Skip to main content
×
Home
    • Aa
    • Aa

EVALUATION OF AN INTERVENTION TO IMPROVE QUALITY OF CARE IN FAMILY PLANNING PROGRAMME IN THE PHILIPPINES

  • ANRUDH K. JAIN (a1), SAUMYA RAMARAO (a1), JACQUELINE KIM (a2) and MARILOU COSTELLO (a3)
Abstract
Summary

This paper presents the results of a longitudinal intervention study carried out in the Davao del Norte province of the Philippines. The intervention, tested through a quasi-experimental design, consisted of training of family planning service providers in information exchange and training of their supervisors in facilitative supervision. The training intervention significantly improved providers' knowledge and quality of care received by clients. Moreover, good quality care received by clients at the time of initiating contraception use increased the likelihood of contraceptive continuation and decreased the likelihood of both having an unintended pregnancy and an unwanted birth. However, comparison of women in the experimental group with those in the control group did not show any significant effect of provider-level training intervention on these client-level outcomes. The reasons for this conundrum and the implications for quality of care are discussed.

Copyright
Linked references
Hide All

This list contains references from the content that can be linked to their source. For a full set of references and notes please see the PDF or HTML where available.

M. Ali & J. Cleland (1995) Contraceptive discontinuation in six developing countries: a case-specific analysis. International Family Planning Perspectives 21(3), 9297.

A. Bankole & C. F. Westoff (1998) The consistency and validity of reproductive attitudes: evidence from Morocco. Journal of Biosocial Science 30(4), 439455.

A. Blanc , S. L. Curtis & T. N. Croft (2002) Monitoring contraceptive continuation: links to fertility outcomes and quality of care. Studies in Family Planning 33(2), 127140.

J. Bongaarts & J. Bruce (1995) The causes of unmet need for contraception and the social content of services. Studies in Family Planning 26(2), 5775.

J. Bruce (1990) Fundamental elements of the quality of care: a simple framework. Studies in Family Planning 21(2), 6191.

J. B. Casterline & S. W. Sinding (2000) Unmet need for family planning in developing countries and implications for population policy. Population and Development Review 26(4), 691723.

M. Costello , M. Lacuesta , S. RamaRao & A. Jain (2001) A client-centered approach to family planning: the Davao Project. Studies in Family Planning 32(4), 302314.

A. K. Jain (1989) Fertility reduction and quality of family planning service. Studies in Family Planning 20(1), 116.

M. A. Koenig , M. B. Hossain & M. Whittaker (1997) The influence of quality of care upon contraceptive use in rural Bangladesh. Studies in Family Planning 28(4), 278289.

Z. Lei , Wu., S. C. Wu , R. J. Garceau , S. Jiang , Q. Z. Yang , W. L Wang & T. C. Vander Meulen (1996) Effect of pretreatment counseling on discontinuation rates in Chinese women given Depo-medroxyprogesterone acetate for contraception. Contraception 53(6), 357361.

B. Mensch , M. Arends-Kuenning & A. Jain (1996) The impact of the quality of family planning services on contraceptive use in Peru. Studies in Family Planning 27(2), 5975.

B. Mensch , A. Fisher , I. Askew & A. Ajayi (1994) Using situation analysis data to assess the functioning of family planning clinics in Nigeria, Tanzania, and Zimbabwe. Studies in Family Planning 25(1), 1831.

B. S. Mensch , M. Arends-Kuenning , A. Jain & M. R. Garate (1997) Avoiding unintended pregnancy in Peru: does the quality of family planning services matter? International Family Planning Perspectives 23(1), 2127.

T. A. Mroz , K. A. Bollen , I. S. Speizer & D. J. Mancini (1999) Quality, accessibility, and contraceptive use in rural Tanzania. Demography 36(1), 2340.

S. Pariani , D. M. Heer & M. D. Van Arsdol Jr (1991) Does choice make a difference to contraceptive use? Evidence from East Java. Studies in Family Planning 22(6), 384390.

S. RamaRao , M. Lacuesta , M. Costello , B. Pangolibay & H. Jones (2003) The link between quality of care and contraceptive use. International Family Planning Perspectives 29(2), 7683.

S. RamaRao & R. Mohanam (2003) The quality of family planning program: concepts, measurements, interventions and effect. Studies in Family Planning 34(4), 227248.

D. Sanogo , S. RamaRao , H. Jones , P. N'diaye , B. M'bow & C. B. Diop (2003) Improving quality of care and use of contraception in Senegal. African Journal of Reproductive Health 7(2), 5773.

F. Steele , S. L. Curtis & M. Choe (1999) The impact of family planning service provision on contraceptive-use dynamics in Morocco. Studies in Family Planning 30(1), 2842.

Recommend this journal

Email your librarian or administrator to recommend adding this journal to your organisation's collection.

Journal of Biosocial Science
  • ISSN: 0021-9320
  • EISSN: 1469-7599
  • URL: /core/journals/journal-of-biosocial-science
Please enter your name
Please enter a valid email address
Who would you like to send this to? *
×

Metrics