Rapid Assessment of a Model Initiative to Ensure Quality Family Planning Services in Uttarakhand
Agency : Family Planning Services, Uttarakhand, Quality of Care, Rapid Assessment
Objective : The study was planned
by the partner organizations to
capture the quality indicators set by the project as the outcome objectives.
Background : Quality of Care, more
commonly called as QOC, is an integral part of the family planning services.
A Project ‘Model Initiative
to Ensure Quality Family Planning Services in Uttarakhand’ has been initiated by Population Foundation of
India (PFI-New Delhi) in collaboration with one of the hospital in Dehradun
with a focus on increasing access and
reach of Quality family planning services in the
project area of Dehradun and Rishikesh. It aims to provide QOC through the
existing health infrastructure viz. training centers and the government health
facilities with which
the partners have collaborated.
Methodology : The study was done by assessing
four health camps being organised under the project through observation of the facility
and the client-provider interaction process
with the help of a checklist.
The client satisfaction was assessed
through exit-interviews. To capture the QOC view from the
sterilization facilities and to have a feedback from the providers, data was collected
for these also. A qualitative analysis of the data from various
collection methods have been used in
Findings : The study shows that the
facilities are capable and ready to provide quality care. Few
re-arrangements are needed at one of the camps like the judicious utilization
of the free space in the facility to convert it into a separate reception and
a waiting area. A separate
area for counseling in the camps will also lead to quality care. The introduction of a separate
counselor under the project is seen as a blessing to the project.
All the providers are found to have the required
skills from the observational checklist. But few important components of are not properly taken
care of. These
are also indicated by the client exit interviews. The Urban Health Centre is seen as having the potential for being developed as a centre
of excellence for maternal, child health
and family planning services.
Recommendations : The study suggests that bio waste-management and handling
rules, a client
feedback system, and regular up gradation
of the knowledge and skills of the providers including updates on contraceptive
advances can be added in the program to achieve high levels of QOC. It has tried to find out the gaps and the required
solutions to fill those gaps.
The mid-project corrections based on the study and
the regular assessments in future will help in ensuring that quality family
planning services are given in Uttarakhand. It will fulfill the hope that more people
of the state will have Planned Parenthood. As a future scope of the study, the present
study will be a part of the literature
on Rapid Assessment of Quality
in Family Planning
services in India.
study was planned by the partner organizations to capture the quality indicators set by the project as the outcome objectives