Women's satisfaction towards comprehensive abortion care and its determinants in Mekelle Health facilities, Tigray region, Northern Ethiopia: a mixed research approach

Background and objectives: Every year, it is estimated that half a million pregnancies in Ethiopia terminate in abortion. In Ethiopia, unsafe abortion is one of the leading causes of maternal death. Improving the quality of health care is one of the transformative agendas of Ethiopia's Health Sectoral Transformation Plan. Therefore, the main aim of this study was to assess women's satisfaction with comprehensive abortion care and its determinants in Mekelle health facilities, Tigray Region. Ethiopia. Materials and Methods: A facility-based cross-sectional study with a mixed research strategy was conducted. Women who receive abortion care at three health facilities in Mekelle constituted the study participants. The study participants were chosen using a systematic random sampling procedure with proportionate allocation. Data was collected through client exit interviews with mothers. A multiple linear regression model was used to investigate the determinants of client satisfaction. Result: A total of 317 mothers were enrolled in the study. Out of the 317 respondents, 168 (53%) were aged 20 to 24 years, with a mean age of 24.4± 4.9 years. The total mean score of client satisfaction with post-abortion care was 2.35 ± 0.24, and 273 (86.1%) of respondents were happy with the service provided by the health facilities. Based on multiple linear regression, a stronger art of care and respect resulted in a 70.8% increase in customer satisfaction. Additionally, the physical environment's safety would increase pleasure by 12.5%. Providing information about the procedure increased consumer satisfaction by 57.1%. An increase in service quality would increase client satisfaction by 84.1%. Conclusion: A safe environment, good art of care and respect, providing adequate information to the client, and better-quality care would improve client satisfaction. January 2025; Vol. 19(1):004. DOI: https://doi.org/10.55010/imcjms.19.004 *Correspondence: Sisay Moges, Department of Family Health, Hossana College of Health Sciences, Hossana, Ethiopia. Email: Sisaymoges55@gmail.com; © 2025 The Author(s). This is an open access article distributed under the terms of the Creative Commons Attribution License(CC BY 4.0).