title: Quality of delivery of the Standard Days Method as compared with contraceptive pills in Rwanda.
abstract: METHODS
  Replicating a Peruvian study, this research introduced the Standard Days Method (SDM) into Rwanda Ministry of Health clinics and evaluated client counselling on the new method against that given for contraceptive pills. Providers received technical reinforcement concerning established methods in addition to SDM training. To evaluate their quality of care, simulated clients implemented a service test in visits to 20 clinics.
  
  
  RESULTS
  As in Peru, providers exchanged significantly more relevant information with clients who chose SDM than with those who chose pills. Also, a minority of providers posed barriers to SDM access by refusing to give SDM tools to the client until she brought her partner for consultation.
  
  
  CONCLUSIONS
  The findings of this study confirm that SDM counselling is generally satisfactory, although SDM training needs adjustment, and that the rigour of providers' pill counselling remains below capacity.
authors.affiliation: Georgetown University, Institute for Reproductive Health, Washington, DC, USA. frleon@amauta.rcp.net.pe
authors.forename: Federico R
authors.initials: FR
authors.lastname: León
authors.forename: Caroline
authors.initials: C
authors.lastname: Blair
authors.forename: Ana
authors.initials: A
authors.lastname: Huapaya
authors.forename: Rebecka
authors.initials: R
authors.lastname: Lundgren
authors.forename: Marie
authors.initials: M
authors.lastname: Mukabatsinda
authors.forename: Félix
authors.initials: F
authors.lastname: Muramutsa
authors.forename: Victoria
authors.initials: V
authors.lastname: Jennings
mesh_terms: D003276:Contraceptives, Oral; D005193:Family Planning Services / Q000193:education*; D005260:Female; D006801:Humans; D012252:Natural Family Planning Methods; D011785:Quality Assurance, Health Care / Q000592:standards*; D012432:Rwanda
chemical_list: D003276:Contraceptives, Oral