Table 4 Percentage of non-integrated and integrated facilities and clients meeting each QIQ Indicator (Malawi SPA 2013–2014)
Indicator# | Description | Non-Integrated | Integrated | Total | p-value |
|---|---|---|---|---|---|
Facility-level Inventory (n = 305) | % | % | % | ||
11 | Provider (at facility) follows infection control procedures outlined in guidelines | 60 | 63 | 61 | 0.620 |
18 | Facility has all (approved) methods available; no stockouts | 46 | 58 | 50 | 0.039 |
19 | Facility has basic items needed for delivery of methods available through facility (sterilizing equipment, gloves, blood pressure cuff, specula, adequate lighting, water) | 36 | 35 | 36 | 0.902 |
21 | Facility has mechanisms to make programmatic changes based on client feedback | 25 | 30 | 27 | 0.370 |
22 | Facility has received a supervisory visit in past 6 monthsa | 64 | 80 | 71 | 0.003 |
23 | Facility has adequate storage of contraceptives and medicines (away from water, heat, direct sunlight) on premises | 69 | 78 | 72 | 0.087 |
24 | Facility has state-of-the-art clinical guidelines | 45 | 48 | 46 | 0.629 |
Client-level FP Observation (n = 323) | |||||
1a | Look and write on client record | 84 | 96 | 89 | 0.005 |
1b | Used any visual aids | 20 | 21 | 20 | 0.907 |
1c | Ensured visual and auditory privacy | 90 | 82 | 87 | 0.334 |
2 | Provider assures client of confidentiality | 32 | 22 | 28 | 0.266 |
3 | Provider asks client about reproductive intentions | 29 | 26 | 28 | 0.688 |
5 | Provider mentions HIV/AIDS (initiates or responds) | 8 | 15 | 11 | 0.207 |
6 | Provider discusses dual method use | 6 | 15 | 10 | 0.095 |
9 | Provider gives accurate information on the method accepted (how to use, side effects, complications)b | 57 | 63 | 60 | 0.552 |
10 | Provider gives instruction on when to return | 84 | 94 | 88 | 0.050 |
13 | Provider performs clinical procedures according to guidelinesc | 57 | 60 | 58 | 0.795 |
15 | Client participates actively in discussion and selection of method (i.e. is “empowered”) | 42 | 47 | 44 | 0.633 |
Client-level FP Exit Interview (n = 315) | |||||
4 | Provider discusses with client which method she would prefer | 35 | 32 | 34 | 0.635 |
8 | Provider tailors key information to the particular needs of the specific client | 93 | 91 | 92 | 0.546 |
14 | Staff treats client with dignity and respectd | 99 | 98 | 99 | 0.236 |
25 | Waiting time acceptable | 87 | 85 | 86 | 0.732 |