الفهرس 
Significance of the StudyOnly 14 pages are availabe for public view
 |  | from | 145 |  |  |
| | | from | 145 | | |
Abstract
Family planning (FP) is essential for women’s health, particularly in
developing nations. The goal of family planning programmes is to promote
service usage, delivery, and reach out to new regions. It should meet quality
requirements in order to be effective services (Tumlison, et al., 2017).Egypt is undergoing severe socioeconomic changes as a result of overpopulation difficulties caused by a high fertility rate, which has a detrimental impact on the community’s health (Hussein, 2019).
Contraception is an essential topic for all couples, and the technique chosen should be based on the preferences and acceptance of both the woman and her partner. The development of a trusting connection with the client and the supply of proper, accurate information about all contraceptive techniques aid this process (Chavane et al., 2016).
Client satisfaction with family planning services is an important metric that indicates how satisfied a client is with the services provided by healthcare
professionals. As a result, it shows the gap between the desired service and the
actual service experience from the client’s perspective (Askew & Brady, 2020). Client satisfaction with the services received is a subjective method of evaluating service quality; satisfied clients are expected to return to the health facility to use the services again, to tell others about their positive experience, and to use the prescribed family planning method on a regular basis. Unsatisfied clients, on the other hand, spread unfavourable sentiments to others and stop utilising family planning services (Agwanda & Kimani, 2019). The purpose of the present study was to assess the women’s satisfaction with the quality of family planning services at maternal and child health centers. A descriptive research design was utilized in carrying out the current study. It was carried out in different selected settings in MCH centers in Qebly, Bahary MCH centers and Shebin Elkom Teaching Hospital. The sample type in this study was a Simple random sample of women attending the three selected research settings. The total sample size (600 women) was taken from the following hospitals (three hundred from MCH center in Qebly, 150 women from Shiben Elkom Teaching Hospital, and 150 women from MCH
center in Bahary. All participants will be chosen randomly). Throughout the course of the present study, data were collected using instruments which are developed by the researcher and revised by qualified experts, then tested for validity and reliability. Three instruments were developed and used for data collection. Instrument I (Appendix A): An interview questionnaire was developed from USAID, (2010) to collect
information about socio-demographic characteristics, quality of family planning, measures of infection control and family planning logistics and supplies:Socio-demographic characteristics as {name, age, marital status, experiences years, and a number of received training programs},pregnancy and labor history, and history of family planning methods use and causes for attending the center.Quality of family planning counseling: it covered data about interpersonal communication skills and the steps of the family planning counseling proce according to GATHER technique: – G: greeting the client. – A: asking and assessment. – T: telling about family planning methods,Advantages and disadvantages of the methods. – H: helping the mother to take a decision
regarding family planning methods. – E: explaining how to use the chosen
method correctly. – R: return visit for follow up.Measures of infection control in family planning room: it covered practice about using disposable syringes during IM/IV injection, safety precautions are taken while giving injection (wearing gloves, not recapping needle), hand rub for hand hygiene with water and soap/alcohol in the family planning procedure room, disinfection or cleaning equipment, sharps box within arm’s length of provider, sterilization of the equipment and proper waste disposal mechanism.Family planning logistics and supplies: it included data about nurses performance such as family planning register, separate family planning counseling register, Referral forms, family planning guidelines,family
planning flipchart, family planning monthly reporting form, requisition book
for family planning, card for family planning, adequate forecasting for family planning needs and if there is any plan to ensure regular supplies of family planning at the health facility
Instrument II: (Appendix B): Modified Observational checklist to measure the quality of family planning services: It was developed by USAID (2010) to collect data about:Health services organization such as available seating area for clients, enough space to see client’s, chair and table for health workers and clients, flip chart in use, family planning materials on wall, familyplanning material available to give to client and well-organized storage family planning commodities and
equipment as well as group education to clients on child spacing/family planning.Family planning facilities such as procedure done in a private room, special places for hand-washing available in the family planning room, adequate lighting available in the procedure room, sharps box with cover, well- ventilated room for family planning procedure, autoclave for sterilization of the equipment’s, 0.5% chlorine solution or other disinfecting for cleaning equipment and Water and soap/alcohol hand rub for hand hygiene within the family planning procedure room.Family planning methods such as condoms, intrauterine device (IUD),
injections, Implanon, and progesterone-only pill (POP), combine oralcontraceptive (COC) and complete equipment kit available for FP procedure.Instrument III: (Appendix C):
Bruce’s key point’s questionnaire regarding quality in reproductive health
which used to assess the women’s satisfaction regarding family planning services.The questionnaire includes 6 aspects to be covered by questions: (selection of a FP method, the technical skill of service providers, relationship between service providers and client, consistency, follow-up, and finally comprehensiveness of service and presenting information to the clients). A total of 30 questions were prepared for all 6 aspects. A Likert scale was used for responses to questions about satisfaction with aspects of services (completely satisfied = 4, satisfied = 3, unsatisfied = 2, completely unsatisfied =1 (Nanbakhsh et al., 2008).
Approaches to ensure ethics were considered in the study regarding
confidentiality and informed consent. Confidentiality was achieved by the use
closed sheets with the name of the participating women replaced by numbers. All women were informed that the information they provided during the study would be kept confidential and used only for statistical purposes and after finishing the study, the finding would be presented as a group of data with no personal participants information remained. Regarding the findings of the current study; the women had low satisfaction levels with family planning services. In addition, the level of quality was more than half the percentage. In addition, the present study also concluded that it is important to improve nurses’ knowledge about family planning methods.
Based on the present study findings, the research questions were all answered and
the following recommendations are suggested such as continuous training
programs to the nurses to improve their knowledge regarding contraceptive
methods. There should be continuous follow-up and evaluation of the nurse’s
performance from the ministry of health to MCHs. There should be informational
educational materials or charts given to nurses to update their knowledge. To
influence the right and accurate understanding of family planning, regular group education should be created based on current scientific knowledge. This aims to prevent the misinformation, incorrect teaching, and misunderstandings that now characterize formal education on various contraceptive techniques. Establish a
system for supervision, acknowledgement of good performance, and reward. To
motivate nurses and improve job satisfaction.