Interventions to improve the person-centered quality of family planning services: a narrative review - PubMed (original) (raw)

Review

Interventions to improve the person-centered quality of family planning services: a narrative review

Nadia Diamond-Smith et al. Reprod Health. 2018.

Abstract

Person-centered care, a key component of quality of care, is receiving increased attention for maternal and reproductive health. While many interventions have aimed to improve person-centered care for family planning, there is no known narrative review of person-centered-focused interventions in family planning and the outcomes of these interventions. This narrative review fills this gap by conducting a rigorous analysis of interventions that address person-centered care and measure family planning related outcomes, including quality, knowledge and use/continuation. The search of the published and grey literature, from 1990 to 2015 identified 5530 papers, of which 25 were ultimately included in the analysis (after exclusion criteria was applied). We grouped these interventions under seven domains of person-centered care: dignity, autonomy, privacy/confidentiality, communication, social support, supportive care, and trust. We find that person-centered interventions had high success in improving perceptions of quality and knowledge of family planning among clients; however, results were less consistent in improving family planning uptake and continuation. These findings will help program and policy makers develop interventions that incorporate person-centered components to have the highest likelihood for success in improving clients' experiences and family planning use.

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The authors declare that they have no competing interests.

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Figures

Fig. 1

Fig. 1

Summary of risk of bias of included studies

Fig. 2

Fig. 2

Study search flow diagram

Fig. 3

Fig. 3

Map of included studies

References

    1. Ekman I, Swedberg K, Taft C, Lindseth A, Norberg A, Brink E, et al. Person-centered care — Ready for prime time. Eur J Cardiovasc Nurs. 2011;10:248–251. doi: 10.1016/j.ejcnurse.2011.06.008. -DOI -PubMed
    1. Millenson M, Berenson R. The road to making patient-centered care real: policy vehicles and potholes. Urban Institute; 2015. http://www.urban.org/sites/default/files/alfresco/publication-pdfs/2015..... Accessed 3 Jun 2016.
    1. Nalwadda G, Mirembe F, Tumwesigye NM, Byamugisha J, Faxelid E. Constraints and prospects for contraceptive service provision to young people in Uganda: providers’ perspectives. BMC Health Serv Res. 2011;11:220. doi: 10.1186/1472-6963-11-220. -DOI -PMC -PubMed
    1. Schuler SR, Hossain Z. Family planning clinics through women’s eyes and voices: a case study from rural Bangladesh. Int Fam Plan Perspect. 1998;24(4):170–205. doi: 10.2307/2991975. -DOI
    1. Tumlinson K, Speizer IS, Archer LH, Behets F. Simulated clients reveal factors that may limit contraceptive use in Kisumu, Kenya. Glob Health Sci Pract. 2013;1:407–416. doi: 10.9745/GHSP-D-13-00075. -DOI -PMC -PubMed

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