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Evaluating the impact of a quality management intervention

Evaluating the impact of a quality management intervention on post-abortion contraceptive uptake in private sector clinics in western Kenya:

A pre- and post-intervention study

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Integration of contraceptive counselling into safe abortion services is a key component of quality abortion care.

This study evaluated whether a quality management intervention for private providers in Western Kenya could improve the quality of contraceptive counselling, and increase women’s uptake of post-abortion contraception. The study was a pre- and post-intervention study, taking place in 2015-16. The quality management intervention comprised a 1-day orientation for providers, a counselling job-aide, and enhanced supervision visits.

The intervention appeared to be successful, with quality of counselling and satisfaction with services (reported by clients) increasing between baseline and post-intervention. Same-day uptake of post-abortion contraception was higher post-intervention compared to baseline, as was same-day uptake of long-acting reversible contraception.

Providers reported mixed opinions about the effectiveness of the intervention but most reported that the supervision visits helped them improve the quality of their services.

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