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Original Articles
Open Access

Client-centered counseling improves client satisfaction with family planning visits: evidence from Irbid, Jordan

Sarah Kamhawi, Carol Underwood, Huda Murad and Bushra Jabre
Global Health: Science and Practice August 2013, 1(2):180-192; https://doi.org/10.9745/GHSP-D-12-00051
Sarah Kamhawi
aJordan Health Communication Partnership, Amman, Jordan
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Carol Underwood
bJohns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA
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  • For correspondence: cunderwo@jhsph.edu
Huda Murad
aJordan Health Communication Partnership, Amman, Jordan
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Bushra Jabre
bJohns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA
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Figures & Tables

Figures

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  • Figure 1.
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    Figure 1.

    Trends in New Family Planning Clients, Irbid Governorate, August 2008–July 2012

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    Figure 2.

    Trends in Couple-Years of Protection, Irbid Governorate, August 2008–July 2012

Tables

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    Table 1. Family Planning Services Sought by Clients
    Type of Family Planning ServiceTotal No. of ClientsNo. of Clients Who Received Counseling on Day of InterviewNo. of Follow-Up Clients
    Received 1 Service
    Obtain a method75750
    Counseling36360
    Follow-up/consult1090109
    Received 2 Services
    Obtain a method and counseling73730
    Obtain a method and follow-up/consult676767
    Counseling and follow-up/consult545454
    Received 3 Services
    Obtain a method, counseling, and follow-up/consult474747
    TOTAL461352277a
    • ↵a Of the 277 follow-up clients, 234 received counseling during a previous visit at the health center.

    • View popup
    Table 2. Client Satisfaction Associated With Providers' Use of “Consult and Choose” Materials
    MaterialsClient Satisfaction, % (No. of Clients Reporting Provider Used Material)Client Satisfaction, % (No. of Clients Reporting Providers Did Not Use Material)
    Wheel89.1*72.5*
    (n = 156)(n = 196)
    Provider cue card83.8*71.4*
    (n = 240)(n = 112)
    Hayati Ahla lab coat88.3*63.9*
    (n = 230)(n = 122)
    Received client cue card86.981.2
    (n = 221)(n = 85)
    Referred to the client cue card89.986.7
    (n = 206)(n = 15)
    • Client satisfaction level was defined as “very satisfied.”

    • ↵* Significance comparing satisfaction between clients who recalled that their providers used materials vs. those who did not recall that their providers used the materials. P values ≤ .05 were considered statistically significant.

    • View popup
    Table 3. Client Satisfaction Associated With Providers' Use of “Consult and Choose” Counseling Protocol
    Counseling Protocol TaskClient Satisfaction, % (No. of Clients Reporting Providers Performed Task)Client Satisfaction, % (No. of Clients Reporting Providers Did Not Perform Task)
    Discussed how many children the beneficiary would like to have87.7*66.9*
    (n = 219)(n = 133)
    Talked to the beneficiary about advantages of birth spacing83.0*71.0*
    (n = 259)(n = 93)
    Asked the beneficiary whether she had a method in mind before coming to the center82.7*64.9*
    (n = 295)(n = 57)
    Explained available methods that the beneficiary could use81.4*68.9*
    (n = 307)(n = 45)
    Made clear the advantages of different methods82.2*67.3*
    (n = 297)(n = 55)
    Made clear the disadvantages of different methods81.7*71.4*
    (n = 289)(n = 63)
    Talked to the beneficiary about possible side effects of methods82.8*65.6*
    (n = 291)(n = 61)
    Explained how to manage side effects of the chosen method83.6*55.3*
    (n = 305)(n = 47)
    • Client satisfaction level was defined as “very satisfied.”

    • ↵* Significance comparing satisfaction between clients who recalled that their providers performed the task vs. those who did not recall that their providers performed the task. P values ≤ .05 were considered statistically significant.

    • View popup
    Table 4. Effects of the Hayati Ahla Video on Viewers (n = 52)
    Effects Reported by ViewersNo. (%)
    Will tell others about the video52 (100.0)
    Believe that such a display should be present in all health centers52 (100.0)
    Watching the video influenced the viewer44 (84.6)
     More acceptance of family planning/modern methods; less fear of modern methods22 (45.5)
     Will use contraception16 (36.4)
     Will ask doctor about family planning/modern methods14 (31.8)
     Will plan family/space 3 years between births17 (38.6)
     Will discuss family planning with spouse/others10 (22.7)
    • View popup
    Table 5. Multivariate Stepwise Logistic Regression Analysis of Variables Associated With Family Planning Client Satisfaction
    VariableOdds Ratios of Being “Very Satisfied” With the Visit
    Model 1Model 2Model 3Model 4Model 5
    Age categoriesa1.41.51.31.41.4
    Educational attainment categoriesb1.3*1.21.31.2
    Adherence to counseling protocolc1.2**–1.1
    Use of counseling materialsd1.7***1.6***
    No. of observations461461352352352
    • Each successive model reflects the addition of a new variable in the regression analysis to test which variables remain statistically associated with client satisfaction as each new variable is added.

    • ↵* P<.05; **P <.01; ***P <.001

    • ↵a Age categories: 18–20 years, 21–30 years, 31–40 years, 41–49 years.

    • ↵b Educational attainment categories: Basic or lower, secondary, intermediate diploma, university or higher.

    • ↵c Number of counseling protocol steps followed according to the client's recollection.

    • ↵d Number of materials used during counseling according to the client's recollection.

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Global Health: Science and Practice: 1 (2)
Global Health: Science and Practice
Vol. 1, No. 2
August 01, 2013
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Client-centered counseling improves client satisfaction with family planning visits: evidence from Irbid, Jordan
Sarah Kamhawi, Carol Underwood, Huda Murad, Bushra Jabre
Global Health: Science and Practice Aug 2013, 1 (2) 180-192; DOI: 10.9745/GHSP-D-12-00051

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Client-centered counseling improves client satisfaction with family planning visits: evidence from Irbid, Jordan
Sarah Kamhawi, Carol Underwood, Huda Murad, Bushra Jabre
Global Health: Science and Practice Aug 2013, 1 (2) 180-192; DOI: 10.9745/GHSP-D-12-00051
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  • Article
    • ABSTRACT
    • INTRODUCTION
    • THE CONSULT and CHOOSE INTERVENTION
    • METHODOLOGY
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