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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 ,
SAUMYA RAMARAO ,
JACQUELINE KIM  and
MARILOU COSTELLO
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
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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
Information
Journal of Biosocial Science , Volume 44 , Issue 1 , January 2012 , pp. 27 - 41
Copyright
Copyright © Cambridge University Press 2011

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