Measures of family planning service quality associated with contraceptive discontinuation: an analysis of Measurement, Learning & Evaluation (MLE) project data from urban Kenya

Gates Open Research
Karla FeeserIlene S Speizer

Abstract

Introduction: Several measures to assess family planning service quality (FPQ) exist, yet there is limited evidence on their association with contraceptive discontinuation. Using data from the Measurement, Learning & Evaluation (MLE) Project, this study investigates the association between FPQ and discontinuation-while-in-need without switching in five cities in Kenya. Two measures of FPQ are examined - the Method Information Index (MII) and a comprehensive service delivery point (SDP) assessment rooted in the Bruce Framework for FPQ. Methods: Three models were constructed: two to assess MII reported in household interviews (as an ordinal and binary variable) among 1,033 FP users, and one for facility-level quality domains among 938 FP users who could be linked to a facility type included in the SDP assessment. Cox proportional hazards ratios were estimated where the event of interest was discontinuation-while-in-need without switching. Facility-level FPQ domains were identified using exploratory factor analysis (EFA) using SDP assessment data from 124 facilities. Results: A woman's likelihood of discontinuation-while-in-need was approximately halved whether she was informed of one aspect of MII (HR: 0.45, p < 0.05), or all thr...Continue Reading

References

Apr 4, 2001·Journal of Biosocial Science·M M Ali
Feb 8, 2002·Studies in Family Planning·M CostelloA Jain
Dec 20, 2005·Journal of Biosocial Science·Mary Arends-Kuenning, Flora L Kessy
Jun 24, 2006·BMC Health Services Research·Rathavuth HongVinod Mishra
Dec 15, 2012·Studies in Family Planning·Joy Noel BaumgartnerMario Chen
Oct 19, 2013·International Perspectives on Sexual and Reproductive Health·Anrudh K JainIan Askew
Mar 13, 2014·Studies in Family Planning·Win BrownGary L Darmstadt
Aug 27, 2015·International Perspectives on Sexual and Reproductive Health·Katherine TumlinsonIlene S Speizer
Feb 2, 2016·American Journal of Obstetrics and Gynecology·Christine DehlendorfJody Steinauer
Jan 7, 2017·International Quarterly of Community Health Education·Sarah R BlackstoneJuliet Iwelunmor
Mar 18, 2017·The Lancet Global Health·Margaret E KrukZoë Mullan
May 1, 2018·Studies in Family Planning·Anrudh K Jain, Karen Hardee
Aug 7, 2019·Bulletin of the World Health Organization·Elysia LarsonÖzge Tunçalp

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Methods Mentioned

BETA
contraception

Software Mentioned

MEASURE Evaluation
MLE
EFA
Bruce

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