The link between quality of care and contraceptive use
RamaRao, S.; Lacuesta, M.; Costello, M.; Pangolibay, B.; Jones, H.
International Family Planning Perspectives 29(2): 76-83
2003
ISSN/ISBN: 0190-3187 PMID: 12783771 DOI: 10.2307/3181061Document Number: 247647
Context: Little empirical evidence shows whether quality of family planning care influences continued use of contraception, and if so, to what extent. Methods: Interviews were conducted during 1997-98 among 1728 new family planning users who had sought services at 80 service delivery points in Davao del Norte and Compostela Valley, Philippines, to assess the quality of care received from family planning services providers. More than 16 months later, 1460 of the respondents participated in a follow-up survey; the respondents' current contraceptive status was recorded. Results: The quality of care received at the time a woman adopted a contraceptive method influenced her contraceptive use at follow-up, after adjustment for the effects of background characteristics. Furthermore, use increased steadily with quality: The predicted probabilities of contraceptive use were 55% for low-quality care, 62% for medium-quality care and 67% for high-quality care. Conclusion: A focus on quality improvement would benefit both programmes and users.