Determinants of women’s satisfaction with family planning services in Uganda.

Abstract

Introduction: Despite the abundance of information that family planning knowledge and awareness are high among the population in Uganda, this has not translated into increased family planning service utilization. This study aimed at investigating the determinants of women’s satisfaction with family planning services in Uganda. Methods: The study used secondary data from the exit interview tool for the UNFPA Facility Assessment Study on Reproductive Health Commodities and Services (2015). The study covered 782 health facilities selected from 10 sub-regions in Uganda. A sample of 2,832 women aged (15-49years) selected after accessing family planning services at these facilities participated in the study. Data were analysed using descriptive statistics where frequency distributions for descriptive data analysis and chi-square tests were used to identify initial associations between women’s satisfaction with family planning service received and the independent variables. A generalized linear model (GLM) with the Poisson family and the log link function was fitted to obtain incidence risk ratios (IRR) of women’s satisfaction with family planning services. Results: Women’s satisfaction with family planning services was significantly associated with age 25-29 years (IRR=1.06, 95% CI: 1.01-1.10), 35-39 years (IRR=1.05, 95% CI: 1.00-1.11) or and those aged 40+ (IRR = 1.06, 95% CI: 1.00-1.12). Satisfaction with FP services was higher for those who received the FP method of their choice (IRR = 1.09, 95% CI: 1.00-1.20) were informed of the common side effects (IRR = 1.12, 95% CI: 1.04-1.20) and were satisfied with the cleanliness of the health facility (IRR = 1.16, 95% CI: 1.09-1.24). Besides, those who reported being satisfied with time allotted to them by the FP service provider (IRR = 1.20, 95% CI: 1.11-1.29) and were treated with courtesy and respect (IRR = 1.35, 95% CI: 1.22-1.50) were more likely to be satisfied with FP services. Recommendations: This study calls for the need by FP service providers to respect client choices and emphasizes client-centred family planning services. The study highlighted the need to strengthen and increase the availability of youth-friendly family planning services in Uganda. Finally, health facility leaders should ensure facility cleanliness to attract women seeking family planning services within Uganda.