Factors associated with clients satisfaction with family planning servces: a case study of some family planning clinics in Nairobi

Abstract

The study is divided into five chapters. The first chapter deals with the general introduction, chapter two with the literature review. Chapter three discusses the methodology of data collection and analysis. Chapter four presents the results of the analysis, and the interpretation, Chapter five gives a summary, conclusions, recommendations pertinent to policy making and recommendations for further research. In this study, an attempt is made to examine factors associated with clients' satisfaction with Family Planning Services in Nairobi. namely, These factors are grouped into three categories: accessibility (travelling time and cost); clinic-based (waiting time, motivation, staff/client interaction, availability of preferred method, cltnic type); and client factors (clients' health after adoption of contraception). The main objective of the study was to examine accessibility, clinic-based and client factors associated with Family Planning Services in Nairobi.

The independent variables studied included travelling time and cost, waiting time, motivation, staff/client interaction, availability of preferred method, clinic type and client's health after adoption of contraception. The dependent variable was clients' satisfaction with Family Planning Services. One characteristic of most contraceptive studies was that most of them are focused on the background factors of clients. The study used primary data collected from a field survey as the basic source of data. A structured questionnaire was administered to 368 clients under study. The data was analyzed using descriptive statistics and the chi-square test to determine the association between the independent and dependent variables. The findings revealed that travelling time and client's health after adoption of contraception are ndt significantly associated w i th cIients' satisfaction with Family Planning Services. Travelling cost has a we&k association. However, waiting time, motivation, staff/client interaction, availability of preferred method and clinic type are significantly associated with clients' satisfaction with Family Planning Services.

The study concludes that the small number of clients who are satisfied (30.2 per cent) as opposed to the dissatisfied (69.8 per cent) have continued using Family Planning Services due to the more pressing need to space, limit or stop child-bearing which supersedes satisfaction with the services. The main recommendations that arise from this study are that waiting time at the clinics be reduced through efficient client flow with establishment of definite entry and exit points at the clinics, and a similar study at national level be carried out giving details of reasons done in this study.