Despite successful efforts to increase financial and geographic access to family planning services in many parts of the developing world, large numbers of women with a desire to delay or limit future pregnancies are not using contraceptive methods. Several multi-country, large-scale facility surveys incorporate indicators for measuring the quality of family planning service delivery. These facility surveys use data collection tools such as facility audits, provider and client questionnaires, and third party observation guides. A limited body of research indicates that the validity of these tools is low, however, while large variations in analytical approaches inhibit use of existing literature for summarizing progress or making comparisons over time or between countries. This working paper concludes that further discussion within the research community is warranted to ensure appropriate, feasible, and efficient strategies for measuring quality, and reducing quality-related barriers to optimal family planning use.
Tumlinson, Katherine. 2016. "Measuring quality of care: A review of previously used methodologies and indicators," Working Paper 2 of the Measuring and Monitoring Quality of Services and Quality of Care Project. New York: Population Council.
Scaling Up and Financing Improved Delivery and Monitoring of Quality of Care