A program to operationalize and institutionalize a gender perspective in reproductive health services in Bolivia resulted in a significant reduction in unmet need for contraception, increased client satisfaction, and improved communication between partners. Bolivia’s Integral Health Coordination Program (PROCOSI) encourages member NGOs to address gender-based differences in roles, relationships, access to services, and service needs in their RH programs. In 2005, FRONTIERS collaborated with PROCOSI to test the feasibility and costs of a system for certifying that its member organizations provided gender-sensitive RH services. The two-year project followed a 2000 intervention to incorporate gender perspectives in PROCOSI clinics that led to improved client satisfaction, reduction in unmet need, and improved communication between partners. As noted in this brief, the 2005 intervention was designed to create a cost-effective certification system. The certification process begins with an assessment by service delivery staff of compliance with 65 quality-of-care indicators, continues with development and implementation of work plans to satisfy unmet standards, and concludes when an external evaluation certifies that the clinic meets at least 80 percent of the indicators.
"Bolivia: A gender focus in service delivery improves quality of care," FRONTIERS OR Summary. Washington, DC: Population Council, 2008.
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