Table 2.
Summary of quality attributes.
| Indicator | Definition of indicators |
|---|---|
| Structural | |
| Physical infrastructure | Availability of amenities: shaded waiting area, private space for FP examination, private space for ANC/PNC examination, source of clean water, electricity, clean toilets, reliable lighting, infection prevention buckets, heater, chlorine for processing equipment |
| Equipment availability | Availability of the following equipment: Spotlight or flashlight, exam couch, waste receptacle, sharps container, electric hand dryer or single use towels, functional blood pressure machine, stethoscope, functional weighing scale for babies, functional weighing scale for adults, speculum, tenaculum, uterine sound, working autoclave/sterilizer, cleaning solution, Trocar, Kidney dishes, sponge holding forceps, foetal scope |
| FP commodities | FP methods available: combined pill, progestin only, emergency contraceptive, injectables, female condoms, male condoms, IUCD, Cycle beads, hormonal implants, female sterilization, male sterilization |
| Reagents | Testing reagents available: HIV-1 reagents, HIV-2 reagents, UNIGOLD, Determine, TB test, pregnancy tests, UTI |
| General supplies | General supplies available: needles and syringes, insecticide treated nets, specimen bottles for urine, specimen pots for sputum, blood specimen pots, slides for MPS, vinegar, Acetic acid, iodine, lugols, IV giving sets, blood giving sets, normal saline IV, Sodium lactate IV solution, Dextrose IV solution, Ringers lactate IV solution, Water for injection |
| Staff training | Whether any of the staff has received training in the following: PMTC, HIV counseling and testing, HIV rapid tests and controls, STI syndromic management, syphilis screening for RPR test, balanced counseling strategy plus, counseling for prevention of STIs, counseling for prevention of HIV/AIDS, medical management of HIV infected clients, Screening for TB in pregnancy, FANC, management of labor, basic care of newborns, infant feeding counseling, family planning, contraceptive technology updates, IMCI, post-natal care for baby, screening for cancer using VIA/VILLI. |
| IEC materials | Number of visual aids for teaching available in the counseling rooms: FP methods, STIs, HIV/AIDS, PMTCT for HIV, balanced counseling strategy cards; condom model; FP ANC and PNC posters, danger signs in postpartum period for mother and babies. |
| Guidelines, policies and standards | Availability of protocols, guidelines and standards on: FP policy, FANC orientation, essential obstetric care, standard maternity care, PNC guidelines, STI syndromic management guidelines, PMTCT guidelines, ART guidelines, clinical manual for ARV providers, HIV testing guidelines, pre/post counseling protocol for HIV, TB treatment protocol. |
| Process | |
| Privacy and confidentiality assured | Does the provider see client in privacy and assure the client of confidentiality |
| Clients questions answered | Does the provider ask if client has understood information and encourage client to ask questions? |
| Reproductive history | Provider discussed the following: age, marital status, pregnancy status, number of pregnancies, fertility desires, breastfeeding status, desired timing of next birth, date of last menses, previous use of FP, HIV serostatus, history of medical conditions |
| Family planning procedure | Does the provider discuss the following: explain how method works, advantages and disadvantages, how to use method, ensuring effectiveness, possible side effects, management of side effects, possibility of changing method, emergency contraception |
| HIV/STI risk assessment | Does the provider discuss STIs and HIV risk factors with clients: multiple partners, STIs, unprotected sex, knowledge of partners' status and HIV counseling and testing? |