Farhat Rehana Malik.
Quality family planning services provision at private clinics of Khyber Pakhtunkhwa province, Pakistan.
Gomal J Med Sci Jan ;13(3):177-82.

Background: Private sector is providing 40% of the family planning services in Pakistan. The aim of this study was to assess the structural parameters of the quality in private family planning clinics of Khyber Pakhtunkhwa province. Material & Methods: This descriptive study was conducted at private clinics from 2010 to 2014 through standard checklist. Data entered and analyzed in Excel 2007 and percentages computed. Results: All the parameters evaluated through five years and the percentages in the final year i.e. 2014, being discussed. Physical setup showed boards and logos at 60%, IEC material at 80%, flip charts at 96.20%, privacy for the clients was available at 98.9% and cleanliness at 91.5% of health facilities. Record keeping came out to be a weaker component as 33.5%. Procedure room arrangements showed examination tables at 99.7%, proper light source at 98.9%, gloves used at 99.3%, and 66.8% clinics had intrauterine contraceptive device insertion posters prominently displayed. Infection prevention component showed 98% clinics with adequate water supply along with provision of soap, 62.4% were using chlorine solution, boilers present at 98.5%, storage of instruments in high level disinfection containers was at 98%, destru clips were being used in 91% outlets and disposal of the waste by standard method came out to be 40% only which had plastic bags in the waste baskets. 59% clinics were not following standard protocols which came out to be the weaker component. Conclusion: Private clinics are providing quality family planning services in urban areas of Khyber Pakhtunkhwa province.

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