title: Evaluation of an intervention to improve quality of care in family planning programme in the Philippines.
abstract: 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.
authors.affiliation: Population Council, New York, USA.
authors.forename: Anrudh K
authors.initials: AK
authors.lastname: Jain
authors.forename: Saumya
authors.initials: S
authors.lastname: Ramarao
authors.forename: Jacqueline
authors.initials: J
authors.lastname: Kim
authors.forename: Marilou
authors.initials: M
authors.lastname: Costello
mesh_terms: D000328:Adult; D016009:Chi-Square Distribution; D005193:Family Planning Services / Q000706:statistics & numerical data*; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D008137:Longitudinal Studies; D008297:Male; D015999:Multivariate Analysis; D017060:Patient Satisfaction; D010679:Philippines; D015397:Program Evaluation; D011787:Quality of Health Care / Q000706:statistics & numerical data*; D016387:Women's Health