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| Content Provider | Springer Nature : BioMed Central |
|---|---|
| Author | Hazel, Elizabeth Mohan, Diwakar Gross, Margaret Kattinakere Sreedhara, Sushama Shrestha, Prakriti Johnstone, Maia Marx, Melissa |
| Abstract | Background In low-and-middle income countries (LMICs), accurate measures of the elements of quality care provided by a health worker through family planning services (also known as process quality) are required to ensure family’s contraceptives needs are being met. There are many tools used to assess family planning process quality of care (QoC) but no one standardized method. Those measuring QoC in LMICs should select an appropriate tool based the program context and financial/logistical parameters, but they require data on how well each tool measures routine clinical care. We aim to synthesize the literature on validity/comparability of family planning process QoC measurement tools through a quantitative systematic review with no meta-analysis. Methods We searched six literature databases for studies that compared quality measurements from different tools using quantitative statistics such as sensitivity/specificity, kappa statistic or absolute difference. We extracted the comparative measure along with other relevant study information, organized by quality indicator domain (e.g. counseling and privacy), and then classified the measure by low, medium, and high agreement. Results We screened 8172 articles and identified eight for analysis. Studies comparing quality measurements from simulated clients, direct observation, client exit interview, provider knowledge quizzes, and medical record review were included. These eight studies were heterogenous in their methods and the measurements compared. There was insufficient data to estimate overall summary measures of validity for the tools. Client exit interviews compared to direct observation or simulated client protocols had the most data and they were a poor proxy of the actual quality care received for many measurements. Conclusion To measure QoC consistently and accurately in LMICs, standardized tools and measures are needed along with an established method of combining them for a comprehensive picture of quality care. Data on how different tools proxy quality client care will inform these guidelines. Despite the small number of studies found during the review, we described important differences on how tools measure quality of care. |
| Related Links | https://reproductive-health-journal.biomedcentral.com/counter/pdf/10.1186/s12978-021-01261-1.pdf |
| Ending Page | 11 |
| Page Count | 11 |
| Starting Page | 1 |
| File Format | HTM / HTML |
| ISSN | 17424755 |
| DOI | 10.1186/s12978-021-01261-1 |
| Journal | Reproductive Health |
| Issue Number | 1 |
| Volume Number | 18 |
| Language | English |
| Publisher | BioMed Central |
| Publisher Date | 2021-10-30 |
| Access Restriction | Open |
| Subject Keyword | Reproductive Medicine Public Health Maternal and Child Health Family planning Quality of care Assessment tools Validity Low-and-middle income countries |
| Content Type | Text |
| Resource Type | Review |
| Subject | Obstetrics and Gynecology Reproductive Medicine |
| Journal Impact Factor | 3.6/2023 |
| 5-Year Journal Impact Factor | 4/2023 |
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