Abstract:
Background: Abortion complications are the leading causes of maternal death in
low and middle-income countries, including Ethiopia. Providing quality and
comprehensive abortion care services is crucial for improving the health of
women and increased their satisfaction. Evaluating a client’s satisfaction with
abortion care is clinically relevant since women’s satisfaction with health
services is one of the key indicators of high-quality healthcare services.
Therefore, this study aimed to assess women’s satisfaction with comprehensive
abortion care services and associated factors.
Methods: An institution-based cross-sectional study was implemented among
333 women in Central Gondar Zone public primary hospitals from October 1,
2022, to April 30, 2023. Eligible participants were selected using a systematic
random sampling technique. The data was collected using an intervieweradministered
semi-structured, and pretested questionnaire. STATA version 17
and SPSS version 25 software were used for data entry and analysis
respectively. Bivariable and multivariable logistic regression models were used
to identify factors associated with clients’ satisfaction with comprehensive
abortion care services. A P-value of ≤0.05 with a 95% confidence interval was
the cutoff point for determining statistical significance.
Results: This study revealed that the level of client satisfaction with
comprehensive abortion care services was 60.4% (95% CI: 55.0%, 66.0%). The
use of abortion medication (AOR = 4.41, 95% CI: 2.59, 7.48), women’s age 20–
24 years (AOR = 2.94, 95% CI: 1.02, 8.48), and being a student (AOR = 2.88,
95% CI: 1.10, 7.51) were significantly associated with women’s satisfaction with
comprehensive abortion care services.Conclusions: Women’s satisfaction with comprehensive abortion care services
was relatively low, and it was strongly correlated with the method of abortion, age,
and occupation. To improve women’s satisfaction requires a comprehensive
understanding of women’s values and perspectives, providing sexual and
reproductive health education, and quality abortion care services are recommended
