

doi:10.1186/s12978-018-0615-3

Cited by 15 publications

(20 citation statements)

References 24 publications

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“…The level of proactively exploring the concerns of clients regarding the use of modern methods was also lower (32.5%) than that of a similar study (100%) [18]. Studies show that clients' lack of opportunity to ask questions and clarify doubts during counseling were a major source of client dissatisfaction [24]. The reason for this poor provider-client communication could be rooted in a multitude of factors including mainly inadequate provider knowledge and/or a lack of training in communication and counseling skills, poor job satisfaction, poor working conditions, and workload [19].…”

Section: Discussionmentioning

confidence: 75%

Assessment of Family Planning Counseling Provided for Postpartum Women and Associated Factors

Abdulreshid

Dadi

2020

International Journal of Reproductive Medicine

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Background. Good quality family planning counseling particularly in the postpartum period is paramount to contraception adoption and continuation; it is also paramount in the reduction of maternal as well as infant morbidity and mortality. Objective. Assess the level of family planning counseling provided for women in their immediate postpartum period in the labor ward at Saint Paul’s Hospital in 2019. Method. An institution-based cross-sectional study was conducted from February to March of 2019 among women in the labor ward. A face-to-face exit interview was conducted with 209 randomly selected women. A structured pretested questionnaire was used to assess the level of family planning counseling provided. Bivariate logistic regression was used to test for statistical association. Results. Only 28.2% of the counseling sessions were adequate. Most (58.9%) of the counseling sessions did not maintain the privacy of the client. In 67.9% of the sessions, the counselor did not ask the concern of the client regarding the use of modern family planning methods and 74.2% of the clients were not told about the possible side effects of a method. Clients with no formal education (OR=2.52, 95%CI=1.1‐3.3) and those with only primary level education (OR=1.22, 95%CI=1.04‐3.02) were more likely to have had inadequate counseling. Conclusion. The level of family planning counseling was inadequate. The study indicated the need to provide training for service providers on family planning counseling with the existing standard frameworks but also in consideration of the sociodemographic background of the client, particularly their educational status.

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Section: Discussionmentioning

confidence: 75%

Assessment of Family Planning Counseling Provided for Postpartum Women and Associated Factors

Abdulreshid

Dadi

2020

International Journal of Reproductive Medicine

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“…14 This finding is lower than studies conducted in Bahirdar (66.1%), 22 Hossana (75.3%), 10 west Shawa (62.6%), 7 countrywide Ethiopia (58.5), 11 Tanzania (91%), 12 Mozambique (86%), 9 Bangladesh (75), 23 and Mexico (80%). 24 The probable reasons for the discrepancy among the studies might be due to socio-demographic differences among the different study populations.…”

Section: Discussionmentioning

confidence: 99%

<p>Client Satisfaction with Family Planning Services and Associated Factors in Tembaro District, Southern Ethiopia</p>

Wogu¹,

Lolaso²,

Meskele³

2020

OAJC

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Introduction: Client satisfaction influences the use of family planning and other reproductive health services. This study aimed to assess the magnitude of client satisfaction with family service and its associated factors among reproductive-age women. Patients and Methods: We conducted a facility-based cross-sectional study. A total of 411 clients, nested in four health facilities, were included in the analysis. Systematic sampling was employed to select study units for the exit interview. Data collection instruments for this study were pre-tested structured questionnaires. Client satisfaction was assessed using fifteen Likert-scaled question items. Each item of question has 5 points ranging from 1 (strongly disagree) to 5 (strongly agree) and, finally, mean was computed. The pre-coded data were entered into Epi Data version 4.2.0 and exported to SPSS version 25 for analysis. Logistic regression analysis was carried out to identify independently associated factors at a confidence interval of 95% and a significance level of p-value less than 0.05. Results: Magnitude of client satisfaction with family planning service was 46% [95% CI: 41-50.8]. Rural residence [AOR=3.07; 95% CI: 1.10-8.62], educational level of college and above [AOR=0.22; 95% CI: 0.07-0.70] as compared to the educational level of primary education, waiting time of less than half an hour [AOR=7.80; 95% CI: 2.48-24.48], maintaining privacy [AOR=7.16; 95% CI: 2.89-17.69], describing side effects of methods [AOR=3.14; 95% CI: 1.02-9.76] were factors significantly associated with client satisfaction. Conclusion: The overall magnitude of client satisfaction with the services was found to be low. Many of the factors that attributed to the low level of client satisfaction are modifiable. There is a need for organizing the family planning room as per standards, maintaining privacy, minimizing waiting time, and describing the side effects during the provision of service.

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“…Quantitative studies have described associations between older age, higher education, more experience with family planning, and higher parity with the level of satisfaction. 21,25,[44][45][46] These studies explain the findings by suggesting that respondents with these characteristics have higher expectations for care and therefore their level of satisfaction is tied to whether and how these expectations are met. 21,25,[44][45][46] In our study, women generally had low expectations of services, beyond the expectation that they may or may not obtain a FP method.…”

Section: Discussionmentioning

confidence: 99%

“…21,25,[44][45][46] These studies explain the findings by suggesting that respondents with these characteristics have higher expectations for care and therefore their level of satisfaction is tied to whether and how these expectations are met. 21,25,[44][45][46] In our study, women generally had low expectations of services, beyond the expectation that they may or may not obtain a FP method. Women were often satisfied when they received the FP method they wanted and were treated well by the provider.…”

Section: Discussionmentioning

confidence: 99%

“I Got What I Came for”: A Qualitative Exploration into Family Planning Client Satisfaction in Dosso Region, Niger

Calhoun¹,

Maytan-Joneydi²,

Nouhou

et al. 2022

OAJC

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Background Client satisfaction is recognized as an important construct for evaluating health service provision, yet the field of family planning (FP) lacks a standard approach to its measurement. Further, little is known about satisfaction with FP services in Niger, the site of this study. This study aims to understand what features of FP visits were satisfactory or dissatisfactory from a woman’s perspective and reflect on the conceptualization and measurement of satisfaction with FP services. Methods Between February and March 2020, 2720 FP clients (ages 15–49) were interviewed across 45 public health centers in Dosso region, Niger using a structured survey tool. The focus of this paper is on a random sub-sample of 100 clients who were additionally asked four open-ended questions regarding what they liked and disliked about their FP visit. Responses were audio-recorded, translated into French, transcribed, translated into English, coded, and analyzed thematically. Results FP clients described nine key visit attributes related to their satisfaction with the visit: treatment by the provider, content of the counseling, wait time, FP commodity availability, privacy, cleanliness/infrastructure, visit processes and procedures, cost, and opening hours. The reason for FP visit (start, continue, or change method) was an important driver of the dimensions which contributed to satisfaction. Pre-formed expectations about the visit played a critical role in shaping satisfaction, particularly if the client’s pre-visit expectations (or negative expectations) were met or not and if she obtained what she came for. Conclusion This study makes a significant contribution by identifying visit attributes that are important to FP clients in Dosso region, Niger, and highlights that satisfaction with FP services is shaped by more than just what occurs on the day of service. We propose a conceptual framework to understand satisfaction with FP services that can be used for future FP programming in Niger.

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Overall user satisfaction with family planning services and associated quality care factors: a cross-sectional analysis

Cited by 15 publications

References 24 publications

Assessment of Family Planning Counseling Provided for Postpartum Women and Associated Factors

Assessment of Family Planning Counseling Provided for Postpartum Women and Associated Factors

<p>Client Satisfaction with Family Planning Services and Associated Factors in Tembaro District, Southern Ethiopia</p>

“I Got What I Came for”: A Qualitative Exploration into Family Planning Client Satisfaction in Dosso Region, Niger

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