“…Past studies in Latin America have also examined missed opportunities related to women’s health and/or sexual and reproductive health, using simulated or mystery clients (Chin-Quee, Cuthbertson, & Janowitz, 2006; Lara, Abuabara, Grossman, & Díaz-Olavarrieta, 2006; Wolfe, 2005). The use of simulated clients ensures that the information is collected with more consistency by one or more trained people, but there are still limitations because of the ability to analyze only predetermined health scenarios (e.g., how a provider responds to a request for the injectable contraceptive) in order to have uniformity across trainees and because of retrospective reporting (León, Monge, Zumarán, García, & Ríos, 2001). Although audio- or videotaping patient–clinician interactions would have been the most objective measure, and could have offered providers data that they could use to improve their practice, it was hard enough to obtain permission to watch clinicians’ interactions with patients in a confidential manner, where clinician names were not recorded.…”