Quality of family planning counseling and associated factors among women attending family planning clinics at selected health centers in Akaki Kality sub-city, Addis Ababa, Ethiopia

BackgroundEthiopia has achieved a remarkable improvement in the provision of family planning. The modern contraceptive prevalence rate has shown a fivefold increment in the last two decades, yet the family planning service in the country is still deficient and characterized by poor counseling qualit...

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Main Authors: Girma Garedew Goyomsa, Leta Adugna Geleta, Sisay Abebe Debela, Nejiba Reshid, Amana Ogeto Luke, Tafesse Lamaro Abota, Derara Girma, Hiwot Dejene
Format: Article
Language:English
Published: Frontiers Media S.A. 2022-12-01
Series:Frontiers in Global Women's Health
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fgwh.2022.939783/full
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author Girma Garedew Goyomsa
Leta Adugna Geleta
Sisay Abebe Debela
Nejiba Reshid
Amana Ogeto Luke
Tafesse Lamaro Abota
Derara Girma
Hiwot Dejene
author_facet Girma Garedew Goyomsa
Leta Adugna Geleta
Sisay Abebe Debela
Nejiba Reshid
Amana Ogeto Luke
Tafesse Lamaro Abota
Derara Girma
Hiwot Dejene
author_sort Girma Garedew Goyomsa
collection DOAJ
description BackgroundEthiopia has achieved a remarkable improvement in the provision of family planning. The modern contraceptive prevalence rate has shown a fivefold increment in the last two decades, yet the family planning service in the country is still deficient and characterized by poor counseling quality.ObjectiveThe aim of the study is to assess the quality of family planning counseling provided and the associated factors at selected health centers in Akaki Kality sub-city, Addis Ababa, Ethiopia.MethodA cross-sectional study was conducted among 678 randomly selected women attending family planning services at health centers in Addis Ababa, Ethiopia. Multivariable logistic regression analysis was performed to identify factors associated with the quality of family planning counseling.ResultA total of 678 women participated in the study. About 29.1% [95% confidence interval (CI): 25.7%–32.6%] of the respondents were adequately counseled. Age groups 37–49 [adjusted odds ratio (AOR) = 2.7; 95% CI: 1.1–6.6], being in marital union (AOR = 2.8; 95% CI: 1.2–6.7), attaining secondary education (AOR = 1.9; 95% CI: 1.1–3.6) or higher education (AOR = 2.2; 95% CI: 1.2–4.3), and visit status (AOR = 1.6; 95% CI: 1.1–2.4) were significantly associated with good counseling.ConclusionLess than one in three women was counseled adequately. Health professionals should give due attention to younger women, single clients, and clients with their first presentation to the health facility. It also indicates that promoting education among Ethiopian women is crucial for a positive outcome of family planning counseling.
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spelling doaj.art-496b04166f594da8a4c7030e1899ff572022-12-22T04:16:15ZengFrontiers Media S.A.Frontiers in Global Women's Health2673-50592022-12-01310.3389/fgwh.2022.939783939783Quality of family planning counseling and associated factors among women attending family planning clinics at selected health centers in Akaki Kality sub-city, Addis Ababa, EthiopiaGirma Garedew Goyomsa0Leta Adugna Geleta1Sisay Abebe Debela2Nejiba Reshid3Amana Ogeto Luke4Tafesse Lamaro Abota5Derara Girma6Hiwot Dejene7Public Health Department, College of Health Science, Salale University, Fitche, EthiopiaPublic Health Department, College of Health Science, Salale University, Fitche, EthiopiaPublic Health Department, College of Health Science, Salale University, Fitche, EthiopiaBlood Donation, National Blood Bank Service of Ethiopia, Addis Ababa, EthiopiaPublic Health Department, Lancha Campus, Rifty Valley University, Addis Ababa, EthiopiaSchool of Public Health College of Health Sciences, Addis Ababa University, Addis Ababa, EthiopiaPublic Health Department, College of Health Science, Salale University, Fitche, EthiopiaPublic Health Department, College of Health Science, Salale University, Fitche, EthiopiaBackgroundEthiopia has achieved a remarkable improvement in the provision of family planning. The modern contraceptive prevalence rate has shown a fivefold increment in the last two decades, yet the family planning service in the country is still deficient and characterized by poor counseling quality.ObjectiveThe aim of the study is to assess the quality of family planning counseling provided and the associated factors at selected health centers in Akaki Kality sub-city, Addis Ababa, Ethiopia.MethodA cross-sectional study was conducted among 678 randomly selected women attending family planning services at health centers in Addis Ababa, Ethiopia. Multivariable logistic regression analysis was performed to identify factors associated with the quality of family planning counseling.ResultA total of 678 women participated in the study. About 29.1% [95% confidence interval (CI): 25.7%–32.6%] of the respondents were adequately counseled. Age groups 37–49 [adjusted odds ratio (AOR) = 2.7; 95% CI: 1.1–6.6], being in marital union (AOR = 2.8; 95% CI: 1.2–6.7), attaining secondary education (AOR = 1.9; 95% CI: 1.1–3.6) or higher education (AOR = 2.2; 95% CI: 1.2–4.3), and visit status (AOR = 1.6; 95% CI: 1.1–2.4) were significantly associated with good counseling.ConclusionLess than one in three women was counseled adequately. Health professionals should give due attention to younger women, single clients, and clients with their first presentation to the health facility. It also indicates that promoting education among Ethiopian women is crucial for a positive outcome of family planning counseling.https://www.frontiersin.org/articles/10.3389/fgwh.2022.939783/fullfamily planningquality of counselingfactorswomenEthiopia
spellingShingle Girma Garedew Goyomsa
Leta Adugna Geleta
Sisay Abebe Debela
Nejiba Reshid
Amana Ogeto Luke
Tafesse Lamaro Abota
Derara Girma
Hiwot Dejene
Quality of family planning counseling and associated factors among women attending family planning clinics at selected health centers in Akaki Kality sub-city, Addis Ababa, Ethiopia
Frontiers in Global Women's Health
family planning
quality of counseling
factors
women
Ethiopia
title Quality of family planning counseling and associated factors among women attending family planning clinics at selected health centers in Akaki Kality sub-city, Addis Ababa, Ethiopia
title_full Quality of family planning counseling and associated factors among women attending family planning clinics at selected health centers in Akaki Kality sub-city, Addis Ababa, Ethiopia
title_fullStr Quality of family planning counseling and associated factors among women attending family planning clinics at selected health centers in Akaki Kality sub-city, Addis Ababa, Ethiopia
title_full_unstemmed Quality of family planning counseling and associated factors among women attending family planning clinics at selected health centers in Akaki Kality sub-city, Addis Ababa, Ethiopia
title_short Quality of family planning counseling and associated factors among women attending family planning clinics at selected health centers in Akaki Kality sub-city, Addis Ababa, Ethiopia
title_sort quality of family planning counseling and associated factors among women attending family planning clinics at selected health centers in akaki kality sub city addis ababa ethiopia
topic family planning
quality of counseling
factors
women
Ethiopia
url https://www.frontiersin.org/articles/10.3389/fgwh.2022.939783/full
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