There is an increased understanding that a valid instrument is important to establish andrnimplement appropriate tactics or strategies to improving quality of health delivery systemrnthereby ensure patient satisfaction. The purpose of this study was to develop and examine thernpsychometrics of a brief scale measuring clients' satisfaction with comprehensive abortion carern(CSwCAC) in the context of Ethiopian health facilities. The study followed two related phases.rnPhase I employed qualitative methods in order to identify concepts used to develop a CSwCACrnscale. Phase II used quantitative methods to identify dimensions and evaluate psychometricrnproperties of the scale. A sample of 450 clients were interviewed from eight health facilities ofrnwhich a total of 430 clients responded to the questionnaire, giving a relatively high response ratern(95.6%). Principal component exploratory factor analysis resulted in the construct consists ofrnfive factors which account 60% of the variance in total satisfaction scores. The Kaiser-Meyer-rnOlkin is (KMO= 0,838) and Bartlett test of sphericity is significant (p