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  1. 1

    Statement on quality of care. [Summary of key points].

    International Planned Parenthood Federation [IPPF]. International Medical Advisory Panel [IMAP]; International Planned Parenthood Federation [IPPF]. International Medical Advisory Panel [IMAP]; International Planned Parenthood Federation [IPPF]. International Women's Advisory Panel

    [Unpublished] [1996]. [3] p.

    This paper presents a summary of the key points of a statement on quality of care that was developed jointly by the International Planned Parenthood Federation (IPPF) technical expert panels. Quality of care is an essential element of the IPPF Strategic Plan, called Vision 2000, which places the following challenge before the IPPF: successfully addressing the need for quality of care is the key to the future viability and continued credibility of IPPF and family planning associations (FPAs) as the conscience of the family planning movement. In order to provide quality of care, the clients' rights and the providers' needs have to be addressed. Following this framework recognizes the rights of clients to information, access, choice, safety, privacy, confidentiality, dignity, comfort, continuity, and self-expression. Providers, for their part, should have the following needs met: training, up-to-date information, adequate physical infrastructure and family planning supplies. Quality of care at the strategic level should involve aspects of advocacy, access to education and services, as well as monitoring. The role of IPPF and FPAs in demonstrating quality of care is discussed. In brief, it is the responsibility of FPAs to ensure that quality of care is provided within whatever is available, and to devise an effective, permeating and sustained environment and system for improved quality of care.
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  2. 2

    The great transition.

    Sinding SW; Fathalla MF

    POPULI. 1995 Dec; 22(8):18-21.

    The authors discuss the impact of the 1994 International Conference on Population and Development. "If the spirit of Cairo is to succeed, family planning programmes must begin to do a better job of treating clients as the beneficiaries--in the true sense of the word--rather than as the objects of population policies. The implications of the shift from demographic targets to individual need are far-reaching. Family planning programmes should begin to strive for these objectives." (EXCERPT)
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  3. 3

    International Planned Parenthood Federation medical and service delivery guidelines for family planning.

    Huezo CM; Briggs C

    London, England, International Planned Parenthood Federation [IPPF], 1992. xviii, 169 p.

    The International Planned Parenthood Federation has developed these guidelines to help persons working in family planning services and education ensure adequate levels of quality of care. The guidelines conform to the three dimensions of technology assessment needed for any project: it must be scientifically, socially, and operationally sound. Providers should adapt the service delivery guidelines to local realities. They should consider the needs and resources of the various sites in which the guidelines will be applied. The guidelines can also be developed into educational and training materials. They serve as a guide to the delivery of family planning services, a reference document for assessing quality of care, a training instrument, and a tool for supervision. The first chapter addresses the rights of the client, ranging from the right to information to the right of opinion. The second chapter is dedicated to contraceptive counseling, while chapter 3 is dedicated to family planning training. Chapter 4 discusses hormonal contraception (combined oral contraceptives, progestagen-only pills, service management, progestagen-only injectables, and the subdermal implants, Norplant). IUDs are covered in detail in chapter 5. The barrier methods addressed in chapter 6 include condoms, diaphragms, cervical caps, and spermicides. Chapter 7 covers both male and female voluntary surgical contraception. Natural family planning methods are addressed in chapter 8 entitled Periodic Abstinence. These methods include the basal body temperature method, the cervical mucus method (Billings method), the calendar or rhythm method, and the sympto-thermal method. The guidelines conclude with a detailed statement on diagnosis of pregnancy and a list of suggested reading material.
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  4. 4

    Sexual reality. The gap between family planning services and clients' needs.

    Gordon G

    In: Learning about sexuality: a practical beginning, edited by Sondra Zeidenstein and Kirsten Moore. New York, New York, Population Council, 1996. 363-79.

    IPPF's AIDS Prevention Unit (APU) conducted HIV prevention training workshops for key staff of family planning associations (FPAs) in West Africa. The experience of these workshops and the findings of a 1992 needs assessment among selected FPAs have articulated the nature of the gap between clients' needs and social norms and providers' values in relation to sexual behavior. This chapter of the book entitled Learning about Sexuality: A Practical Beginning examines how sexual options to minimize the risk of HIV infection (condom use, abstinence, fidelity within marriage, and nonpenetrative sex) correspond with the realities of the attitudes and sexual lives of different client groups. It also addresses how effective these options are in preventing HIV/AIDS. Another discussion revolves around the extent providers help clients determine the best HIV prevention strategy for themselves. The book also covers whether providers help clients overcome gender inequalities that place them at risk of HIV infection or reinforce gender stereotypes. Significant obstacles among the work of the APU include providers' long-standing attitudes, biases, and perception; consideration of counseling and education as if the clients can freely decide what to do about sex; providers' concern for social and moral well-being of clients; and conflict between contraceptive targets and the mandate to provide clients with the information needed to make informed choices about reproductive and sexual health. The book provides four steps to address these obstacles and to change the behavior of both FPA staff and clients in order to close the gap between their goals and perception: structured sessions on gender issues in FPA staff training and actively challenge gender discrimination and attitudes that result in sexual ill health; structured activities on religion, traditional sexual culture, and sexual health in FPA staff training; pilot projects that test the feasibility of FPAs using a participatory community development approach in sexual health; and network with groups that have resources to address some underlying determinants of sexual health.
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  5. 5

    Quality of care: an overview of major issues.

    Ketting E


    Highlighting and revitalizing the International Planned Parenthood Federation's (IPPF) long-standing dedication to the creation of services which are relevant and acceptable to all, the IPPF in 1992 set out to improve the quality of care. Objective three of the IPPF's strategic plan, Vision 2000, calls for the development and maintenance of high-quality, sustainable reproductive and sexual health programs. This overview summarizes the main reasons, principles, IPPF strategies and tools to improve quality, tools developed by other organizations, the need for true commitment, and other activities relevant to IPPF's care for quality. The focus upon quality in family planning programs over the past five years is in part a reaction to the target-oriented fertility reduction programs of the 1970s and 1980s. The following principles are central to the provision of quality services: high quality services must be offered without concentrating solely upon a few at the expense of the masses, family planning providers have the responsibility for using their expertise in the best interests of their clients, the client's perspective must be part of all quality of care systems, and the quality of care strategy should be more pro-active than reactive.
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  6. 6

    When the client is king.

    Kwan M


    Keeping clients happy and satisfied is a challenge for all businesses. Like many other businesses, the Hong Kong Family Planning Association derives the majority of its income from client services. Continued client patronage is therefore crucial to the survival of the association. The association has integrated quality improvement into its management system in a bid to improve and maintain quality care. This move involves the timely adoption of new program elements to satisfy the changing needs and expectations of clients, in addition to receiving and incorporating client feedback in the ongoing process of innovation. Acknowledging and responding to staff needs is another essential factor of strategy to provide quality care. The Hong Kong association researches and surveys the opinions of its clients to ultimately review and discuss both commendations and complaints from the public. The Clientele Management System of client record management has been introduced in the past two years, while an interactive voice response system will soon be installed in the association's youth and "Mrs. White" hotline service. The Ten Rights of the Client outlined by the IPPF are at the heart of client satisfaction, but even service providers with good qualifications and high professional standards need a sense of belonging, commitment, responsibility, guidance, respect, encouragement, support, and training to provide quality care.
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  7. 7

    Quality of care in family planning: clients' rights and providers' needs.

    Huezo C; Diaz S

    ADVANCES IN CONTRACEPTION. 1993 Jun; 9(2):129-39.

    Quality of care means that the needs of the clients should be the major determinant of the behavior of the providers and the goal of the programs. Quality of care can be considered a right of the clients, defining clients not only as those who approach the health care system for services but also as everyone in the community who is in need of services. Any member of the community who is of reproductive age should be considered a potential client for family planning (FP) services. The International Planned Parenthood Federation (IPPF) has outlined 10 rights of FP clients: rights to information, access, choice, safety, privacy, confidentiality, dignity, comfort, continuity, and opinion. Program managers and service providers should achieve fulfillment of the rights of the FP clients. This goal is directly related to the availability and quality of FP information and services. The responsibilities for quality of care are distributed throughout the whole FP program, but those who are actually seen as most responsible are the ones who are in direct contact with the clients; the service providers. The needs of the service providers can be enumerated as a need for training, information, infrastructure, supplies, guidance, back-up, respect, encouragement, feedback and self-expression. The interaction between clients and providers of contraceptive services could be an exchange of knowledge, needs, and experience that contributes to the personal growth of both. Quality of care involves physical, technical, and human aspects. When fulfilling the rights of the clients and needs of the service providers, both technical and human aspects should be taken into account.
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  8. 8

    Implementing a counseling training program to enhance quality of care in family planning programs in Ecuador.

    Kopp Z; Cox K; Marangoni P

    [Unpublished] 1989. Presented at the 117th Annual Meeting of the American Public Health Association [APHA], Chicago, Illinois, October 22-26, 1989. 9, [2] p.

    To address the need to improve and expand the level of counseling offered trough family planning programs in Latin America, the Asociacion Pro-Bienestar de la Familia Ecuatoriana (APROFE), an affiliate of the International Planned Parenthood Federation, provided counseling and interpersonal communication training to its 149 staff members in 1988- 89. Before the workshops were held, 724 clients at 6 APROFE clinics were surveyed to provide a baseline assessment of the quality of care from the client's point of view. The 2-day workshops focused on counseling skills, values clarification activities in the area of human sexuality, and the importance of informed choice to the quality of client care. A KAP test was administered to staff before and after the training. The client surveys indicated overall satisfaction with APROFE in the areas addressed--cost, hours, privacy, informed consent, and attitudes of personnel--but pinpointed areas for change, including a preference for specific appointment times, more information on sexually transmitted diseases and acquired immunodeficiency syndrome, and a failure of some staff to provide information on the entire range of contraceptive choices. The clinic's director of counseling has become involved in the selection and training of new staff members. Workshop participants have expressed a need for additional training about ways to counsel clients on matters related to human sexuality and to overcome the sociocultural barriers to such discussions.
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  9. 9

    1988 annual report: Family Planning International Assistance.

    Planned Parenthood Federation of America [PPFA]. Family Planning International Assistance [FPIA]

    New York, New York, FPIA, [1989]. 26 p.

    In 1988, Family Planning International Assistance (FPIA) provided support to family planning programs in developing countries through USAID grant, cooperative agreement, and contract funds, supplemented by private contributions from foundations, corporations, and individuals. Africa claims the largest share of 1988 assistance value (43%) and the largest number of active projects (57). In terms of assistance value, Latin America followed with 34% and the Asia-Pacific region with 21%. On the other hand, the Asia-Pacific region placed 2nd in the number of active projects (45) and Latin America was 3rd (32). In 1988, Nigeria, Mexico, Bangladesh, Thailand, and Kenya received the most project assistance dollars respectively. 48% of all FPIA contraceptive clients resided in the Asia-Pacific region, 26% in Latin America, and 26% in Africa. In 1987, the majority of new clients chose oral contraceptives (OCs) or condoms. The IUD and voluntary sterilization were the 3rd and 4th most popular methods. FPIA provided contraceptive services to all regions at an annual cost/client of $4.63. The highest cost/client was in Latin American ($6.04) followed by Africa ($4.30), and the Asia- Pacific region (4.03). FPIA's 1988 objective for number of countries in which family planning related commodities were to be distributed was 55, but FPIA surpassed that and distributed commodities to 76 countries. Distribution of OCs exceeded FPIA's 1988 objective by 59% and distribution of condoms by 286%.
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