Factors Associated with the Quality of Family Planning Services rendered to Women of Reproductive age at two health facilioties in Nairobi County, Kenya

Abstract

Background: Family planning is highly beneficial to women’s overall health. Improving quality care has been a necessary goal for family planning programs worldwide and the government of Kenya in collaboration with other stakeholders has put in place various strategies and policies to increase up take of family planning services. Patient satisfaction is a useful measure of quality in healthcare. Women may be hampered to access and use of family planning methods if they do not receive quality of family planning services. The study assessed factors associated with the quality of family planning services rendered to women of reproductive ages. Objectives: To assess the quality of family planning services rendered to women of reproductive ages (15-49 years) in Kayole II Sub County Hospital and Kayole I health center. Methodology: A cross-sectional study was carried out among 424 women of reproductive age using explanatory and exploratory approaches at Kayole (I) health centre and Kayole II sub-district hospital. A pre-tested structured questionnaire was used to capture the clients ‘information and facility assessment checklist was used to capture details on availability, accessibility, supply and adequacy of family planning services. Data analysis using the Univariate analysis including proportion, mean and frequency of client demographics was used. Chi-square test was used to compare association between independent factors(variables) and quality of family planning services and p-value set at <0.05. Results: Overall, 74.3% of 420 participants reported being satisfied with health services. The dependence on husband, health provider qualification, accessibility and infrastructure of healthy facility, available family planning services, employment status, will to have more children determined their satisfaction. Conclusion: There is need to shift focus from increasing uptake of family planning services to satisfying unmet needs of clients. Health education on the benefits of family planning with male involvement need to be intensified.