Training × Trainee Interactions in a Family Planning Intervention

León, Federico R.; Ríos, Alex; Zumaran, Adriana

doi:10.1177/0193841x05277117

Cited by 9 publications

(16 citation statements)

References 15 publications

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“…Our results show that trained simulated clients in seven locations in India, Peru, and Rwanda were treated well by providers. These results, which are consistent with the service test findings of León, Ríos, and Zumarán (2005) in Peru, suggest that good interpersonal relations with clients prevail in clinic environments of developing countries in Africa, Asia, and Latin America. However, quality of care in the clinics studied was far from perfect-the overall mean of the interpersonal relations score was only .74 (Table 1).…”

Section: Discussionsupporting

confidence: 87%

“…In a study in 24 regions of the Peru Ministry of Health, León, Ríos, and Zumarán (2005) trained simulated clients to choose the pill and assessed provider performance on eight behavioral dimensions (interpersonal relations, needs assessment, use instructions for the chosen method, etc.) several months after requesting their consent to be visited by simulated clients.…”

mentioning

confidence: 99%

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Challenging the Courtesy Bias Interpretation of Favorable Clients’ Perceptions of Family Planning Delivery

et al. 2007

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Favorable client perceptions of provider's interpersonal behavior in contraceptive delivery, documented in clinic exit questionnaires, appear to contradict results from qualitative evaluations and are attributed to clients' courtesy bias. In this study, trained simulated clients requested services from Ministry of Health providers in three countries. Providers excelled in courteousness/respect in Peru and Rwanda; in India, providers were less courteous and respectful when the simulated clients chose the pill. Privacy and two-way communication were less prevalent in all three countries. The findings challenge the courtesy bias interpretation. Global results from qualitative studies may have expressed the views of the minority of clients who are not treated well by providers.

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Section: Discussionsupporting

confidence: 87%

mentioning

confidence: 99%

Challenging the Courtesy Bias Interpretation of Favorable Clients’ Perceptions of Family Planning Delivery

et al. 2007

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“…In Nigeria, simulated clients have been used to examine counseling and client–provider interactions in formal family planning settings in 68 pharmaceutical and 85 family planning centres 34. Outside Africa, the approach has been used in Peru to assess quality of family planning services including the duration of counseling sessions 35. Nearly 3 decades ago, it was utilized to understand barriers to effective family planning in Nepal 36…”

Section: Discussionmentioning

confidence: 99%

An assessment of the quality of advice provided by patent medicine vendors to users of oral contraceptive pills in urban Nigeria

Ujuju¹,

Adebayo²,

Anyanti³

et al. 2014

JMDH

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IntroductionIn Nigeria about 50% of oral contraceptive pill users obtain their products from proprietary patent medicine vendors (PPMVs). This group of service providers are poorly trained and have very limited knowledge about contraception. This paper investigated the nature of the advice offered to simulated current and potential users of oral contraceptive pills. The main objective was to assess the nature and quality of advice provided by PPMVs to pill users.MethodThis study is based on findings from a ‘mystery client’ approach in which three scenarios related to contraceptive pill use were simulated. Each of the 12 mystery clients simulated one of the following three scenarios: new pill users (new to family planning or switching from condom to pills); user seeking a resupply of pills; and dissatisfied pill users intending to discontinue use. Simple random sampling was used to select 410 PPMVs from a total of 1,826 in four states in Nigeria. Qualitative study using in-depth interviews was also conducted.ResultsA majority of the PPMVs had pills in stock on the day of the survey and resupplied pills to the clients. PPMVs also understood the reason and importance of referring clients who were new adopters of oral contraceptive methods to a health facility; 30% of the PPMVs referred new adopters to a health facility. However, demand from clients who do not want to go to health care facilities (for various reasons) necessitated the provision of oral contraceptive pills to 41% of the first time users. Some PPMVs prescribed treatment to mystery clients who presented with perceived complications arising from the use of pills, while 49% were referred to a health facility.ConclusionThe advice given by PPMVs often falls short of safety guidelines related to the use of oral contraceptive pills. There is a need to continuously update knowledge among the PPMVs to ensure that they provide quality oral contraceptive services as PPMVs bridge the gap between medical experts and users in rural communities.

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“…Job performance depends on the specificity of the worker's task goals 13 and research has shown that the use of adequate job aids improves counselling. 6,7 …”

Section: Discussionmentioning

confidence: 99%

“…[5][6][7][8] Two client scripts were used. One entailed choice of SDM: "… would like having children in the future, afraid of side effects of hormonal methods, afraid of inserting anything into uterus, will choose SDM if given the option, on Day 4 of her menstrual cycle, no contraindications to the use of SDM …".…”

Section: Measurement Toolmentioning

confidence: 99%

Quality of delivery of the Standard Days Method as compared with contraceptive pills in Rwanda

León¹,

Blair²,

Lundgren³

et al. 2006

j fam plann reprod health care

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Background and methodology Replicating a Peruvian study, this research introduced the Standard Days Method (SDM) into Rwanda Ministry of Health clinics and evaluated client counselling on the new method against that given for contraceptive pills. Providers received technical reinforcement concerning established methods in addition to SDM training. To evaluate their quality of care, simulated clients implemented a service test in visits to 20 clinics.Results As in Peru, providers exchanged significantly more relevant information with clients who chose SDM than with those who chose pills. Also, a minority of providers posed barriers to SDM access by refusing to give SDM tools to the client until she brought her partner for consultation. ConclusionsThe findings of this study confirm that SDM counselling is generally satisfactory, although SDM training needs adjustment, and that the rigour of providers' pill counselling remains below capacity. G The requirement that the partner be present during SDM counselling must be removed.G The less detailed counselling received by pill clients shows that providers perform below capacity when they deliver this contraception method.

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Training × Trainee Interactions in a Family Planning Intervention

Cited by 9 publications

References 15 publications

Challenging the Courtesy Bias Interpretation of Favorable Clients’ Perceptions of Family Planning Delivery

Challenging the Courtesy Bias Interpretation of Favorable Clients’ Perceptions of Family Planning Delivery

An assessment of the quality of advice provided by patent medicine vendors to users of oral contraceptive pills in urban Nigeria

Quality of delivery of the Standard Days Method as compared with contraceptive pills in Rwanda

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