埃塞俄比亚计划生育服务客户满意度的预测因素:系统回顾和荟萃分析。

IF 2.3 Q2 OBSTETRICS & GYNECOLOGY
Frontiers in global women's health Pub Date : 2025-01-07 eCollection Date: 2024-01-01 DOI:10.3389/fgwh.2024.1430799
Yeshiwas Ayale Ferede, Worku Chekol Tassew, Agerie Mengistie Zeleke
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引用次数: 0

摘要

背景:在过去15年中,埃塞俄比亚已婚妇女使用现代避孕药具的人数有所增加。尽管有一些研究报告了计划生育服务满意度的不同预测因素,但缺乏显示客户对计划生育服务满意度决定因素的全国性数据。因此,本荟萃分析旨在确定埃塞俄比亚计划生育服务客户满意度的预测因素。方法:于2024年1月20日~ 3月10日,通过PubMed、Web of Science、EMBASE、CINAHL、谷歌Scholar等数据库全面检索相关文献。采用乔安娜布里格斯研究所(JBI)制定的关键评估清单对纳入研究的质量进行评估。采用统计程序Stata 11进行分析。采用Cochran’s q统计量,以i2值对异质性进行统计评估和测量。如果在纳入的研究中发现显著的异质性,则使用随机效应模型来评估影响计划生育服务客户满意度的因素。否则,采用固定效应模型。结果:影响计划生育服务满意度的独立因素包括:候诊时间小于1小时(POR = 4.37;95% CI: 2.05, 9.32),确保隐私(POR = 6.31;95% CI: 2.78, 14.28),方便的开放时间(POR = 5.91;95% CI: 1.61, 21.63),小学以上学历(AOR = 2.61;95% CI: 1.02, 6.68),被告知副作用(AOR = 3.08;95% CI: 1.22, 7.74),并获得足够的信息(POR = 4.2;95% ci: 1.87, 9.44)。结论:影响计划生育服务满意度的关键因素包括:减少等待时间、隐私保护、服务时间便利、受教育程度高、了解潜在副作用、获得全面的信息。这些因素对提高满意度至关重要,应在计划生育服务中予以优先考虑。因此,埃塞俄比亚的政策制定者和决策者必须制定计划,通过以客户为中心的护理,最大限度地提高客户对医疗保健服务的满意度。系统评价注册:https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=563937, PROSPERO (CRD42024563937)。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Predictors of client satisfaction with family planning services in Ethiopia: a systematic review and meta-analysis.

Background: The use of modern contraceptives by married Ethiopian women has increased over the past 15 years. Despite a few studies reporting different predictors of satisfaction with family planning services, there is a lack of nationwide data showing the determinants of client satisfaction with family planning services. Thus, this meta-analysis aimed to determine the predictors of client satisfaction with family planning services in Ethiopia.

Methods: From January 20 to March 10, 2024, a thorough search of the literature was conducted using PubMed, Web of Science, EMBASE, CINAHL, and Google Scholar. The quality of the included studies was assessed using the critical assessment checklist developed by the Joanna Briggs Institute (JBI). The statistical program Stata 11 was used to carry out the analysis. Using Cochran's Q-statistic, heterogeneity was statistically assessed and measured by the I 2 value. If significant heterogeneity was found across the included studies, a random effects model was used to assess the factors influencing client satisfaction with family planning services. Otherwise, a fixed-effects model was employed.

Results: Independent factors influencing clients' satisfaction with family planning services included waiting times of less than one hour (POR = 4.37; 95% CI: 2.05, 9.32), ensuring privacy (POR = 6.31; 95% CI: 2.78, 14.28), convenient opening hours (POR = 5.91; 95% CI: 1.61, 21.63), education level above primary school (AOR = 2.61; 95% CI: 1.02, 6.68), being informed about side effects (AOR = 3.08; 95% CI: 1.22, 7.74), and receiving adequate information (POR = 4.2; 95% CI: 1.87, 9.44).

Conclusion: The findings indicate that key factors significantly influencing client satisfaction with family planning services include reduced waiting times, privacy protection, convenient service hours, higher education levels, being informed about potential side effects, and receiving comprehensive information. These elements are critical for improving satisfaction and should be prioritized in family planning services. As a result, Ethiopian policymakers and decision-makers must devise plans to maximize client satisfaction with healthcare services through client-centered care.

Systematic review registration: https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=563937, PROSPERO (CRD42024563937).

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