探索埃塞俄比亚西北部Debre Tabor镇公共卫生机构计划生育服务的客户满意度和决定因素:一项混合方法研究。

IF 2.9 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Frontiers in reproductive health Pub Date : 2025-08-29 eCollection Date: 2025-01-01 DOI:10.3389/frph.2025.1558606
Tseganesh Asefa, Winta Tesfaye, Gedamnesh Bitew, Hiwot Tezera Endale
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引用次数: 0

摘要

客户满意度是计划生育服务利用的一个重要指标,了解这些见解对于设计响应性的、以客户为中心的干预措施以解决避孕药具使用障碍至关重要。本研究旨在探讨埃塞俄比亚西北部Debre Tabor镇公共卫生设施中计划生育服务的客户满意度和决定因素。方法:采用融合定量(基于设施的横断面)和定性(现象学)研究方法的趋同平行混合方法设计,于2024年4月15日至5月29日在Debre Tabor镇的公共卫生机构进行研究。数据收集使用访谈者管理的问卷,遵循多阶段分层随机抽样技术。同时,使用深度访谈指南从有目的地选择的个人中收集定性数据。本研究使用EpiData 4.6版本进行数据输入,SPSS 25版本进行logistic回归分析,使用p值分析结果:379名参与者中,62.5%的客户对计划生育服务感到满意。城市居民(AOR = 1.68, p = 0.022)、政府工作人员(AOR = 0.40, p = 0.020)、较短的等待时间(AOR = 2.93, p = 0.039)、方法咨询(AOR = 2.32, p = 0.005)、接受首选方法(AOR = 2.59, p = 0.024)对客户满意度有显著影响。从对15名参与者的深入采访中,出现了两个主题:“有限的提供者-客户咨询互动”,其副主题是“文化敏感性差距”、“误解”和“对无效的恐惧”,以及“通往满意的途径”,其副主题是“有尊严的护理”和“可及性”。结论和建议:本研究发现客户对公共卫生机构计划生育服务的满意度中等,但在居住地、职业、等待时间、方法咨询和首选方法方面存在显著差异。客户反映缺乏文化敏感性、误解和缺乏参与决策。为了提高满意度,卫生机构应加强以客户为中心的咨询,解决文化误解,并为提供者提供灵活的服务时间和培训。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Exploring client satisfaction and determinants of family planning services at public health facilities in Debre Tabor town, Northwest Ethiopia: a mixed-method study.

Exploring client satisfaction and determinants of family planning services at public health facilities in Debre Tabor town, Northwest Ethiopia: a mixed-method study.

Exploring client satisfaction and determinants of family planning services at public health facilities in Debre Tabor town, Northwest Ethiopia: a mixed-method study.

Exploring client satisfaction and determinants of family planning services at public health facilities in Debre Tabor town, Northwest Ethiopia: a mixed-method study.

Introduction: Client satisfaction is a crucial indicator of family planning service utilization, and understanding these insights is essential for designing responsive, client-centered interventions to address barriers to contraceptive use. This study aimed to explore client satisfaction and determinants of family planning services in public health facilities in Debre Tabor town, northwest Ethiopia.

Methods: A convergent parallel mixed-methods design, incorporating both quantitative (facility-based cross-sectional) and qualitative (phenomenological) study approaches, was conducted at public health facilities in Debre Tabor town from April 15 to May 29, 2024. Data were collected using an interviewer-administered questionnaire following a multi-stage stratified random sampling technique. Simultaneously, qualitative data were collected from purposefully selected individuals using an in-depth interview guide. The study used EpiData version 4.6 for data input and SPSS version 25 for logistic regression analysis, using a p-value < 0.05 as the cutoff point. After an in-depth interview, the record and field notes were transcribed, translated, and analyzed using a thematic analysis technique.

Result: Out of 379 participants, 62.5% of clients were satisfied with the family planning services. Factors significantly associated with clients' satisfaction were urban residents (AOR = 1.68, p = 0.022), government employees (AOR = 0.40, p = 0.020), shorter waiting times (AOR = 2.93, p = 0.039), method counseling (AOR = 2.32, p = 0.005), and receiving the preferred method (AOR = 2.59, p = 0.024). From the in-depth interview of 15 participants, two themes emerged: "limited provider-client counseling interaction," with subthemes of "cultural sensitivity gaps," "misconceptions," and "fear of ineffectiveness," and "pathways to satisfaction," with subthemes of "dignified care" and "accessibility."

Conclusion and recommendations: The study found moderate client satisfaction with family planning services in public health facilities, with significant disparities in residence, occupation, waiting time, method counseling, and preferred methods. Clients reported a lack of cultural sensitivity, misconceptions, and a lack of involvement in decision-making. To improve satisfaction, health facilities should strengthen client-centered counseling, address cultural misconceptions, and provide flexible service hours and training for providers.

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