Community perspectives on family planning service quality among users and non-users: a qualitative study from two cities in Burkina Faso
Abstract Background Most studies that focus on quality of family planning (FP) services collect data from facilities. These studies miss the perspectives of quality from women who do not visit a facility and for whom perceived quality may be a barrier to service utilization. Methods This qualitative...
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| Format: | Article |
| Language: | English |
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BMC
2023-05-01
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| Series: | Reproductive Health |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12978-023-01618-8 |
| _version_ | 1797822839826415616 |
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| author | Fiacre Bazie Ilene S. Speizer Sarah Castle Kindo Boukary Amelia Maytan-Joneydi Lisa M. Calhoun Yentema Onadja Georges Guiella |
| author_facet | Fiacre Bazie Ilene S. Speizer Sarah Castle Kindo Boukary Amelia Maytan-Joneydi Lisa M. Calhoun Yentema Onadja Georges Guiella |
| author_sort | Fiacre Bazie |
| collection | DOAJ |
| description | Abstract Background Most studies that focus on quality of family planning (FP) services collect data from facilities. These studies miss the perspectives of quality from women who do not visit a facility and for whom perceived quality may be a barrier to service utilization. Methods This qualitative study from two cities in Burkina Faso examines perceived quality of FP services from women who were recruited at the community level to avoid potential biases based on recruiting women at facilities. Twenty focus group discussions were undertaken with varying groups of women of different ages (15–19; 20–24; 25+), marital statuses (unmarried; married), and current modern contraceptive use experiences (current non-users; current users). All focus group discussions were undertaken in the local language and transcribed and translated into French for coding and analysis. Results Women discuss FP service quality in a variety of locations, depending on their age group. Perspectives on service quality for younger women are often informed by others’ experiences whereas for the older women, they are formed by their own and others’ experiences. Two important aspects of service delivery emerge from the discussions including interactions with providers and selected system-level aspects of service provision. Important components of provider interactions relate to (a) the initial reception from the provider, (b) the quality of counseling received, (c) stigma and bias from providers, and d) privacy and confidentiality. At the health system level, discussions revolved around (a) wait time; (b) stockouts of methods; (c) costs of services/methods; (d) the expectation for tests as part of service provision; and (e) difficulties with method removal. Conclusions To increase contraceptive use among women, it is crucial to address the components of service quality they identify as related to higher quality services. This means supporting providers to offer services in a more friendly and respectful manner. In addition, it is important to ensure that full information is provided to clients on what to expect during a visit to avoid false expectations that lead to poor perceived quality. These types of client-focused activities can improve perceptions of service quality and ideally support use of FP to meet women’s needs. |
| first_indexed | 2024-03-13T10:15:13Z |
| format | Article |
| id | doaj.art-d68271010f9a480da2043ad3c8881725 |
| institution | Directory Open Access Journal |
| issn | 1742-4755 |
| language | English |
| last_indexed | 2024-03-13T10:15:13Z |
| publishDate | 2023-05-01 |
| publisher | BMC |
| record_format | Article |
| series | Reproductive Health |
| spelling | doaj.art-d68271010f9a480da2043ad3c88817252023-05-21T11:17:59ZengBMCReproductive Health1742-47552023-05-0120111510.1186/s12978-023-01618-8Community perspectives on family planning service quality among users and non-users: a qualitative study from two cities in Burkina FasoFiacre Bazie0Ilene S. Speizer1Sarah Castle2Kindo Boukary3Amelia Maytan-Joneydi4Lisa M. Calhoun5Yentema Onadja6Georges Guiella7Institut Supérieur des Sciences de la Population (ISSP), Université Joseph Ki-ZerboDepartment of Maternal and Child Health, University of North Carolina at Chapel HillIndependent Consultant (SRHR)Institut Supérieur des Sciences de la Population (ISSP), Université Joseph Ki-ZerboCarolina Population Center, University of North Carolina at Chapel HillCarolina Population Center, University of North Carolina at Chapel HillInstitut Supérieur des Sciences de la Population (ISSP), Université Joseph Ki-ZerboInstitut Supérieur des Sciences de la Population (ISSP), Université Joseph Ki-ZerboAbstract Background Most studies that focus on quality of family planning (FP) services collect data from facilities. These studies miss the perspectives of quality from women who do not visit a facility and for whom perceived quality may be a barrier to service utilization. Methods This qualitative study from two cities in Burkina Faso examines perceived quality of FP services from women who were recruited at the community level to avoid potential biases based on recruiting women at facilities. Twenty focus group discussions were undertaken with varying groups of women of different ages (15–19; 20–24; 25+), marital statuses (unmarried; married), and current modern contraceptive use experiences (current non-users; current users). All focus group discussions were undertaken in the local language and transcribed and translated into French for coding and analysis. Results Women discuss FP service quality in a variety of locations, depending on their age group. Perspectives on service quality for younger women are often informed by others’ experiences whereas for the older women, they are formed by their own and others’ experiences. Two important aspects of service delivery emerge from the discussions including interactions with providers and selected system-level aspects of service provision. Important components of provider interactions relate to (a) the initial reception from the provider, (b) the quality of counseling received, (c) stigma and bias from providers, and d) privacy and confidentiality. At the health system level, discussions revolved around (a) wait time; (b) stockouts of methods; (c) costs of services/methods; (d) the expectation for tests as part of service provision; and (e) difficulties with method removal. Conclusions To increase contraceptive use among women, it is crucial to address the components of service quality they identify as related to higher quality services. This means supporting providers to offer services in a more friendly and respectful manner. In addition, it is important to ensure that full information is provided to clients on what to expect during a visit to avoid false expectations that lead to poor perceived quality. These types of client-focused activities can improve perceptions of service quality and ideally support use of FP to meet women’s needs.https://doi.org/10.1186/s12978-023-01618-8QualityFamily planningBurkina FasoQualitativeProvider interactions |
| spellingShingle | Fiacre Bazie Ilene S. Speizer Sarah Castle Kindo Boukary Amelia Maytan-Joneydi Lisa M. Calhoun Yentema Onadja Georges Guiella Community perspectives on family planning service quality among users and non-users: a qualitative study from two cities in Burkina Faso Reproductive Health Quality Family planning Burkina Faso Qualitative Provider interactions |
| title | Community perspectives on family planning service quality among users and non-users: a qualitative study from two cities in Burkina Faso |
| title_full | Community perspectives on family planning service quality among users and non-users: a qualitative study from two cities in Burkina Faso |
| title_fullStr | Community perspectives on family planning service quality among users and non-users: a qualitative study from two cities in Burkina Faso |
| title_full_unstemmed | Community perspectives on family planning service quality among users and non-users: a qualitative study from two cities in Burkina Faso |
| title_short | Community perspectives on family planning service quality among users and non-users: a qualitative study from two cities in Burkina Faso |
| title_sort | community perspectives on family planning service quality among users and non users a qualitative study from two cities in burkina faso |
| topic | Quality Family planning Burkina Faso Qualitative Provider interactions |
| url | https://doi.org/10.1186/s12978-023-01618-8 |
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