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Monitoring and Evaluation: FAMILY PLANNING PROGRAMS

There have been a number of attempts to evaluate the impact of quality of care in the literature. Three of these studies are listed here. The evaluation designs used in these studies varied and each had their strengths and limitations. The Peru study examined the influence of quality on current contraceptive use based on linked Situation Analysis and DHS data. The Morocco study examined the impact of quality on contraceptive adoption and discontinuation based on linked SAM and DHS data. The Bangladesh study examined the impact of perceived quality on contraceptive adoption and discontinuation based on longitudinal data collected as part of the Matlab Demographic Surveillance System and an associated survey of women on their perceptions of the quality of community family planning worker visits. Given time constraints, we will focus in more detail on the design of one of these studies, the Morocco study. This is not necessarily the best study design, but it serves as an illustration of some impact evaluation design issues. References for the other two studies are given in the reference list for this module. Note for facilitator: There is a more recent study from the Philippines by Ramarao et al from 2003 or 2004. This study should be added to the slide and speaker notes if you have access to it.

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