Abstract:
Study recommends infrastructure improvement in family planning clinics, regular in-service
training of the service providers on family planning and counseling and steps to improve
domiciliary follow-up care. Divisional and district administration should pay attention to
maintain adequate cleanliness in the clinics, make sure all the necessary instruments for IUD
insertion are available in the clinic, regularly update the knowledge of the service providers;
especially the PHMM and introduce quality oriented supervision. To improve FP counseling
it is important to train the service providers on counseling, identifying a place with privacy
for this purpose in the clinic, and reorganize poly/combine clinics so as to give more time
and opportunity for the service providers to counsel the clients. Study also recommends
development of IEC materials, screening checklists, and must know information to PHMM
and make these available at field level. Routine evaluation of the quality of the FP services
by the divisional and district managers using quality indicators, and incorporation of few
quality indicators to the routine information system will be useful in monitoring the quality
of the service regularly. Obtaining the views of the clients, service providers and the service
managers are also important to improve the quality of the FP service delivery
