Quality of family planning counseling among women attending prenatal care at a hospital in Addis Ababa, Ethiopia.
OBJECTIVE
To assess the quality of family planning counseling among women attending a prenatal clinic in Addis Ababa, Ethiopia.


METHODS
In a descriptive cross-sectional study conducted between February and April, 2015, at the prenatal care clinic of Saint Paul's Hospital Millennium Medical College, Addis Ababa, Ethiopia, pregnant women in their third trimester were interviewed about their experience of family planning counseling. Data were collected via a questionnaire. Logistic regression was used to assess predictors of satisfaction with the counseling service.


RESULTS
During the study period, 400 women were interviewed. Only 139 women (34.8%) were counseled about family planning. Among those counseled, 126 (90.6%) decided to use a contraceptive method after delivery and 46 (36.7%) decided to use an injectable contraceptive. Women were more likely to report high satisfaction when their provider asked about their partner's attitude toward contraceptive methods (adjusted odds ratio 6.6; P<0.001), and when asked about their concerns and worries regarding family planning methods (adjusted odds ratio 5.1; P<0.001).


CONCLUSIONS
Very few women were counseled about contraception during prenatal care. Asking about a partner's attitude toward contraceptives and discussing women's fears or worries about contraceptives should be considered during family planning counseling to improve satisfaction and quality of care.
Department of Obstetrics and Gynecology, St. Paul's Hospital Millennium Medical College, Addis Ababa, Ethiopia.
Abel
A
Teshome
Department of Obstetrics and Gynecology, St. Paul's Hospital Millennium Medical College, Addis Ababa, Ethiopia.
Malede
M
Birara
Department of Obstetrics and Gynecology, University of Michigan Medical School, Ann Arbor, MI, USA.
Sarah D
SD
Rominski
D000293:Adolescent; D000328:Adult; D003376:Counseling; D003430:Cross-Sectional Studies; D005002:Ethiopia; D005193:Family Planning Services / Q000592:standards*; D005260:Female; D006761:Hospitals; D006801:Humans; D007407:Interviews as Topic; D008427:Maternal Health Services / Q000592:standards*; D017063:Outcome Assessment, Health Care; D010342:Patient Acceptance of Health Care; D011247:Pregnancy; D011295:Prenatal Care; D055815:Young Adult
Contraceptive; Counseling; Family planning; Patient satisfaction; Prenatal care; Quality