Sanogo Diouratié, RamaRao Saumya, Jones Heidi, N'diaye Penda, M'bow Bineta, Diop Cheikh Bamba
Service Nationale de la Sante Reproductive (SNSR), Senegal.
Afr J Reprod Health. 2003 Aug;7(2):57-73.
In the 1990s, the government of Senegal implemented a series of policy changes for the provision of family planning services through the public sector. A strategy to provide high quality services through reference centres was adopted. This paper presents findings from a longitudinal survey of 1,320 Senegalese women who had sought family planning services at ten public sector facilities--five reference centres and five health centres. Information was collected on the quality of care they received at the time they adopted family planning. One thousand one hundred and ten of the respondents were followed up sixteen months later to ascertain their contraceptive status. The first principal finding was that attendees at reference centres reported receiving relative better care than those who attended health centres. On average, clients at reference centres received 4.3 out of five units of care, compared to 3.8 units as reported by health centre clients. Second, multivariate analyses indicated that quality of care received at the time of adopting a contraceptive has a significant influence on subsequent contraceptive use. Those who received good care were 1.3 times more likely to be using a method than others.
20世纪90年代，塞内加尔政府通过公共部门实施了一系列计划生育服务政策变革。一项通过参考中心提供高质量服务的战略被采纳。本文呈现了对1320名在10个公共部门机构（5个参考中心和5个健康中心）寻求计划生育服务的塞内加尔女性进行纵向调查的结果。收集了她们在采用计划生育时所接受护理质量的信息。1110名受访者在16个月后接受随访以确定其避孕状况。第一个主要发现是，参考中心的就诊者报告称比在健康中心就诊的人得到了相对更好的护理。平均而言，参考中心的客户在五项护理指标中获得了4.3项，而健康中心客户报告的是3.8项。其次，多变量分析表明，采用避孕措施时所接受护理的质量对后续避孕措施的使用有重大影响。那些得到良好护理的人使用某种方法的可能性是其他人的1.3倍。
