Whittaker M, Mita R, Hossain B, Koenig M
Health Care Women Int. 1996 Sep-Oct;17(5):393-411.
Several frameworks for understanding the quality of family planning care have been proposed. However, efforts to measure and quantify their components remain underdeveloped, especially with regard to nonclinical care and community-based distribution. This study examines a large-scale field survey conducted among married women of reproductive age in rural Bangladesh in 1989 and 1990 to measure and evaluate rural women's perceptions of the quality of outreach services they received. Initial analysis indicates that rural women are able to distinguish between good and poor quality of care and that these perceptions can be accurately documented and quantified through sample survey approaches. Implications of the use of a survey in the measurement of quality of care are discussed, as well as implications of the results for managers within the Bangladesh government family planning program, which has been regarded by donor agencies as having limited responsiveness to clients' needs.
已经提出了几个理解计划生育服务质量的框架。然而，衡量和量化其组成部分的努力仍未充分发展，特别是在非临床服务和基于社区的分发方面。本研究考察了1989年和1990年在孟加拉国农村对育龄已婚妇女进行的一项大规模实地调查，以衡量和评估农村妇女对她们所接受的外展服务质量的看法。初步分析表明，农村妇女能够区分优质和劣质护理，并且这些看法可以通过抽样调查方法准确地记录和量化。讨论了使用调查来衡量护理质量的影响，以及这些结果对孟加拉国政府计划生育项目管理人员的影响，该项目被捐助机构认为对客户需求的响应能力有限。
