title: Tubal ligation candidates who did not get their operation.
abstract: OBJECTIVE
  To identify bottlenecks in the delivery of comprehensive family planning to women in contact with the Health Services and to find ways to reduce unmet demand for contraception.
  
  
  METHODS
  Exploratory descriptive study.
  
  
  METHODS
  Large Bulawayo Government Hospital and the high density areas in the same city.
  
  
  METHODS
  Case notes of 284 women who indicated together with their partners that they had completed families and who had their tubal ligation forms duly signed but who never had their operation. Follow up of a sample of patients.
  
  
  METHODS
  Non intervention study.
  
  
  METHODS
  Are reproductive rights taken seriously? Is there service related unmet demand for family planning.
  
  
  RESULTS
  Even those who had all their paperwork in order for a durante or post partum sterilization did not have any guarantee that this service would be given. The main reason was found to be lack of well motivated health staff.
  
  
  CONCLUSIONS
  Much can be improved in contraceptive service delivery. Reproductive rights are not respected.
authors.affiliation: United Bulawayo Hospitals, Zimbabwe.
authors.forename: D A
authors.initials: DA
authors.lastname: Verkuyl
mesh_terms: D000328:Adult; D005193:Family Planning Services / Q000458:organization & administration*; D005260:Female; D005500:Follow-Up Studies; D006297:Health Services Accessibility; D006301:Health Services Needs and Demand; D006801:Humans; D008875:Middle Aged; D013246:Sterilization, Tubal; D011795:Surveys and Questionnaires; D014504:Urban Health; D015030:Zimbabwe