5277.0: Wednesday, November 15, 2000: 4:30 PM-6:00 PM

Medecins Avec Frontieres--Providers' Barriers to Reproductive Health in Developing Countries

This session will describe and analyze major provider-induced barriers to reproductive health services in developing countries. Examples of these barriers include provider biases about service eligibility, providers’ authoritarian stance vis-a-vis methods appropriate for clients, and providers’ moral judgements about clients’ needs for services and “worthiness.” These barriers stem from a number of factors, such as providers’ desire to maintain credibility and stature in the facility and their community. Each of the presenters will provide findings from regional (Asia, Africa, Latin America) case studies on provider-client interactions. The countries to be highlighted are Indonesia, Malawi, Ghana and Paraguay, where researchers employed both quantitative and qualitative methodologies to explore these issues. Discussants from two academic areas will give 10 minute commentaries on each presentation with insights from their respective fields
See individual abstracts for presenting author's disclosure statement.
Learning Objectives: Refer to the individual abstracts for learning objectives
Discussant(s):Lynne Miller Franco, PhD
Barbara Janowitz, PhD
Moderator(s):John Stanback, MA
Paula Tavrow, PhD
4:30 PMImpact of provider biases and prerogatives on access to services in Malawi
Paula Tavrow, PhD
4:50 PMProvider compliance with reproductive health guidelines in Paraguay
Dawn Chin-Quee, PhD
5:10 PMAnalysis of medical barriers from audio taped family planning counseling sessions: Indonesia, Kenya and Ghana
Young Mi Kim, EdD, Gary Lewis, MS, Adrienne Kols, MA, Lisa Scipioni, MS
5:30 PMImpact of family planning service delivery guidelines in Ghana
John Stanback, MA, Kweku Rockson, K.A. Twum-Baah, PhD, Kate Miller
Sponsor:Population, Family Planning, and Reproductive Health
Cosponsors:International Health

The 128th Annual Meeting of APHA