scholarly journals Quality of Care in Modern Contraceptive Service Delivery in the Public and Private Sector: A Cross Sectional Study in Indonesia

2020 ◽  
Vol 12 (7) ◽  
pp. 102
Author(s):  
Ekoriano Mario ◽  
Ardiana Irma
Keyword(s):  
Quality Of Care ◽  
Family Planning ◽  
Health Facilities ◽  
Modern Contraceptive ◽  
Health Providers ◽  
Family Planning Services ◽  
Public And Private ◽  
The Public ◽  
Six Elements

The Government of Indonesia has established a set of program interventions to enhance the quality of family planning services. The program gives preferences to the acceptance of family planning services and the readiness of the supply side. This study is intended to better understand the extent to which the public and private sectors deliver quality family planning services in 4 selected provinces within Indonesia. The six elements of quality of care (Bruce, 1990) were utilized as the study framework. The study confirmed that the mean of all six elements of quality of care are significant (alpha =0,05) in two out of the four study sites. From the clients’ point of view, information on contraceptive choices was the most neglected aspect in the public health facilities, while ‘follow up and a continuity mechanism’ was most neglected in the private health facilities. The equity index showed a substantial difference in the overall quality of care between the two types of health facilities (public= 4.53 versus private= 5.34). As far as health providers are concerned, quality of care is still below the optimum standard. Emphasis should be given to formally shape the desired health provider behavior and find a way to create an ‘after-sales-service’ scheme. The concept of quality goals need to be mindful of program maturity across regions. Periodic monitoring and evaluation is required to ensure more client satisfaction which leading to more sustained use of modern contraceptives.

scholarly journals Assessing quality of family planning counseling and its determinants in Kenya: Analysis of health facility exit interviews

PLoS ONE ◽  
2021 ◽  
Vol 16 (9) ◽  
pp. e0256295
Author(s):  
Susan Ontiri ◽  
Mark Kabue ◽  
Regien Biesma ◽  
Jelle Stekelenburg ◽  
Peter Gichangi
Keyword(s):  
Family Planning ◽  
Tertiary Education ◽  
Secondary Analysis ◽  
Modern Contraceptive ◽  
Health Providers ◽  
Family Planning Services ◽  
Information Index ◽  
Ordinal Logistic Regression Analysis ◽  
Family Planning Counseling

Background Available evidence suggests that provision of quality of care in family planning services is crucial to increasing uptake and continuation of use of contraception. Kenya achieved a modern contraceptive prevalence rate of 60% in 2018, surpassing its 2020 target of 58%. With the high prevalence, focus is geared towards improved quality of family planning services. The objective of this study is to examine the quality of family planning counseling and its associated factors in health facilities in Kenya. Methods We conducted a secondary analysis of the 2019 Kenya Performance Monitoring and Action, client exit data of women who had received family planning services. Quality of counseling was assessed using the Method Information Index Plus. We conducted a multivariable ordinal logistic regression analysis of data from 3,731 women to establish determinants of receiving quality family planning services. Results The Method Information Index Plus score for higher-quality counseling was 56.7%, lower-quality counseling 32.4%, and no counseling 10.9%. Women aged 15–24 years (aOR = 0.69, 95% CI = 0.56–0.86, p = 0.001) had lower odds of receiving better counseling compared to women aged 35 years and above. Those with no education (aOR = 0.52, 95% CI = 0.33–0.82, p = 0.005), primary (aOR = 0.56, 95% CI = 0.44–0.71, p<0.001) and secondary (aOR = 0.79, 95% CI = 0.65–0.98, p = 0.028) were less likely to receive better counseling compared to those with tertiary education. Women who received long acting and reversible contraception methods (aOR = 1.75, 95% CI = 1.42–2.17, p<0.001), and those who were method switchers (aOR = 1.24, 95% CI = 1.03–1.50, p = 0.027), had a higher likelihood of receiving better quality of counseling as compared to those on short-term methods and those who were continuers, respectively. Conclusion The quality of family planning counseling in Kenya is still sub-optimal considering that some women receive no form of counseling at service delivery point. There is need to review the existing FP guidelines and training packages to increase focus on the quality of counseling services offered by health providers. Social accountability strategies that empower women to demand quality services should be included in community-level family planning interventions.

scholarly journals Does service integration improve technical quality of care in low-resource settings? An evaluation of a model integrating HIV care into family planning services in Kenya

2017 ◽  
Vol 32 (suppl_4) ◽  
pp. iv91-iv101 ◽  
Author(s):  
Richard Mutemwa ◽  
Susannah H Mayhew ◽  
Charlotte E Warren ◽  
Timothy Abuya ◽  
Charity Ndwiga ◽  
...  
Keyword(s):  
Quality Of Care ◽  
Family Planning ◽  
Service Integration ◽  
Hiv Care ◽  
Technical Quality ◽  
Family Planning Services ◽  
Low Resource Settings ◽  
Low Resource

Quality of Care in Family Planning Services in Morocco

1995 ◽  
Vol 26 (3) ◽  
pp. 154 ◽  
Author(s):  
Lisanne Brown ◽  
Mostafa Tyane ◽  
Jane Bertrand ◽  
Don Lauro ◽  
Mohamed Abou-ouakil ◽  
...  
Keyword(s):  
Quality Of Care ◽  
Family Planning ◽  
Family Planning Services

THE IMPACT OF DEMAND FACTORS, QUALITY OF CARE AND ACCESS TO FACILITIES ON CONTRACEPTIVE USE IN TANZANIA

2005 ◽  
Vol 39 (1) ◽  
pp. 1-26 ◽  
Author(s):  
MARY ARENDS-KUENNING ◽  
FLORA L. KESSY
Keyword(s):  
Quality Of Care ◽  
Family Planning ◽  
Cultural Values ◽  
Contraceptive Use ◽  
Data Sets ◽  
Demand Side ◽  
Family Planning Services ◽  
Unmet Demand ◽  
The Impact

The low contraceptive prevalence rate and the existence of unmet demand for family planning services present a challenge for parties involved in family planning research in Tanzania. The observed situation has been explained by the demand-side variables such as socioeconomic characteristics and cultural values that maintain the demand for large families. A small, but growing body of research is examining the effect of supply-side factors such as quality of care of family planning services on the demand for contraceptives. This paper analyses the demand and supply factors determining contraceptive use in Tanzania using the Tanzania Service Availability Survey (1996) and the Tanzania Demographic and Health Survey (1996) data sets. The results show that access to family planning services and quality of care of services are important determinants of contraceptive use in Tanzania even after controlling for demand-side factors.

scholarly journals Factors Determining Quality of Care in Family Planning Services in Africa: A Systematic Review of Mixed Evidence

PLoS ONE ◽  
2016 ◽  
Vol 11 (11) ◽  
pp. e0165627 ◽  
Author(s):  
Gizachew Assefa Tessema ◽  
Judith Streak Gomersall ◽  
Mohammad Afzal Mahmood ◽  
Caroline O. Laurence
Keyword(s):  
Systematic Review ◽  
Quality Of Care ◽  
Family Planning ◽  
Family Planning Services
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