Peru's Ministry of Health (MOH) introduced changes in its family planning service delivery strategy and set quality-of-care goals purported to ensure informed choice of methods and respect for the users’ reproductive intentions and rights. This study was designed to assess the extent to which providers comply with the guidelines in their daily routine. The study found that among the strongest elements of care are interpersonal relationships and free choice of methods. However, shortcomings were observed in screening for contraindications and information given to the client. The report includes a number of recommendations, including offering providers IEC materials, training, and supervision to provide clear task goals prioritizing the quality of care; a more balanced counseling strategy; and performance feedback. As a result, the MOH published new quality-of-care norms, circulated them at national level, and strengthened its provider retraining efforts.
Leon, Federico R. 1999. "Peru: Providers' compliance with quality of care norms," FRONTIERS Final Report. Washington, DC: Population Council.
Frontiers in Reproductive Health