This study assesses the use of an inexpensive trend analysis methodology for evaluating the programmatic impact of family planning service delivery guidelines in Senegal and Cameroon. In Senegal, systematic list sampling techniques were used to collect 8000 records from 50 clinics. In Cameroon, 5,000 records were collected from 20 clinics. In each country, the trend analysis is based on five years of routinely-collected data from client files and clinic registers and assesses changes over time in selected quality and access indicators. We also estimate the degree to which such changes are attributable to new service delivery guidelines. Another objective of the Senegal study was to compare the results of the trend analysis with results from two Family Planning Situation Analysis studies. Both bivariate methods and logistic regression are used to draw conclusions about programmatic impacts. We conclude that trend analysis may be a useful and cost-effective adjunct to tradition means of evaluating the impact of programmatic interventions.
Learning Objectives: At the conclusion of this session, the learner should: know the basic problems inherent in family planning program evaluation, understand the conceptual utility of a new, cost-effective evaluation methodology, and understand the results obtained with the experimental methodology in Senegal and Cameroon
Keywords: Family Planning, Quality of Care
Presenting author's disclosure statement:
Organization/institution whose products or services will be discussed: None
I do not have any significant financial interest/arrangement or affiliation with any organization/institution whose products or services are being discussed in this session.