Quality of care in family planning services in Morocco.
This study was conducted to heighten awareness of quality of care as a programmatic issue in the Moroccan governmental family planning program and to test modified Situation Analysis instruments for measuring quality of care. Data were collected from 50 service-delivery points in five provinces to measure six elements of quality in accordance with the Bruce/Jain framework. A procedure for calculating quality-indicator scores is presented. Although facilities varied by province and within provinces, most had the equipment and supplies needed to deliver services; service personnel were trained and regularly supervised; the service-delivery points scored well on mechanisms to ensure continuity of use. Notable shortcomings included a dearth of materials for counseling and a widespread unavailability of the Ovrette pill. This study raises issues regarding the complexity of measuring quality, the ownership of results, and the appropriateness of a centralized study of quality in a decentralized program.
Brown
L
L
Tulane University, School of Public Health and Tropical Medicine, New Orleans, LA 70112, USA.
Tyane
M
M
Bertrand
J
J
Lauro
D
D
Abou-ouakil
M
M
deMaria
L
L
D000328:Adult; D005193:Family Planning Services / Q000458:organization & administration*; D005260:Female; D006302:Health Services Research; D006801:Humans; D009018:Morocco; D017060:Patient Satisfaction; D010865:Pilot Projects; D011787:Quality of Health Care