title: Effect of post-menstrual regulation family-planning service quality on subsequent contraceptive use in Bangladesh.
abstract: OBJECTIVE
  To determine whether the quality of post-menstrual regulation family-planning services (post-MRFP) affected contraceptive use at 3-month follow-up.
  
  
  METHODS
  915 women who received post-MRFP in 2 public and 1 NGO clinics in a district in Bangladesh were interviewed to obtain information on service quality and other characteristics. Quality was scored based on 21 items and the score divided into 3 categories: low (0-6); medium (7-11); and high (12-21). Three months after menstrual regulation, 902 of the women were interviewed at their residence or a clinic and contraceptive status was recorded. Adjusted odd ratios (aORs) for using contraception were calculated via multivariate logistic regression.
  
  
  RESULTS
  Contraceptive use was positively correlated with the level of service quality, with 78% use among women who received the lowest-quality care and 92% use among women who received the highest-quality care. The aOR for contraceptive use was 1.80 (95% confidence interval [CI], 1.11-2.93) among women who received moderate-quality services and 3.01 (95% CI, 1.43-6.37) among women receiving high-quality services compared with those who received poor-quality services.
  
  
  CONCLUSIONS
  Good-quality post-MRFP increases contraceptive use, at least in the short term.
authors.affiliation: Melbourne School of Population and Global Health, University of Melbourne, Melbourne, Australia. Electronic address: sultanaf@student.unimelb.edu.au.
authors.forename: Farhana
authors.initials: F
authors.lastname: Sultana
authors.forename: Quamrun
authors.initials: Q
authors.lastname: Nahar
authors.forename: Lena
authors.initials: L
authors.lastname: Marions
authors.forename: Elizabeth
authors.initials: E
authors.lastname: Oliveras
mesh_terms: D000328:Adult; D001459:Bangladesh; D003267:Contraception / Q000379:methods / Q000706:statistics & numerical data*; D003268:Contraception Behavior / Q000706:statistics & numerical data*; D005193:Family Planning Services / Q000458:organization & administration / Q000592:standards*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D016015:Logistic Models; D008598:Menstruation; D015999:Multivariate Analysis; D010342:Patient Acceptance of Health Care; D011787:Quality of Health Care; D055815:Young Adult
keywords: Abortion; Bangladesh; Contraceptive use; Family-planning services; Menstrual regulation; Quality of care