CLIENT SATISFACTION AND DECISION MAKING AMONGST FEMALES VISITING FAMILY PLANNING CLINICS IN HYDERABAD, PAKISTAN
Abstract
Background: Family Planning is the basic right of the human being. It involves decision regarding the number of children and desired space between children by the couple themselves. Quality services involving multiple dimensions build the confidence of the clients and lack of quality is one of the constraints behind incomplete coverage of family planning. Objectives of the current study were to determine the client satisfaction, decision-making process and various influences on clients in adopting family planning methods. Methods: This cross-sectional study was conducted at Family Planning Centre of Liaquat University Hospital, Hyderabad in 2016. Quality of the family planning services and satisfaction with the services were assessed through responses obtained from women selected purposively and visiting family planning centre through exit interviews with structured pretested and reliable questionnaire after taking the written consent. Results: Access to Family Planning Centre was not an issue in 92% cases but only 31% respondents were appropriately greeted, 77% faced blank expression and 13% received sufficient privacy. Health problems and socioeconomic conditions were inquired by 41% and18% providers respectively, while motivating force for service use was mother in law in most 35% cases. Health workers were successful in clarifying misinformation (86%) and explaining side effects (71%) but only 21% respondents were satisfied with services. Respondents are influenced by family and health care providers while making decision and type of influence was considered positive by 83% respondents. Conclusion: Training and monitoring system be strengthened at family planning centres to improve quality of services while important influencing relations be focused for family planning education to improve utilization of services.Keywords: Family planning services; contraception; Pregnancy; decision-makingReferences
Sirageldin I, Norris D, Hardee G. Family planning in Pakistan: an analysis of some factors constraining use. Stud Fam Plann 1975;7(5):144–54.
Potts M. Getting family planning and population back on track. Glob Health Sci Pract 2014;2(2):145–51.
Dehlendorf C, Rodriquez MI, Levy K, Borrero S, Steinauer J. Disparities in Family planning. Am J Obstet Gynecol 2010;202(3):14–20.
Bhatia S. Contraceptive intentions and subsequent behavior in rural Bangladesh. Stud Fam Plann 1982;13(1):24–31.
Curtis L, Westoff CF. Intention to use contraceptives and subsequent contraceptive behavior in Morocco. Stud Fam Plann 1996;27(5):239–50.
Agha S. Is low Income a Constraint to Contraceptive Use among the Pakistani Poor. J Biosoc Sci 2000;32(2):161–75.
Casterline JB, Sathar ZA, ul Haque M. Obstacles to contraceptive use in Pakistan: a study in the Punjab. Stud Fam Plann 2001;32(2):95–110.
Kadir MM, Fikree FF, Khan A, Sajan F. Do mothers-in-law matter? Family planning dynamics and fertility decision-making in urban squatter settlements of Karachi, Pakistan. J Biosoc Sci 2003;35(4):545–58.
Easterlin R. An economic framework for fertility analysis. Stud Fam Plann 1975;6(3):54–63.
Seiber EE, Bertrand JT. Access as a factor in differential contraceptives use between Mayans and ladinos in Guatemala. Health policy plan 2002;17(2):167–77.
Nousheen F, Iqbal J, Khan AT, Sheikh S, Akbar M. Emergency contraception: knowledge, attitudes & practices of general practitioner. Biomedica 2004;20(2):117–21.
Kadir MM, Fikre FF, Khan A, Sajan F. Do mother-in-law matter? Family dynamics and fertility decision- making in urban squatter settlements of Karachi, Pakistan. J Biosoc Sci 2003;21(5):545–58.
Rustagi N, Taneja D, Kaur R, Ingle G. Factors affecting contraception among women in a minority community in Delhi: a qualitative study. Health Popul Perspect Issues 2014;33:10–5.
Hong R, Montana L, Mishara V. Family planning services quality as a determinant use of IUD in Egypt. BMC Health Serv Res 2006;6:79.
Kim YM, Kols A, Martin A, Silva D, Rinehart W, Prammawat S, et al. Promoting family planning informed choices: Evaluating a decision making tool for family planning clients and providers in Mexico. Int Fam Plan Perspect 2005;31(4):162–71.
Kim YM, Kils A, Putijuk F, Heerey M, Rinehart W, Elwyn G, et al. Participants by clients and nurses and mid wives in family planning decision making in Indonesia. Patient Educ Couns 2003;50(3):295–303.
Bernhart MH, Uddin MM. Islam and family planning acceptance in Bangladash. Stud Fam Plann1990;21(5):287–92.
Tilhun T, Coene G, Luchters S, Kassahun W, Lee E, Temmeman M, et al. Family planning knowledge, attitude and practices among married couples in jimma zone, Ethopia. PLoS One 2013;8(4):e61335.
Azmat SK, Mustafa G, Hameed W, Ali M, Ahmed A, Bilgrami M. Barriers and perception regarding different contraceptives and family planning practices amongst man and women of reproductive age in rural Pakistan. Pak J Public Health 2012;2(1):17–23.
Charandabi SM, Vahidi R, Marions L, Wahlstrom R. Effect of a peer-educational intervention on provider knowledge and reported performance in family planning services: a cluster randomized trial. BMC Med Educ 2010;10:11.
Published
Issue
Section
License
Journal of Ayub Medical College, Abbottabad is an OPEN ACCESS JOURNAL which means that all content is FREELY available without charge to all users whether registered with the journal or not. The work published by J Ayub Med Coll Abbottabad is licensed and distributed under the creative commons License CC BY ND Attribution-NoDerivs. Material printed in this journal is OPEN to access, and are FREE for use in academic and research work with proper citation. J Ayub Med Coll Abbottabad accepts only original material for publication with the understanding that except for abstracts, no part of the data has been published or will be submitted for publication elsewhere before appearing in J Ayub Med Coll Abbottabad. The Editorial Board of J Ayub Med Coll Abbottabad makes every effort to ensure the accuracy and authenticity of material printed in J Ayub Med Coll Abbottabad. However, conclusions and statements expressed are views of the authors and do not reflect the opinion/policy of J Ayub Med Coll Abbottabad or the Editorial Board.
USERS are allowed to read, download, copy, distribute, print, search, or link to the full texts of the articles, or use them for any other lawful purpose, without asking prior permission from the publisher or the author. This is in accordance with the BOAI definition of open access.
AUTHORS retain the rights of free downloading/unlimited e-print of full text and sharing/disseminating the article without any restriction, by any means including twitter, scholarly collaboration networks such as ResearchGate, Academia.eu, and social media sites such as Twitter, LinkedIn, Google Scholar and any other professional or academic networking site.
