INDICATORS

Quality Domain:

Decision Making

Sub-Domain:

Client choice, autonomy, absence of coercion

Definition:

Client received their desired contraceptive method or referral for desired method.

Purpose:

Quality abortion care requires a person-centered approach to the provision of contraception, which includes ensuring that clients receive their method of choice if desired, and do not receive a method if they do not desire.

Indicator Applicability:

Health Facilities

Pharmacies

Justification for Inclusion:

Statistical association with client outcomes

Quality Threshold:

A point of service is considered as meeting this indicator’s quality threshold if 100% of clients reported receiving their desired method or a referral for their desired method.

Data Sources:

• For health facilities: Health Facility Client Exit Interview questions HF125 to HF128a
• For pharmacies: Pharmacy Client Exit Interview questions PH119 to PH123

Details:

For health facilities and pharmacies, the proportion of clients who answered with one of the following response patterns:

1. Wanted a method and either got desired method or a referral for it, or changed mind
   • Response option 1 for HF125/PH119
   • Response option 1, 2, 3, OR 4 for HF128/PH122
   • If applicable, response option 3 for HF128a/PH123
2. Didn’t want a method and didn’t get a method
   • Response option 2 OR 88 for HF125/PH119
   • Response option 2 for HF126/PH120
3. Didn’t want a method but got a method after changing mind
   • Response option 2 OR 88 for HF125/PH119
   • Response option 1 for HF126/PH120
   • Response option 2 for HF127/PH121
   • Response option 1, 2, 3, OR 4 for HF128/PH122
   • If applicable, response option 3 for HF128a/PH123

* This indicator was included based upon its association with client outcomes.

**This indicator is not able to consider medical eligibility when determining whether a site meets the quality threshold.