Contraception (Birth Control) and Family Planning PubHealthInfo

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PubHealth.info® (a subsidiary of PakMed) presents scientific information mainly based on abstracts of articles published on a variety of public health issues/topics, particularly encompassing population planning, disease prevention, maternal and child health, and communicable and non-communicable diseases (like HIV AIDS, malaria, etc) that are affecting a significant portion of population in developing and developed countries. Here you can find abstracts of articles published on a variety of public health topics under category "Contraception (Birth Control) and Family Planning". Contraception (birth control) is a regimen of one or more actions, devices, or medications followed in order to deliberately prevent or reduce the likelihood of a woman becoming pregnant or giving birth. Therefore contraception is the utilization of various and sundry surgical procedures, devices, practices, agents, or drugs with the intention of preventing conception or impregnation (pregnancy). Methods and intentions typically termed birth control may be considered a pivotal ingredient to family planning. Birth control is a controversial political and ethical issue in many cultures and religions, and although it is generally less controversial than abortion specifically.

YEAR: 1995

CATEGORY: Contraception (Birth Control) and Family Planning

TITLE

Quality of care in family planning service delivery in Kenya: clients' and

providers' perspectives.

AUTHORS

Population Council. Africa Operations Research and Technical Assistance Project

SOURCE

UPDATE: THE POPULATION COUNCIL AFRICA OPERATIONS RESEARCH AND

TECHNICAL ASSISTANCE PROJECT II. 1995 Nov;(2):1-2.

ABSTRACT

The Bruce-Jain framework about quality of care (i.e., method choice, information to users, technical competence,

interpersonal relations, follow-up or continuity mechanisms, and appropriate constellation of services) as well as the

clients' opinions were used for measuring quality of care in family planning service delivery in Kenya under the 1994

Operations Research and Technical Assistance Project II. Two sites in urban Nairobi and two in the rural Murang'a

district with nine service delivery points (SDPs) were selected for the study. A combination of focus group

discussions and in-depth interviews were used for collecting data from four groups of women: current users of family

planning services, women who switched clinics, women who discontinued use of services, and women who had

never used services. Service providers in all nine SDPs were also interviewed. Both clients and providers stated

that the major factors in quality of care were provider-client interaction, cost and proximity of the health facility, and

clinic operability. Public family planning clinics were often preferred to private ones because of the lower cost and

closer proximity. However, the inadequate functioning of many public clinics caused clients to switch to private

ones. Both actors recognized the desirability of confidentiality and privacy, but some program managers considered

medical examinations to be barriers to service delivery. Clients perceived the poor attitude of providers and staff and

their inability to treat common contraceptive side effects as the most serious difficulties at clinics, particularly at

government facilities. Inadequacy of care, perceived incompetence, and hostility of providers cause many women to

switch services or stop using them altogether. Women with different demographic characteristics often received

different quality of care, as young unmarried clients without children were denied access to the clinics. Clients were

routinely told that the clinic had no supplies and some were told to bring their own supplies. The Africa Operations

Research and Technical Assistance Project II is continuing to develop appropriate interventions for improved quality

of care. (PubHealth.info Document ID: CONT2T 3048-06)

PubHealth.info NOTE: The author(s) of this article titled, "Quality of care in family planning service delivery in Kenya:

clients' and providers' perspectives.", is(are) Population Council. Africa Operations Research and Technical

Assistance Project. The source of this article is "UPDATE: THE POPULATION COUNCIL AFRICA OPERATIONS

RESEARCH AND TECHNICAL ASSISTANCE PROJECT II. 1995 Nov;(2):1-2.". This article was published in 1995 in

English language(s). (PubHealth.info® Document ID: CONT2T 3048-06. All rights reserved with PubHealth.info) PIN:

8048

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