This study identified a need to improve the quality of care at the main maternity hospital of the Social Security Institute (IGSS) in Guatemala. Problems included very short counseling sessions, counseling not focused on clients’ needs, redundancy in the role of physicians and social workers as providers, skewed method mix, and low client return rate for method resupply. The intervention, using Balanced Counseling Algorithms, changed the counseling behavior of physicians and social workers and enhanced the quality of family planning care. The report includes recommendations for continuing these improvements: monitoring provider implementation of the job aids–assisted Balanced Counseling Algorithms, monitoring provider output, adjusting institutional policy and goals to the reality of client preferences, testing reformulated post-choice strategy, and paying particular attention to clients who choose oral contraceptives or condoms.
Leon, Federico R., Carlos Brambila, Marisela de la Cruz, John H. Bratt, Gustavo Gutierrez, Veronica Davila, Carlo Boniato, and Alex Rios. 2004. "Effects of IGSS' job aids-assisted Balanced Counseling Algorithms on quality of care and client outcomes," FRONTIERS Final Report. Washington, DC: Population Council.
Frontiers in Reproductive Health