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    [Critical analysis of the functioning of family planning services] Analyse critique du fonctionnement des services de PF.

    Wollast E

    In: Pratique et gestion de la planification familiale dans les pays en voie de developpement, a l'usage des cliniciens, des formateurs, des gestionnaires, [edited by] Elisabeth Wollast, Marcel Vekemans. Brussels, Belgium, De Boeck-Wesmael, 1993. 444-55. (Savoirs et Sante)

    Many obstacles and problems in developing countries frustrate the provision and use of family planning services, which means that poor service provision is reflected in populations’ family planning use rates. Contraceptive prevalence levels range from 1% to 75%, depending upon the country. There is always a rather large discrepancy between a population’s needs, the available supply of services, and the extent to which the population uses those services. When service use by the targeted population is weak, one can investigate the different relationships between actual needs and existing services, existing services and their capacity to satisfy needs, service capacity and geographic accessibility, and geographic accessibility and use by the population which has access. Health centers can be generally accepted by the population as a whole, but poorly accepted for specific services. The author describes determinants of service use, factors specifically linked to the organization of services, factors specifically linked to healthcare providers, the assessment of service use, indicators used in the critical analysis of service delivery, and the creation of indicators. The determinants of service use are based upon factors associated with individual action possibilities, while service use depends upon how services are perceived by the population with regard to the quality of service organization and provision.
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