Quality of care in government family planning clinic services in Colombo District.

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dc.contributor.authorDe Silva, Umangaen_US
dc.contributor.authorFonseka, Pushpaen_US
dc.date.accessioned2009-05-28T05:47:19Z
dc.date.available2009-05-28T05:47:19Z
dc.date.issued2008-12-05en_US
dc.descriptionThe Ceylon Medical Journal.en_US
dc.description.abstractOBJECTIVE: To assess the quality of care in government family planning clinic services in Colombo District. DESIGN: Descriptive cross-sectional study. SETTINGS: Government family planning clinics in the Colombo District. STUDY SAMPLE: The study was conducted in 23 government family planning clinics in the Colombo District selected through stratified sampling. 593 women visiting these clinics for family planning services were interviewed and 242 client-provider interactions were observed. MEASUREMENTS: Client exit interviews, observations of service delivery and clinic inventories were used as survey tools to assess the quality in preparedness of the clinics, the service delivery process and client satisfaction, as outcomes of the service. A set of indicators were identified for this purpose. RESULTS: The study showed deficiencies in infrastructure, interpersonal relations, privacy, information to clients, especially on side-effects and warning signs, and in the mechanisms to ensure continuity. The majority of clients were satisfied with many aspects of the service such as the family planning method received (94.5%), confidentiality of information shared with the provider (96.1%), competency of provider (97.5%), and physical access to clinics (92.3%). However, many were dissatisfied with the physical conditions of the clinics (> 20%), information received (12.5%), opportunity given to discuss their problems with the service providers (18.8%) and waiting times (26.6%). CONCLUSIONS: Government family planning clinic services need improvement through upgrading of clinic infrastructure, better planning and management of clinic services, regular training of service providers and establishing of a system to monitor service quality.en_US
dc.description.affiliationSchool of Public Health, La Trobe University, Bundoora, Vic 3086, Australia. desilvaumanga@yahoo.co.uken_US
dc.identifier.citationDe Silva U, Fonseka P. Quality of care in government family planning clinic services in Colombo District. The Ceylon Medical Journal. 2008 Dec; 53(4): 121-7en_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/49038
dc.language.isoengen_US
dc.source.urihttps://www.infolanka.com/CMJhome/en_US
dc.source.urihttps://www.sljol.info/index.php/CMJ/article/view/280/341en_US
dc.subject.meshAdolescenten_US
dc.subject.meshAdulten_US
dc.subject.meshContraceptives, Oralen_US
dc.subject.meshCross-Sectional Studiesen_US
dc.subject.meshFamily Planning Services --standardsen_US
dc.subject.meshFemaleen_US
dc.subject.meshGovernment Programs --standardsen_US
dc.subject.meshHumansen_US
dc.subject.meshInterviews as Topicen_US
dc.subject.meshMaleen_US
dc.subject.meshMiddle Ageden_US
dc.subject.meshModels, Theoreticalen_US
dc.subject.meshPatient Satisfactionen_US
dc.subject.meshQuality of Health Care --standardsen_US
dc.subject.meshQuestionnairesen_US
dc.subject.meshVictoriaen_US
dc.subject.meshYoung Adulten_US
dc.titleQuality of care in government family planning clinic services in Colombo District.en_US
dc.typeJournal Articleen_US
dc.typeResearch Support, Non-U.S. Gov'ten_US
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