Mensch B, Arends-Kuenning M, Jain A
Stud Fam Plann. 1996 Mar-Apr;27(2):59-75.
Through linkage of a Demographic and Health Survey to a situation analysis, this article explores whether current contraceptive use in Peru is affected by the service environment in which a woman resides. The investigation focuses explicitly on the impact of the quality of family planning services and finds that, net of personal and household characteristics, a significant, albeit small, effect exists for one specification of quality in the total sample and for the other specification a nearly significant (p = .053) effect exists. The analysis reveals that contraceptive prevalence would be 16 to 23 percent greater if all women lived in a cluster with the highest quality of care compared with the lowest. Methodological problems that arise in measuring quality of care at the cluster level and in linking quality to individual contraceptive use are also addressed.
通过将人口与健康调查与情况分析相联系，本文探讨了秘鲁目前的避孕措施使用情况是否受到女性所居住的服务环境的影响。该调查明确聚焦于计划生育服务质量的影响，并发现，在排除个人和家庭特征因素后，对于总体样本中的一种质量指标存在显著影响，尽管影响较小，而对于另一种指标存在近乎显著（p = 0.053）的影响。分析表明，如果所有女性都生活在护理质量最高的群组中，而非最低的群组，避孕普及率将会高出16%至23%。同时，本文还讨论了在群组层面衡量护理质量以及将质量与个人避孕措施使用相联系时出现的方法学问题。
