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Measuring Success of a Continuing-Client Strategy



From INFO's Toolbox
March 2007
Issue No. 11
The INFO Project • Johns Hopkins Bloomberg School of Public Health • Center for Communication Programs • 111 Market Place, Suite 310 • Baltimore, Maryland 21202, USA • 410-659-6300 • 410-659-6266 (fax) • www.infoforhealth.orginfoproject@jhuccp.org

The indicators presented here are described in more detail in the pages that follow. Many of these indicators and definitions are adapted from the Quick Investigation of Quality: A User's Guide for Monitoring Quality of Care in Family Planning (13). The sections on the relevance to a continuing-client strategy draw from the conclusions made in the "Developing a Continuing-Client Strategy" Population Reports issue (15).

Program Indicators for a Continuing-Client Strategy

Program Readiness

1    All approved contraceptive methods are available

2    Logistics Management Information System is in place

3    Up-to-date guidelines are in place

4    Client record-keeping system is in place

5    Monitoring system is in place

Quality of Care

Choice of contraceptive methods

6    Discuss a range of methods

7    Provide client with method of choice

Interpersonal relations

8    Treat client with respect

9    Tailor information to client needs

10    Encourage active client participation

11    See client in private

12    Assure client of confidentiality of visit

Information exchange with client

13    Discuss reproductive intentions

14    Give accurate information

Technical competence

15    Follow infection-prevention procedures

16    Screen clients using medical eligibility criteria

17    Perform clinical procedures according to medical standards

Mechanisms to ensure continuity

18    Give clear instructions for follow-up

19    Inform client of alternative sources of care

Appropriateness and acceptability of services

20    Ensure acceptable waiting time

21    Make information and services available to the community

Impact on Reproductive Health Outcomes

22    Percent of clients who believe family and community approve of contraceptive use

23    All-method continuation rate

24    Percent of clients who have an unintended pregnancy

 


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