Measuring quality of care at the community level using the contraceptive method information index plus and client reported experience metrics in Bangladesh

Hossain, Shahdat; Sripad, Pooja; Zieman, Brady; Roy, Shongkour; Kennedy, Sarah M.; Hossain, Md. Irfan; Bellows, Ben

doi:10.7189/jogh.11.07007

Cited by 14 publications

(11 citation statements)

References 31 publications

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“…In line with findings in other countries, education, parity have impact on receiving high family planning counseling service [8,15,[32][33][34]. A study by [14] showed, 58.9% of the counseling sessions did not maintain the privacy of clients during the consultation and 74.2% of them were not told about the possible side effects related to the use of a method.…”

Section: Plos Onesupporting

confidence: 61%

Trend and determinants of quality of family planning counseling in Ethiopia: Evidence from repeated PMA cross-sectional surveys, (2014–2019)

et al. 2022

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Introduction The modern contraceptive prevalence rate (mCPR) among married women has increased by nearly five-fold in Ethiopia from 8.1% in 2000 to 37% in 2019. Despite this increase, receipt of high quality contraceptive counselling, as measured by the percentage of contraceptive users who were told about other methods, counseled on side effects and counseled what to do in the event that they encountered side effects, has declined in recent years. The quality of family planning counseling service measured by using these three components, known as the Method Information Index(MII), is an index designed to measure quality and a key indicator of the FP2020 initiative. The effects of potential client and service provider-level factors on receipt of high quality counseling and its progress over time have not been well studied in Ethiopia. Methods We pooled data from seven Performance Monitoring for Action (PMA), formerly PMA2020, survey-rounds to examine the trend and effect of potential factors on receiving high quality of family planning counseling service in Ethiopia. Data from a total of 15,597 women aged 15 to 49 from seven survey-rounds were used in the analysis. To account for the study design and unequal probabilities of selection from target-populations for sampled women, design-based analysis was used to compute proportions. Multilevel ordinal regression model with enumeration area as a second level were employed to examine potential factors associated with quality of family planning counseling service. Results We found that the percentage of women who received high quality family planning counseling service declined from 39% (95%CI: 33%, 44%) in 2015 to 12% in 2019 (95% CI: 10%, 14%) nationally. Amhara region had the lowest percentage of women receiving high quality counseling at both the earliest(2014) and latest(2019) survey rounds(17% and 6%, respectively). Results show that lack of media exposure about family planning, having no formal education, using short-acting methods, and getting the service from pharmacy were the main factors associated with receiving low quality family planning counseling service. Conclusions Given the importance of continuous provision of information on the range of family planning methods, it is imperative to use media and particularly regional media which can effectively address the rural populations in local languages as an important vehicle of information on family planning. Interventions aimed at improving quality of family planning counseling need to be mindful of regional disparities in the severity of the problem to ensure equity in service access. To improve the coverage of high quality family planning counseling service, there is an urgent need to re-visit the format of family planning counselling services.

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Section: Plos Onesupporting

confidence: 61%

Trend and determinants of quality of family planning counseling in Ethiopia: Evidence from repeated PMA cross-sectional surveys, (2014–2019)

et al. 2022

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“…In 2019, Chang et al. [24] assessed the MII by comparing the binary questions that make up the measure to detailed questions about what information was shared during counseling, asking participants to list what other methods they knew, the side effects of their method, and what specifically they were told to do in case of side effects. They found that adjusting the MII for discordance between the MII score and actual knowledge after counseling led to significant reductions in the indicator.…”

Section: Discussionmentioning

confidence: 99%

“…Despite its wide adoption by researchers and policy makers to evaluate the success of family planning programs, including FP2020 [23] , some scholars have questioned the validity of the measure, noting that it may overestimate the information exchanged between patients and providers during counseling [24] . Additionally, while the MII was designed to measure information given to clients during counseling, it has been routinely adopted as a proxy for the full spectrum of informed choice or for the construct of quality of care writ large [25] , [26] , [27] , [28] .…”

Section: Introductionmentioning

confidence: 99%

Do users of long-acting reversible contraceptives receive the same counseling content as other modern method users? A cross-sectional, multi-country analysis of women's experiences with the Method Information Index in six sub-Saharan African countries

et al. 2022

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“…Quality community-based family planning counseling can help address the rising rate of contraceptive discontinuation in Bangladesh. Whereas the MII and MII + scores in this study were low, and FWA showed many misunderstandings, FWA demonstrated strong communication skills that facilitate relationships and trust with clients and their communities [ 19 ].…”

Section: Literature Reviewmentioning

confidence: 99%

Building trust through quality of service mediated with satisfaction to acceptors of family planning in the province of South Kalimantan

Misransyah¹,

Risal²,

Khariry³

et al. 2023

Heliyon

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Measuring quality of care at the community level using the contraceptive method information index plus and client reported experience metrics in Bangladesh

Cited by 14 publications

References 31 publications

Trend and determinants of quality of family planning counseling in Ethiopia: Evidence from repeated PMA cross-sectional surveys, (2014–2019)

Trend and determinants of quality of family planning counseling in Ethiopia: Evidence from repeated PMA cross-sectional surveys, (2014–2019)

Do users of long-acting reversible contraceptives receive the same counseling content as other modern method users? A cross-sectional, multi-country analysis of women's experiences with the Method Information Index in six sub-Saharan African countries

Building trust through quality of service mediated with satisfaction to acceptors of family planning in the province of South Kalimantan

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