Document Type

Working Paper

Publication Date



The first quality-of-care framework in family planning was articulated over 25 years ago and a considerable amount of work has been done since then to measure quality in the context of routine service delivery, yet, we do not have agreed-upon indicators to measure quality that can be applied uniformly across different health systems and social contexts. This paper takes a slightly different approach and uses a common definition of quality from the outset. Indicators of quality are required for describing the nature of family planning services and quality of care offered by a health service delivery program, and for improving clients’ experience and health outcomes. Additionally, indicators are needed for monitoring quality of care over time in a single country (e.g., for quality improvement) as well as for comparing quality across countries (e.g., for understanding contraceptive discontinuation and unintended pregnancies). Different types of indicators are needed to serve these different needs for policy and program development. Keeping these needs in mind, we propose a new set of measures to assess quality across different levels and settings.






Scaling Up and Financing Improved Delivery and Monitoring of Quality of Care