Speizer I S, Bollen K A
Tulane University School of Public Health, Department of International Health and Development, New Orleans, LA 70112-2737, USA.
Stud Fam Plann. 2000 Jun;31(2):163-77. doi: 10.1111/j.1728-4465.2000.00163.x.
This study examines the relationship between common objective measures of quality and perceptions of the quality of family planning facilities. Results of prior research indicate that such perceptions are an important determinant of contraceptive use in rural Tanzania. The data for this study are drawn from two surveys conducted in rural Tanzania. Three models are tested separately for women and for men. The important determinants of perceptions of quality among women and men are: perceived travel time to the facility, availability of immunizations, and availability of maternal and child health services. Additionally, the ratio of the number of staff to outpatients is important to men. The data explain a moderate amount of the variance in the quality measures, indicating that perceived quality is not fully predicted by common objective measures of quality. Future surveys of facility quality should develop objective measures to better predict the perceived quality, with the underlying goal of increasing contraceptive use.
本研究考察了计划生育设施质量的常见客观指标与对这些设施质量的认知之间的关系。先前研究的结果表明，这种认知是坦桑尼亚农村地区避孕措施使用的一个重要决定因素。本研究的数据来自在坦桑尼亚农村地区进行的两项调查。分别针对女性和男性测试了三种模型。女性和男性对质量认知的重要决定因素包括：到设施的感知出行时间、免疫接种服务的可获得性以及母婴健康服务的可获得性。此外，工作人员与门诊病人的数量之比对男性很重要。这些数据解释了质量指标中适度的方差量，表明常见的质量客观指标并不能完全预测感知到的质量。未来对设施质量的调查应制定客观指标，以更好地预测感知到的质量，其根本目标是增加避孕措施的使用。
