This book on family planning in India includes detailed empirical data and analysis of the various dimensions of quality of care in different regions of the country. Focus areas include: women’s perceptions of the care they receive; observations of provider-client interactions; barriers to quality of service delivery; existing interregional variations; contraceptive choice and interpersonal relations; technical quality of care; and the effect of the target system on the work style of outreach staff. All elements of the quality-of-care framework elaborated by Judith Bruce are well documented and their relationships to broader program constraints are clearly identified. The overall impression one receives from this book is of the massive change that is needed before the Indian program can meet the reproductive and quality-of-care objectives in recent policy statements and address the needs of rural people. The data presented here provide an essential baseline diagnosis for policymakers and program managers interested in advancing the Indian program’s transition to emphasizing quality of care.
Koenig, Michael A. and M.E. Khan. 1999. "Improving Quality of Care in India's Family Welfare Programme: The Challenge Ahead." New York: Population Council.