The quality of family planning services: a challenge for the 1990s.
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Biomedical subjects
Publications and source records attributed to C Huezo.
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Quality of care means that the needs of the clients in the context of their personal life should be the major determinant of the behavior of the providers and the goal of the programs. Since family planning has been recognized as a right of individuals and couples, quality of care can be focused as a right of the client. Ten rights of family planning clients have been outlined by the International Planned Parenthood Federation (IPPF) as follows. Rights to: information, access, choice, safety, privacy, confidentiality, dignity, comfort, continuity, and opinion. The responsibilities for quality of care, and therefore fulfilling the rights of the clients, are distributed throughout the whole family planning program, but those who are actually seen as most responsible are the ones who are in direct contact with the clients--the service providers. A strategy for quality of care cannot be realistic without recognising that service providers have their own needs which can be outlined as: training, information infrastructure, supplies, guidance, back-up, respect, encouragement, feedback, and self-expression. When fulfilling the rights of the clients and needs of the service providers, both technical and human aspects should be taken into account.
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Multi-method family planning programs are committed to informed free choice of contraceptives. Thus they are expected to provide information and education, and facilitate access to services for those individuals and couples who want to practice periodic abstinence. Various factors affect the commitment and ability of multi-method family planning programs for providing periodic abstinence services. These factors include the effectiveness and cost of the method, attitude and technical competence of service providers, information and education strategies, and approaches for providing services. These factors are discussed in this paper. Information on providing periodic abstinence in a multi-method service situation is very scarce. The need for research, particularly operations research, for gathering information to guide program managers and service providers in the integration of periodic abstinence services is discussed.