3058.0: Monday, November 13, 2000 - Board 6

Abstract #14402

Can targeted clinic self-assessments improve FP resupply services?: A controlled study

John Stanback, MA, Health Services Research, Family Health International, P.O. Box 13950, Research Triangle Park, NC 27707, 919 405 1473, jstanback@fhi.org, Genevieve Mwale, Consultant, Lusaka, Zambia, and Ethel Mangani, Ob/Gyn, University Teaching Hospital, Lusaka, Zambia.

The objective of this study was to determine whether targeted clinic self-assessment exercises are an effective means of reducing waiting times and improving clinic policies that can adversely impact client access. We randomly allocated ten high volume family planning clinics in 2 regions of Zambia to either intervention or control status. In the five intervention clinics, midwives trained in the COPE methodology conducted targeted clinic self-assessments aimed at reducing client waiting times and changing clinic policies related to the re-supply of contraception. We conducted client flow analyses and interviewed clinic supervisors at baseline and again at follow-up four months later. We present our study findings and discuss the implications for COPE and other problem-solving exercises.

Learning Objectives: At the end of this session, the learner will be able to: describe the importance of expedited re-supply to quality family planning services, and describe how self-assessment exercises can improve waiting times and change related policies

Keywords: Family Planning, Access

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.

The 128th Annual Meeting of APHA