Table 4.

Quality of care in select health care facilities surveyed by MLE/Tupange in urban Kenya, 2011.

A: FACILITY AUDITS	N=260 facilities
Choice of methods
Mean number of methods provided (range)	7.3 (1–12)
Mean number of methods provided and currently available (range)	5.5 (0–8)
Mean number of methods provided and not out of stock in the previous year (range)	3.8 (0–8)
Facilities with at least one long-acting, one shorter-term, and one barrier method provided	63.1%
Facilities with at least one long-acting, one shorter-term, and one barrier method provided and currently available	55.8%
Facilities with at least one long-acting, one shorter-term, and one barrier method not out of stock in previous year	33.1%
Integration
Facilities integrating family planning with child health services	85.8%
Facilities integrating family planning with post natal care services	78.1%
Facilities integrating family planning with HIV services	90.0%
Infrastructure or facility “readiness”
Facilities with a private exam room	87.3%
Facilities with water	78.5%
Facilities with electricity	93.9%
Facilities with blood pressure cuff	95.4%
Facilities with a speculum	82.3%
Facilities with family planning guidelines	51.5%
Facilities with quality assurance measures in place	38.9%

B: PROVIDER INTERVIEWS	N=648 providers
Choice of methods
Provider discusses different FP methods with clients	80.9%
Provider asks the client about their preferred method	47.5%
Information given to users
Provider helps clients select a method	43.1%
Provider explains how to use the selected method to clients	52.6%
Provide r explains side effects of selected method to clients	81.0%
Provider discusses potential warning signs related to selected method with clients	29.8%
Provider competence
Provider received in-service training in FP provision	50.0%
Client-Provider relations
Provider discusses reproductive goals with clients	44.0%
Integration
Provider integrates family planning with child health services	72.1%
Provider integrates family planning with post natal care services	70.2%
Provider integrates family planning with HIV services	80.9%

C: CLIENT INTERVIEWS	N=1315 clients
Choice of methods
Provider told client about different FP methods	46.7%
Provider asked client about their method of choice	56.7%
Information given to users
Provider helped client select a method (n=472; new and switching clients only)	40.7%
Provider explained to client how to use selected method (n=472; new and switching clients only)	65.9%
Provider told client about possible side effects of chosen method	57.6%
Provider discussed with client what to do if client has problems with method (n=472; new and switching clients only)	64.6%
Client-Provider relations
The provider asked client about their reproductive goals	34.8%
Provider treated client very well	33.4%
Other facility staff treated client very well	21.3%
Provider asked client if they have any questions	66.4%
Client felt comfortable asking questions during the visit	91.1%
Provider answered all of the client’s questions	79.1%
Follow-up mechanisms
Provider informed client when to return for resupply	93.4%
Client satisfaction
Client believed other clients could not see them	83.9%
Client believed that other clients could not hear them	93.8%
Client believed that their information will be kept confidential by the provider	87.3%
Client believed that they received the right amount of information (not too much and not too little)	91.0%
Client felt wait time was satisfactory	76.3%
Client felt satisfied with services	91.8%
Client will use this facility again	98.9%
Client will recommend this facility to others	97.8%