This study aims to explore factors influencing outpatient client satisfaction level with quality of service to recommend friends and family
to the three intermediate public health hospitals in Namibia. Reviewing the literature, 14 variables were identified. The items were then
reduced using exploratory factor analysis which is evaluated using Principal Axis Factoring with Direct Oblimin rotation. Using exploratory
factor analysis, variables were categorized into 8 factors. This model, in the order of effect, identified Total Time Spent in the outpatient
department before leaving (in minutes) is the most important predictor of ES (expected satisfaction) values of (0.499), Sum of Medication
Communication (0.105), Contact Time with Doctors/Nurses (in minutes) (0.099), Sum of Nurse Communication (0.089), Sum of Doctor
Communication (0.049), First Time Visit to this Outpatient Department (0.031), Age groups (0.030) and Facility Name (0.011) is the least
important predictor for client to recommend their friends and family to the three intermediate public health care in Namibia. This implies
that Total Time Spent in the outpatient department before leaving (in minutes) is the most important predictor of ES by outpatient clients
on quality of service perceptions and has the largest impact of recommending friends and family to receive services at the three intermediate
public hospitals.