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Quality of Youth Friendly Service at Public Health Facilities in SendafaTown, Oromia Region, Ethiopia: A Facility Based Cross Sectional Study

Received: 30 May 2022    Accepted: 1 July 2022    Published: 13 July 2022
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Abstract

Background: Global initiatives are urging countries to prioritize quality as a way of reinforcing human rights-based approaches to health. Yet, evidence from both high- and low-income countries shows that services for adolescents are highly fragmented, poorly coordinated and uneven in quality. Objective: The main aim of the study was to assess quality of youth friendly service at public health facilities in Sendafa town, Oromia Region, Ethiopia. Methods: Facility based cross-sectional study design using both qualitative and quantitative data was conducted from April 12 to May 14, 2021 at two public health centers in Sendafa town. Four hundred twenty one (421) samples were included by using a systematic sampling technique. To collect the data interview-administered questionnaire and observation checklist was used. Binary logistic regression model were applied to identify the independent predictors of client satisfaction. Strength of association was measured using adjusted odds ratio (AOR) with 95% confidence interval. Key informant interview and observation were used to collect qualitative data. Qualitative findings were coded and analyzed by using thematic content analysis. Result: A total of 421 youth friendly service clients age between 10-24 years were participated in the study. The overall quality of youth friendly services for public health facilities in Sendafa town was 58% which is below the standard of care. Age (15-19) (AOR=0.34, 95% CI: 0.12, 0.97), education below secondary (AOR=0.041, 95% CI: 0.013, 0.134), who do not get all services (AOR=0.02, 95% CI: 0.001, 0.36), current schooling status of in school (AOR=6.7, 95% CI: 2.12, 21.5), experience of youth friendly service visit (AOR=10.86, 95% CI: 4.72, 25.0) and comfortable with age and sex of provider (AOR=9.86, 95% CI: 3.58, 27.12) had statistically significant association with client satisfaction. Conclusion: The study shows that, quality of youth friendly service at public health facilities of Sendafa town was poor quality or below the standard of care.

Published in American Journal of Nursing and Health Sciences (Volume 3, Issue 3)
DOI 10.11648/j.ajnhs.20220303.11
Page(s) 39-53
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2022. Published by Science Publishing Group

Keywords

Quality of Youth Friendly Service, Satisfaction, Donabedian Model

References
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    Adugna Amenu, Wassie Negash, Enguday Demeke. (2022). Quality of Youth Friendly Service at Public Health Facilities in SendafaTown, Oromia Region, Ethiopia: A Facility Based Cross Sectional Study. American Journal of Nursing and Health Sciences, 3(3), 39-53. https://doi.org/10.11648/j.ajnhs.20220303.11

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    ACS Style

    Adugna Amenu; Wassie Negash; Enguday Demeke. Quality of Youth Friendly Service at Public Health Facilities in SendafaTown, Oromia Region, Ethiopia: A Facility Based Cross Sectional Study. Am. J. Nurs. Health Sci. 2022, 3(3), 39-53. doi: 10.11648/j.ajnhs.20220303.11

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    AMA Style

    Adugna Amenu, Wassie Negash, Enguday Demeke. Quality of Youth Friendly Service at Public Health Facilities in SendafaTown, Oromia Region, Ethiopia: A Facility Based Cross Sectional Study. Am J Nurs Health Sci. 2022;3(3):39-53. doi: 10.11648/j.ajnhs.20220303.11

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  • @article{10.11648/j.ajnhs.20220303.11,
      author = {Adugna Amenu and Wassie Negash and Enguday Demeke},
      title = {Quality of Youth Friendly Service at Public Health Facilities in SendafaTown, Oromia Region, Ethiopia: A Facility Based Cross Sectional Study},
      journal = {American Journal of Nursing and Health Sciences},
      volume = {3},
      number = {3},
      pages = {39-53},
      doi = {10.11648/j.ajnhs.20220303.11},
      url = {https://doi.org/10.11648/j.ajnhs.20220303.11},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajnhs.20220303.11},
      abstract = {Background: Global initiatives are urging countries to prioritize quality as a way of reinforcing human rights-based approaches to health. Yet, evidence from both high- and low-income countries shows that services for adolescents are highly fragmented, poorly coordinated and uneven in quality. Objective: The main aim of the study was to assess quality of youth friendly service at public health facilities in Sendafa town, Oromia Region, Ethiopia. Methods: Facility based cross-sectional study design using both qualitative and quantitative data was conducted from April 12 to May 14, 2021 at two public health centers in Sendafa town. Four hundred twenty one (421) samples were included by using a systematic sampling technique. To collect the data interview-administered questionnaire and observation checklist was used. Binary logistic regression model were applied to identify the independent predictors of client satisfaction. Strength of association was measured using adjusted odds ratio (AOR) with 95% confidence interval. Key informant interview and observation were used to collect qualitative data. Qualitative findings were coded and analyzed by using thematic content analysis. Result: A total of 421 youth friendly service clients age between 10-24 years were participated in the study. The overall quality of youth friendly services for public health facilities in Sendafa town was 58% which is below the standard of care. Age (15-19) (AOR=0.34, 95% CI: 0.12, 0.97), education below secondary (AOR=0.041, 95% CI: 0.013, 0.134), who do not get all services (AOR=0.02, 95% CI: 0.001, 0.36), current schooling status of in school (AOR=6.7, 95% CI: 2.12, 21.5), experience of youth friendly service visit (AOR=10.86, 95% CI: 4.72, 25.0) and comfortable with age and sex of provider (AOR=9.86, 95% CI: 3.58, 27.12) had statistically significant association with client satisfaction. Conclusion: The study shows that, quality of youth friendly service at public health facilities of Sendafa town was poor quality or below the standard of care.},
     year = {2022}
    }
    

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  • TY  - JOUR
    T1  - Quality of Youth Friendly Service at Public Health Facilities in SendafaTown, Oromia Region, Ethiopia: A Facility Based Cross Sectional Study
    AU  - Adugna Amenu
    AU  - Wassie Negash
    AU  - Enguday Demeke
    Y1  - 2022/07/13
    PY  - 2022
    N1  - https://doi.org/10.11648/j.ajnhs.20220303.11
    DO  - 10.11648/j.ajnhs.20220303.11
    T2  - American Journal of Nursing and Health Sciences
    JF  - American Journal of Nursing and Health Sciences
    JO  - American Journal of Nursing and Health Sciences
    SP  - 39
    EP  - 53
    PB  - Science Publishing Group
    SN  - 2994-7227
    UR  - https://doi.org/10.11648/j.ajnhs.20220303.11
    AB  - Background: Global initiatives are urging countries to prioritize quality as a way of reinforcing human rights-based approaches to health. Yet, evidence from both high- and low-income countries shows that services for adolescents are highly fragmented, poorly coordinated and uneven in quality. Objective: The main aim of the study was to assess quality of youth friendly service at public health facilities in Sendafa town, Oromia Region, Ethiopia. Methods: Facility based cross-sectional study design using both qualitative and quantitative data was conducted from April 12 to May 14, 2021 at two public health centers in Sendafa town. Four hundred twenty one (421) samples were included by using a systematic sampling technique. To collect the data interview-administered questionnaire and observation checklist was used. Binary logistic regression model were applied to identify the independent predictors of client satisfaction. Strength of association was measured using adjusted odds ratio (AOR) with 95% confidence interval. Key informant interview and observation were used to collect qualitative data. Qualitative findings were coded and analyzed by using thematic content analysis. Result: A total of 421 youth friendly service clients age between 10-24 years were participated in the study. The overall quality of youth friendly services for public health facilities in Sendafa town was 58% which is below the standard of care. Age (15-19) (AOR=0.34, 95% CI: 0.12, 0.97), education below secondary (AOR=0.041, 95% CI: 0.013, 0.134), who do not get all services (AOR=0.02, 95% CI: 0.001, 0.36), current schooling status of in school (AOR=6.7, 95% CI: 2.12, 21.5), experience of youth friendly service visit (AOR=10.86, 95% CI: 4.72, 25.0) and comfortable with age and sex of provider (AOR=9.86, 95% CI: 3.58, 27.12) had statistically significant association with client satisfaction. Conclusion: The study shows that, quality of youth friendly service at public health facilities of Sendafa town was poor quality or below the standard of care.
    VL  - 3
    IS  - 3
    ER  - 

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Author Information
  • German Foundation for World Population Ethiopia, Sendafa, Ethiopia

  • Department of Public Health, Health Science College, Debre Berhan University, Debre Berhan, Ethiopia

  • Department of Public Health, Health Science College, Debre Berhan University, Debre Berhan, Ethiopia

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