ArticleInternational journal of environmental research and public health2020
Structural Quality of Services and Use of Family Planning Services in Primary Health Care Facilities in Ethiopia. How Do Public and Private Facilities Compare?
Article in International journal of environmental research and public health, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.
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16 citing papers in PubMed, 22 citations in OpenAlex.
- Pregnant and breastfeeding women's intention to follow medical advice before antibiotic use: a comparative pilot analysis using the theory of planned behavior in Mahajanga, Madagascar.BMC public health · 2026Article
- The impact of investing in private clinics and pharmacies on modern contraceptive uptake: an agent-based model of a segmented market.BMC health services research · 2025Article
- Use of modern family planning methods and its association with quality of life among Rwandan women: a multi-center cross-sectional study.Contraception and reproductive medicine · 2025Article
- Structural quality of health facilities to provide family planning services in Ethiopia: Evidence from the 2021-22 Ethiopia Service Provision Assessment survey.PLOS global public health · 2025Article
- Integrating HIV prevention with family planning services for adolescent girls and young women in Uganda: perspectives of adolescent girls and young women, health care providers, and policymakers.Frontiers in reproductive health · 2025Article
- Article
- Strengthening primary health care in Ethiopia: A scoping review of successes, challenges, and pathways towards universal health coverage using the WHO monitoring framework.PLOS global public health · 2025Article
- Identifying what contraceptive side effects women are told about during counseling using nationally representative PMA Ethiopia 2019 cross-sectional data.PLOS global public health · 2024Article
- Barriers to Family Planning Service Utilization in Ethiopia: A Qualitative Study.Ethiopian journal of health sciences · 2023Article
- Modern contraceptive method utilization and determinant factors among women in Ethiopia: Multinomial logistic regression mini- EDHS-2019 analysis.Contraception and reproductive medicine · 2023Article
- Health service quality in 2929 facilities in six low-income and middle-income countries: a positive deviance analysis.The Lancet. Global health · 2023Article
- Revisiting fertility regulation and family ties in Tunisia.BMC pregnancy and childbirth · 2023Article
- Integrating private health facilities in government-led health systems: a case study of the public-private mix approach in Ethiopia.BMC health services research · 2022Article
- Article
- Pooled prevalence and determinants of informed choice of contraceptive methods among reproductive age women in Sub-Saharan Africa: A multilevel analysis.Frontiers in public health · 2022Article
- Prelacteal feeding among infants within the first week of birth in eastern Uganda: evidence from a health facility-based cross-sectional study.International breastfeeding journal · 2021Article
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Authors and funding
7 authors at 6 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundFamily planning (FP) is among the important interventions that reduce maternal mortality. Poor quality FP service is associated with lower services utilisation, in turn undermining the efforts to address maternal mortality. There is currently little research on the quality of FP services in the private sector in Ethiopia, and how it compares to FP services in public facilities.
methodsA secondary data analysis of two national surveys, Ethiopia Services Provision Assessment Plus Survey 2014 and Ethiopian Demographic and Health Survey 2016, was conducted. Data from 1094 (139 private, 955 public) health facilities were analysed. In total, 3696 women were included in the comparison of users' characteristics. Logistic regression was conducted. Facility type (public vs. private) was the key exposure of interest.
resultsThe private facilities were less likely to have implants (Adjusted Odds Ratio (AOR) = 0.06; 95% Confidence Interval (CI): 0.03, 0.12), trained FP providers (AOR = 0.23; 95% CI: 0.14, 0.41) and FP guidelines/protocols (AOR = 0.33; 95% CI: 0.19, 0.54) than public facilities but were more likely to have functional cell phones (AOR = 8.20; 95% CI: 4.95, 13.59) and water supply (AOR = 3.37; 95% CI: 1.72, 6.59).
conclusionThis study highlights the need for strengthening both private and public facilities for public-private partnerships to contribute to increased FP use and better health outcomes.
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