Quality of care in family planning services in Morocco.
Abstract
This study was conducted to heighten awareness of quality of care as a programmatic issue in the Moroccan governmental family planning program and to test modified Situation Analysis instruments for measuring quality of care. Data were collected from 50 service-delivery points in five provinces to measure six elements of quality in accordance with the Bruce/Jain framework. A procedure for calculating quality-indicator scores is presented. Although facilities varied by province and within provinces, most had the equipment and supplies needed to deliver services; service personnel were trained and regularly supervised; the service-delivery points scored well on mechanisms to ensure continuity of use. Notable shortcomings included a dearth of materials for counseling and a widespread unavailability of the Ovrette pill. This study raises issues regarding the complexity of measuring quality, the ownership of results, and the appropriateness of a centralized study of quality in a decentralized program.
Keywords
developing countries
family planning
africa
french speaking africa
family planning programs
organization and administration
programs
contraception
mediterranean countries
government sponsored programs
quality of health care
program evaluation
morocco
northern africa
arab countries
contraceptive availability
family planning program evaluation
health services evaluation
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85829
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85829
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