Determinants of Quality of Family Planning Counseling among Private Health Facilities in Lagos
Determinants of Quality of Family Planning Counseling among Private Health Facilities in Lagos
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DOI：
10.1111/j.1728-4465.2016.00063.x
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发表时间：
2016-09-01
影响因子：
2.1
通讯作者：
Ugaz, Jorge
中科院分区：
文献类型：
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作者：
Johnson, Doug;Ugaz, Jorge
我们使用了一个独特的数据集，其中包括对尼日利亚拉各斯州927家私人卫生机构的计划生育咨询质量的客观衡量，以确定设施和提供者层面的哪些变量与计划生育咨询质量最密切相关。我们关于质量的数据来自神秘客户调查，这些客户假扮成寻求计划生育咨询的女性。我们发现，质量与提供者骨干密切相关，医生提供的咨询质量比护士高得多。医生不仅整体表现优于护士，而且在每一项质量上的表现都更好，而且平均多花近三分钟的时间来咨询神秘客户。地点、服务收费和设施类型也与质量密切相关。一个机构在计划生育方面的专业程度和机构规模只能微弱地预测质量。
We use a unique dataset that includes an objective measure of the quality of family planning counseling from 927 private health facilities in Lagos State, Nigeria, to determine which variables at the facility and provider levels are most closely correlated with the quality of family planning counseling. Our data on quality come from mystery client surveys in which the clients posed as women seeking family planning counseling. We find that quality is strongly associated with the cadre of provider, with doctors delivering substantially higher-quality counselling than nurses. Doctors not only outperform nurses overall, but also perform better on each category of quality and spend nearly three minutes longer on average counseling the mystery client. Location, fees charged for the service, and facility type are also strongly correlated with quality. The degree to which a facility specializes in family planning and facility size are only weakly predictive of quality.