The Link between Quality of Care and Contraceptive Use

Saumya RamaRao, Marlina Lacuesta, Marilou Costello, Blesilda Pangolibay, Heidi Jones
2003 International family planning perspectives  
Little empirical evidence shows whether quality of family planning care influences continued use of contraception, and if so, to what extent. METHODS: Interviews were conducted in 1997Interviews were conducted in -1998 new family planning users who had sought services at 80 service delivery points in Davao del Norte and Compostela Valley, the Philippines, to assess the quality of care received from family planning services providers. More than 16 months later, 1,460 of the respondents
more » ... spondents participated in a follow-up survey; the respondents' current contraceptive status was recorded. RESULTS: The quality of care received at the time a woman adopted a contraceptive method influenced her contraceptive use at follow-up, after adjustment for the effects of background characteristics. Furthermore, use increased steadily with quality: The predicted probabilities of contraceptive use were 55% for low-quality care, 62% for medium-quality care and 67% for high-quality care. CONCLUSION: A focus on quality improvement would benefit both programs and users. *In the literature, readiness has frequently been used interchangeably with quality of care; however, these are two distinct concepts. Readiness refers to factors that promote delivery of good-quality services, such as the availability of infrastructure, equipment, supplies and trained staff. Quality of care refers to the user's experience when receiving the service. Method choice (0-4) Asked which method she preferred Told about at least one additional method besides the method adopted Received information without any single method being promoted by provider Given her method of choice Interpersonal relations (0-7) Permitted to ask questions Given adequate answers to all questions Treated in a friendly manner Shown respect for privacy Received care in a clean environment Received satisfactory care Given information, education and communication material Continuity of care (0-3) Scheduled for a follow-up visit Informed of alternative sources of care Given an appointment card showing the date of follow-up visit
doi:10.2307/3181061 pmid:12783771 fatcat:fqk252thjbhyraeomn2thgil5q