Prevalence and associated factors of client satisfaction with family planning service among family planning users in Ethiopia: a systematic review and meta-analysis

Abstract

Background Considering the importance of client satisfaction in the quality of family planning services, a regular evaluation should be carried out. Several studies have been conducted in Ethiopia, but so far there were no pooled estimates of the prevalence of customer satisfaction with family planning services in the country. Therefore, this systematic review and meta-analysis was intended to estimate the pooled prevalence of client satisfaction with Ethiopian family planning services in Ethiopia. The findings of the review can be used to develop strategies and draft policies in the country. Methods and materials This review included articles published only in Ethiopia. The main databases were Medline/PubMed, Web of Science, Google Scholar, Scopus, Ethiopian University Repository Online, and Cochrane Library. Cross-sectional studies conducted in English and meeting the eligibility criteria were included in the review. A random-effects meta-analysis was performed. Data extraction and analysis were performed using Microsoft Excel and STATA version 14 software, respectively. Result The pooled prevalence of customer satisfaction with family planning services in Ethiopia was 56.78% [(95% CI (49.99, 63.56); I2 = 96.2%, p < 0.001]. Waiting time > 30 min [OR = 0.2, 95% CI (0.1–0.29), I2 = 75.0%, p < 0.001], privacy maintained [OR = 5.46, 95% CI (1.43–20.9), I2 = 95.8%, p < 0.001], education status [OR = 0.47], 95% CI (0.22–0.98), I2 = 87.4%, p < 0.001] was significant in client satisfaction related to family planning services. Conclusion According to this review, client satisfaction with family planning services in Ethiopia was 56.78%. In addition, waiting time, women's educational level, and respect for privacy were identified as factors that both positively and negatively impact women's satisfaction with family planning services. Decisive action, such as educational intervention, continued monitoring and evaluation of family planning services, and arranging training for providers, is required to address identified issues and ensure higher levels of family satisfaction and utilization. This finding is important for shaping strategic policies and improving the quality of family planning services. This finding is important for designing strategic policy and increasing the quality of family planning services.

Client satisfaction and contributing factors towards sexual and reproductive health services delivery system among youth at Family Guidance Association of north Ethiopia (FGAE) clinics, 2023: mixed method study

“…The satisfaction of clients in sexual and reproductive health (SRH) services serves as a pivotal indicator, gauging the level of contentment a client derives from the services provided by healthcare professionals. Consequently, it mirrors the disparity between the anticipated service and the experience, as perceived by the client [ 6 ]. The satisfaction of clients is an essential component of quality and hence is expected to improve through better compliance with the service, at the same time, satisfied clients will generate demand in the community and assist in the recruitment of new clients who can use the services [ 7 ].…”

“…It has been reported in the meta-analysis that, clients’ satisfaction with family planning services in Ethiopia was 56.78% [ 6 ]. Despite high client satisfaction with FP services, the 2016 Ethiopian Demographic and Health Survey (EDHS) reported that over a third of women had stopped using FP within a year [ 8 ].…”

“…Client satisfaction is also an essential determinant of service uptake and continuation because satisfied clients are more likely to revisit the service pass on a positive message to others and continue the use of particular family planning methods [ 6 , 10 ]. It also signals other aspects of quality of care including structural and process issues of quality of care in FP services.…”