this paper explores client satisfaction with abortion care, lookingat overall satisfaction and satisfaction with hygiene, comfort andcourtesy. the analysis aimed to determine whether clientsatisfaction was related to the characteristics of the client, inorder to guide quality improvement efforts. the analysis is asecondary analysis of data collected in a survey of 489 abortionclients who attended a limited number of hospitals in three citiesin russia. the data were analysed using logistic regression. clientcharacteristics, in general, did not affect overall satisfactionthough there were significant differences in overall satisfactionfor unmarried versus married women (or=0·29, ci=0·13, 0·63).similarly, most characteristics of the abortion visit were notrelated to client satisfaction, although women who were awake forthe procedure were less likely to be satisfied (or=0·37, ci=0·16,0·89). information provided to abortion clients about self-care wasthe most important predictor of overall satisfaction for abortionclients (or=3·55, ci=1·64, 7·69). this suggests that improving theinformation provided to clients, through training providers andother staff, is important in these settings.