Hostname: page-component-7c8c6479df-ph5wq Total loading time: 0 Render date: 2024-03-28T15:37:49.831Z Has data issue: false hasContentIssue false

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

Published online by Cambridge University Press:  21 September 2011

ANRUDH K. JAIN
Affiliation:
Population Council, New York, USA
SAUMYA RAMARAO
Affiliation:
Population Council, New York, USA
JACQUELINE KIM
Affiliation:
The Women's Foundation, Hong Kong
MARILOU COSTELLO
Affiliation:
Independent Consultant, Manila, Philippines

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.

Type
Research Article
Copyright
Copyright © Cambridge University Press 2011

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Ali, M. & Cleland, J. (1995) Contraceptive discontinuation in six developing countries: a case-specific analysis. International Family Planning Perspectives 21(3), 9297.CrossRefGoogle Scholar
AVSC International (1995) Family Planning Counseling: A Curriculum Prototype. AVSC International, New York.Google Scholar
AVSC International & DoH, Philippines (n.d) Participant's Handbook in Family Planning Counseling. AVSC International, Manila.Google Scholar
Bankole, A. & Westoff, C. F. (1998) The consistency and validity of reproductive attitudes: evidence from Morocco. Journal of Biosocial Science 30(4), 439455.CrossRefGoogle ScholarPubMed
Ben Salem, B. & Beattie, K. J. (1996) Facilitative Supervision: A Vital Link in Quality Reproductive Health Service Delivery. AVSC Working Paper No. 10. AVSC International, New York.Google Scholar
Blanc, A., Curtis, S. L. & Croft, T. N. (2002) Monitoring contraceptive continuation: links to fertility outcomes and quality of care. Studies in Family Planning 33(2), 127140.CrossRefGoogle ScholarPubMed
Bongaarts, J. (1991) Do reproductive intentions matter? Demographic and Health Surveys World Conferences 1, 223248.Google Scholar
Bongaarts, J. & Bruce, J. (1995) The causes of unmet need for contraception and the social content of services. Studies in Family Planning 26(2), 5775.CrossRefGoogle ScholarPubMed
Bruce, J. (1990) Fundamental elements of the quality of care: a simple framework. Studies in Family Planning 21(2), 6191.CrossRefGoogle ScholarPubMed
Casterline, J. B. & Sinding, S. W. (2000) Unmet need for family planning in developing countries and implications for population policy. Population and Development Review 26(4), 691723.CrossRefGoogle Scholar
Costello, M., Lacuesta, M., RamaRao, S. & Jain, A. (2001) A client-centered approach to family planning: the Davao Project. Studies in Family Planning 32(4), 302314.CrossRefGoogle ScholarPubMed
Jain, A. K. (1989) Fertility reduction and quality of family planning service. Studies in Family Planning 20(1), 116.CrossRefGoogle Scholar
Koenig, M. A., Ahmed, S. & Hossain, M. B. (2003) The impact of quality of care on contraceptive use: evidence from longitudinal data from rural Bangladesh. FRONTIERS Final Report. Population Council, Washington, DC.Google Scholar
Koenig, M. A., Hossain, M. B. & Whittaker, M. (1997) The influence of quality of care upon contraceptive use in rural Bangladesh. Studies in Family Planning 28(4), 278289.CrossRefGoogle ScholarPubMed
Kols, A. J. & Sherman, J. E. (1998) Family Planning Programs: Improving Quality. Population Reports, Series J, No. 47. Johns Hopkins University School of Public Health, Population Information Program, Baltimore, MD.Google Scholar
Lei, Z., Wu., , Wu, S. C., Garceau, R. J., Jiang, S., Yang, Q. Z., Wang, W. L & Vander Meulen, T. C. (1996) Effect of pretreatment counseling on discontinuation rates in Chinese women given Depo-medroxyprogesterone acetate for contraception. Contraception 53(6), 357361.CrossRefGoogle ScholarPubMed
Mensch, B., Arends-Kuenning, M. & Jain, A. (1996) The impact of the quality of family planning services on contraceptive use in Peru. Studies in Family Planning 27(2), 5975.CrossRefGoogle ScholarPubMed
Mensch, B., Fisher, A., Askew, I. & Ajayi, A. (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.Google Scholar
Mensch, B. S., Arends-Kuenning, M., Jain, A. & Garate, M. R. (1997) Avoiding unintended pregnancy in Peru: does the quality of family planning services matter? International Family Planning Perspectives 23(1), 2127.CrossRefGoogle Scholar
Miller, K., Heidi, J. & Horn, M. C. (1998) Indicators of readiness and quality: basic findings. In Miller, K., Miller, R., Askew, I., Horn, M. C. & Ndhlovu, L. (eds) Clinic-Based Family Planning and Reproductive Health Services in Africa: Findings from Situation Analysis Studies. Population Council, New York.Google Scholar
Mroz, T. A., Bollen, K. A., Speizer, I. S. & Mancini, D. J. (1999) Quality, accessibility, and contraceptive use in rural Tanzania. Demography 36(1), 2340.Google Scholar
Pariani, S., Heer, D. M. & Van Arsdol, M. D. Jr (1991) Does choice make a difference to contraceptive use? Evidence from East Java. Studies in Family Planning 22(6), 384390.CrossRefGoogle ScholarPubMed
Patel, D., Patel, A. & Mehta, A. (1999) The effects of service quality on IUD continuation among women in rural Gujarat. In Koenig, M. A. & Khan, M. E. (eds) Improving Quality of Care in India's Family Welfare Programme: The Challenge Ahead. Population Council, New York.Google Scholar
RamaRao, S., Lacuesta, M., Costello, M., Pangolibay, B. & Jones, H. (2003) The link between quality of care and contraceptive use. International Family Planning Perspectives 29(2), 7683.CrossRefGoogle ScholarPubMed
RamaRao, S. & Mohanam, R. (2003) The quality of family planning program: concepts, measurements, interventions and effect. Studies in Family Planning 34(4), 227248.CrossRefGoogle Scholar
Robey, B., Ross, J. & Bhushan, I. (1996) Meeting Unmet Need: New Strategies. Population Reports, Series J, No. 43. Johns Hopkins School of Public Health, Population Information Program, Baltimore, MD.Google ScholarPubMed
Sanogo, D., RamaRao, S., Jones, H., N'diaye, P., M'bow, B. & Diop, C. B. (2003) Improving quality of care and use of contraception in Senegal. African Journal of Reproductive Health 7(2), 5773.CrossRefGoogle ScholarPubMed
Steele, F., Curtis, S. L. & Choe, M. (1999) The impact of family planning service provision on contraceptive-use dynamics in Morocco. Studies in Family Planning 30(1), 2842.CrossRefGoogle ScholarPubMed