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APHA Scientific Session and Event Listing

Federico R. León, PhD¹, Rebecka Lundgren, MA¹, Ana Huapaya, BSc², Priya Jha, MA³, Ragini Sinha, MA⁴, and Victoria Jennings, PhD¹. (1) Institute for Reproductive Health, Georgetown University, 4301 Connecticut Ave., N. W., Suite 310, Washington, DC 2006, (202) 687-1392, lundgrer@georgetown.edu, (2) Instituto para la Salud Reproductiva, Madrid 288, Miraflores, Dpto. 305, Lima, 18, Peru, (3) Centre for Development and Population Studies, C- 1, Hauz Khas, New Delhi, 10016, India, (4) Krishi Gram Vikas Kendra, c/o Usha Martin Industries Ltd., Tati Silwai, Ranchi, Jharkhand, 835103, India

Peruvian and Rwandan providers trained in the Standard Days Method (SDM) attain an acceptable quality of care at the cost of 23 to 44- minute consultations. This research investigated the outcomes of introducing the SDM in a service environment in which providers invest less than 9 minutes per client. Targeted for on-the-job observation were recently trained providers of Ministry of Health clinics in Jharkhand, India. To evaluate their quality of care, simulated clients implemented a Service Test in visits to 69 clinics. Providers exchanged with SDM clients 23 technical items in 9 minute and 40 second consultations and with pill clients, 22 items in 8-minute consultations. Important gaps were found among the topics addressed. The identity of the items exchanged with SDM clients varied more from provider to provider than that of the items exchanged with pill clients. The focus of SDM training in India must be sharpened considering the tight time limits of the family planning consultation. This study showed that providers are able to address 23 variable items with SDM clients. If they were thought to prioritize 23 essential items, they would cover the essentials of SDM counseling.

Learning Objectives:

• Participants will learn about a new family planning method (the Standard Days Method) and how service delivery constraints can affect the quality of care.

Keywords: Family Planning, Interventions

Presenting author's disclosure statement:

Not Answered