Background: This study assesses the quality of
reproductive health services using client satisfaction exit interviews
among three groups of primary health care units
run by the Ministry of Health and Population of Egypt. Each
group applied a different model of intervention. The Ministry
will use the results in assessing its reproductive health
component in the health sector reform program, and benefits
from the strengths of other models of intervention. Methods:
The sample was selected in two stages. First, a stratified random
sampling procedure was used to select the health units.
Then the sample of female clients in each health unit was
selected using the systematic random approach, whereby
one in every two women visiting the unit was approached.
All women in the sample coming for reproductive health
services were included in the analysis. Results: The results
showed that reproductive health beneficiaries at the units implementing
the new health sector reform program were more
satisfied with the quality of services. Still there were various
areas where clients showed significant dissatisfaction, such
as waiting time, interior furnishings, cleanliness of the units
and consultation time. The study showed that the staff of
these units did not provide a conductive social environment
as other interventions did. A significant proportion of women
expressed their intention to go to private physicians owing
to their flexible working hours and variety specializations.