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Indicators of "Quality" in Family Planning Programming


The Women's and Children's Health Policy Center provided expert consultation and guidance to the PHS Region VIII Family Planning Program Directors in preparing a science- and consensus-based set of indicators to measure quality in family planning programming. These quality assessment measures can be used to evaluate administrative and clinical services to assure quality processes of the Title X grantees and delegate agencies.

Structural, process, and outcome measures were identified that are obtainable from medical charts, administrative records, and surveys in order to construct a comprehensive set of approximately 15 quality assessment measures specific for Title X clinics. Several areas of focus were drawn primarily from the work of Judith Bruce, including:

  • Method choice
  • Information to clients
  • Technical competence
  • Interpersonal relations
  • Follow-up and continuity mechanisms
  • Appropriate constellation of services
  • Services related to teens

The project report, "Approaches and Indicators for Measuring Quality in Region VIII Family Planning Programming," discusses conceptual models, provides a recommended indicator set and data collection tools, and includes a review of the literature regarding quality of family planning programming at the client, clinic, and community levels.


Donna Strobino, Michael Koenig, Holly Grason, and Annette Amey.



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