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Prevalence and determinants of women’s satisfaction on the quality of safe abortion service in Northwest Ethiopia

BACKGROUND: The standard of treatment in developing countries is harmed by a complex political landscape, an uncertain economic climate, rapid population growth, and clients are constantly complaining about the poor health system. Patients’ assessments of the benefits and shortcomings of the service...

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Autores principales: Gashaye, Kiros Terefe, Taddese, Asefa Adimasu, Birhan, Tilahun Yemanu
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9134683/
https://www.ncbi.nlm.nih.gov/pubmed/35614476
http://dx.doi.org/10.1186/s13690-022-00897-0
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author Gashaye, Kiros Terefe
Taddese, Asefa Adimasu
Birhan, Tilahun Yemanu
author_facet Gashaye, Kiros Terefe
Taddese, Asefa Adimasu
Birhan, Tilahun Yemanu
author_sort Gashaye, Kiros Terefe
collection PubMed
description BACKGROUND: The standard of treatment in developing countries is harmed by a complex political landscape, an uncertain economic climate, rapid population growth, and clients are constantly complaining about the poor health system. Patients’ assessments of the benefits and shortcomings of the service provided to them are expressed as satisfied or dissatisfied. The objective of this study was to determine the magnitude of women’s satisfaction on quality of safe abortion and factors associated with it in Northwest Ethiopia. METHODS: Institution-based cross-sectional study design was done to collect data from 618 women in the selected health facilities in Northwest Ethiopia. Women having the gestational trophoblastic disease (partial mole) and those who cannot hear or are seriously ill during the data collection period were excluded. The study subjects were chosen using a randomization process, and each participant was questioned after receiving all necessary abortion treatment and giving verbal consent. Both bivariable and multivariable logistic regression analysis was carried out to determine covariates significantly associated with women’s satisfaction on quality of abortion. RESULTS: The highest proportion of women who were reasoned out to terminate the fetus in the current pregnancy was due to financial problems (29.36%) and partner coercion (23.85%). Client satisfaction with safe abortion services in the study region was 25.10% (95% CI; 21.81–28.70). Women were 53.2% satisfied with the art of treatment/interpersonal abilities, 59.2% satisfied with the professional quality of care professionals, 54.5% satisfied with the physical environment, and 49.8% satisfied with the structure of the health care system, respectively. In the multivariable logistic regression analysis, women’s living solely 0.47(0.26–0.87) & living with 2 to 4 people 0.11(0.04–0.29), college and above level of education 1.78(1.01–3.15), wanted the status of pregnancy 0.44(0.23–0.85) and post-abortion contraceptive users 1.70(1.01–2.89) were factors significantly associated with women’s satisfaction level. CONCLUSION: In this study, one-fourth of the women were satisfied with the quality of safe abortion services. Family size, women’s educational status, maternity status, and post-abortion contraception use were predictors of women’s satisfaction with the quality of abortion. Ethiopia’s government should concentrate on addressing contraception needs in order to prevent women from having multiple abortions. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s13690-022-00897-0.
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spelling pubmed-91346832022-05-27 Prevalence and determinants of women’s satisfaction on the quality of safe abortion service in Northwest Ethiopia Gashaye, Kiros Terefe Taddese, Asefa Adimasu Birhan, Tilahun Yemanu Arch Public Health Research BACKGROUND: The standard of treatment in developing countries is harmed by a complex political landscape, an uncertain economic climate, rapid population growth, and clients are constantly complaining about the poor health system. Patients’ assessments of the benefits and shortcomings of the service provided to them are expressed as satisfied or dissatisfied. The objective of this study was to determine the magnitude of women’s satisfaction on quality of safe abortion and factors associated with it in Northwest Ethiopia. METHODS: Institution-based cross-sectional study design was done to collect data from 618 women in the selected health facilities in Northwest Ethiopia. Women having the gestational trophoblastic disease (partial mole) and those who cannot hear or are seriously ill during the data collection period were excluded. The study subjects were chosen using a randomization process, and each participant was questioned after receiving all necessary abortion treatment and giving verbal consent. Both bivariable and multivariable logistic regression analysis was carried out to determine covariates significantly associated with women’s satisfaction on quality of abortion. RESULTS: The highest proportion of women who were reasoned out to terminate the fetus in the current pregnancy was due to financial problems (29.36%) and partner coercion (23.85%). Client satisfaction with safe abortion services in the study region was 25.10% (95% CI; 21.81–28.70). Women were 53.2% satisfied with the art of treatment/interpersonal abilities, 59.2% satisfied with the professional quality of care professionals, 54.5% satisfied with the physical environment, and 49.8% satisfied with the structure of the health care system, respectively. In the multivariable logistic regression analysis, women’s living solely 0.47(0.26–0.87) & living with 2 to 4 people 0.11(0.04–0.29), college and above level of education 1.78(1.01–3.15), wanted the status of pregnancy 0.44(0.23–0.85) and post-abortion contraceptive users 1.70(1.01–2.89) were factors significantly associated with women’s satisfaction level. CONCLUSION: In this study, one-fourth of the women were satisfied with the quality of safe abortion services. Family size, women’s educational status, maternity status, and post-abortion contraception use were predictors of women’s satisfaction with the quality of abortion. Ethiopia’s government should concentrate on addressing contraception needs in order to prevent women from having multiple abortions. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s13690-022-00897-0. BioMed Central 2022-05-26 /pmc/articles/PMC9134683/ /pubmed/35614476 http://dx.doi.org/10.1186/s13690-022-00897-0 Text en © The Author(s) 2022 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Research
Gashaye, Kiros Terefe
Taddese, Asefa Adimasu
Birhan, Tilahun Yemanu
Prevalence and determinants of women’s satisfaction on the quality of safe abortion service in Northwest Ethiopia
title Prevalence and determinants of women’s satisfaction on the quality of safe abortion service in Northwest Ethiopia
title_full Prevalence and determinants of women’s satisfaction on the quality of safe abortion service in Northwest Ethiopia
title_fullStr Prevalence and determinants of women’s satisfaction on the quality of safe abortion service in Northwest Ethiopia
title_full_unstemmed Prevalence and determinants of women’s satisfaction on the quality of safe abortion service in Northwest Ethiopia
title_short Prevalence and determinants of women’s satisfaction on the quality of safe abortion service in Northwest Ethiopia
title_sort prevalence and determinants of women’s satisfaction on the quality of safe abortion service in northwest ethiopia
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9134683/
https://www.ncbi.nlm.nih.gov/pubmed/35614476
http://dx.doi.org/10.1186/s13690-022-00897-0
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