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Quantitative cross-sectional and qualitative studies were conducted from August 2004 to may
2005 based on J. Bruce analytical framework to assess the status of quality of family planning
service in B/Dar special zone, Amhara Regional state. In this study, 412 female contraceptive
users for exit interview and 209 female clients for observation were participated from eight
family planning service delivery points. Eight service providers, one Regional maternal and child
health team leader, and one Zonal department head were interviewed.
Contraceptive supplies and logistics were generally inadequate. Injectable (51.7%) and oral
contraceptive pills (47%) were the most frequently used. Most of the clients were not told
relevant information on other contraceptive methods and were not popular. Three hundred eight
(74.8%) clients received sufficient information on the method provided and 309(75%) of clients
responded that contact time with providers was about the right. Among 133 clients who prefer
this clinic from their closest site, 82(61.7%) were due to preference of that provider. Clients’
mean waiting time was 48 SD + 51 minutes. Limitations in Supervisory system and staff training
were identified as constraints to the quality of family planning service. There was significant
difference in clients’ satisfaction by Governmental and Non-Governmental health service
delivery points, OR= 0.480, 95% CI (0.255,0.904). Several short falls were revealed by this
study in quality of care in family planning service at B/Dar Special zone. Therefore quality
should be considered as integral part of all family planning service delivery points in this Zone.
Key words: - Quality, Family planning, satisfaction, Bahar-Dar |
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