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Report on field test of the WHO Decision-Making Tool (DMT) for family planning clients and providers in Mexico. Draft. [Informe sobre pruebas de campo de la Herramienta de toma de decisiones (DMT, Decision-Making Tool) de la OMS para los clientes y prestadores de planificación familiar en México. Versión preliminar]
[Unpublished] 2003 Apr 13. 8 p.To test the usefulness of the flipchart on the quality of counseling, this study compared videotaped counseling sessions conducted by the same providers before and after they were trained to use the DMT and had practice using it. Data were collected at two points in time: a baseline round before the intervention began and a post-intervention round one month after providers were trained to use the DMT. Qualitative data were collected through interviews with providers and clients to complement the data from videotaped sessions. Participating in the study were 17 providers working at nine Secretary of Health facilities of the Government of Mexico, D.F. They included 9 doctors, 4 nurses, 3 social workers, and 1 psychologist. Eight of the participating facilities were hospitals, and one was a health center. At each facility, one doctor who routinely provided family planning services participated in the study. In some facilities, a nurse, social worker, or psychologist, each of whom routinely provided FP services, also participated in the study. Each provider was videotaped with about 8 clients, that is, 4 clients per round of data collection. Each set of 4 clients included one new client with a contraceptive method in mind, one new client without a method in mind, one returning client with a problem, and one returning client without a problem. Only 13 of the 17 providers had complete data from both the baseline and post-intervention rounds. (excerpt)
Report on the field test of the WHO Decision-Making Tool (DMT) for family planning clients and providers in Indonesia. Draft.
[Unpublished] 2003 May 14. 11 p.This field test assessed the acceptability and usability of the Decision-making Tool for Family Planning Clients and Providers (DMT) in ten Puskesmas (public clinics) in two districts of West Java province in Indonesia. The study was conducted by the INFO Project at the Johns Hopkins Bloomberg School of Public Health Center for Communication Programs (CCP) in collaboration with the World Health Organization (WHO) and CCP's STARH Program in Indonesia. The assessment focused on the following areas: the comprehensibility, usability, and acceptability of the DMT among providers and clients; how the DMT can facilitate or hinder the family planning (FP) counseling process; how the DMT can help clients make appropriate decisions in order to solve problems regarding FP; how providers integrate the flipchart into their daily work; and changes needed to increase the impact of the DMT on the FP decision-making process and client-provider communication. WHO, the Population Information Program at CCP (now the INFO Project), and INTRAH developed a normative model of client-provider communication to provide a theoretical foundation for improving FP counseling. Drawing upon this model, the Promoting Family Planning team of the Department of Reproductive Health and Research at the WHO and CCP created the DMT in a flipchart format. The tool seeks to improve the quality of counseling by: promoting informed choice and participation by clients during family planning service delivery; facilitating providers' application of evidence-based best practices in client-provider interaction; and providing the technical information clients need in order to make optimal choices and to use contraceptive methods. (excerpt)