Assessment of client satisfaction with family planning services and influencing factor in Southern Ethiopia: a community-based cross-sectional study

Aim Family planning (FP) is a major contributing factor to child survival and reducing maternal mortality. In developing countries, especially those in sub-Saharan Africa, the lowest contraception uptake is observed due to the existence of a variety of barriers. In Ethiopia, despite the presence of low level FP, there is limited information on the degree of client satisfaction with FP services provided. Therefore, this study aimed to assess the level of client satisfaction with FP services and its associated factors among FP users in Halaba Zone, Halaba Town. Subject and methods A facility-based cross-sectional study was conducted from April 30 to June 30, 2020 in public health facilities in Halaba Town. Randomly selected FP users in the reproductive age group (15-49) in selected health facilities were the study population. Data were collected using a pre-tested structured questionnaire, then entered into EpiData-3.1 and analysed using SPSS 20 software. A binary logistic regression model was fitted to identify predictors of FP service satisfaction. A P value Results The prevalence of client satisfaction with FP services was 71.2%. Educational status (secondary school [adjusted odds ratio (AOR) = 3.60, 95% confidence interval (CI): 2.78-10.30], and no formal education (AOR = 0.02, 95% CI: 0.01- 0.08)), side-effects explained (AOR = 5.00, 95% CI: 2.45-13.6), visual aids used (AOR = 3.00, 95% CI: 1.80-10.67), privacy ensured (AOR = 3.70, 95% CI: 2.13-12.54), chance to ask about any concerns (AOR = 4.40, 95% CI: 2.00- 10.76), new ANC visit (AOR = 0.12, 95% CI: 0.04-0.34), and distance to health facility (AOR = 4.00, 95% CI: 2.66-14.76) were significantly associated with clients' FP service satisfaction. Conclusions Around one-third of clients were dissatisfied with FP services. Therefore, improving female educational status, affording opportunities to ask about any concerns, maintaining privacy, explaining side-effects, and using visual aids during service delivery should be encouraged to enhance client satisfaction with FP services.