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The quality of family planning services in China since 1990s

Document type: mthesis
Download file(s): 183292 (672 KB)
Abstract: OBJECTIVES: Over the past decades, family planning programmes have been gradually transformed from bureaucratic and target-driven fertility interventions to client-centered services. The quality of services had been somewhat overlooked in the first two decades of China’s family planning programme due to the overemphasized demographic goal. Since the endorsement of the ICPD’s programme of Action in 1994, Chinese government tended to set priority to enhance the quality of family planning services, even though fertility control is still a political concern. This paper aims to evaluate the quality of Chinese family planning services since 1990s. METHODOLOGY: A framework for assessing quality is developed referring to Bruce’s quality framework, and 21 indicators are used. Data used in this paper mainly come from UNFPA/China’s projects (CP4 and CP5) and the National Family Planning and Reproductive Health Survey (NFPRHS). FINDINGS: 1) Most women choose their preferred contraceptive methods through self-decision or discussion with their husbands; 2) Information has been provided to most clients through counselling before and after adoption of contraception, and counselling and IEC materials are available in most family planning service sites; 3) the level of knowledge on contraception and reproductive health among women has been dramatically enhanced. FP workers have become the key providers of knowledge; 4) Relevant primary health care services, for instance, antenatal and postnatal health care, delivery care and STI prevention, have become available in FP service sites; 5) Most women give their births in medical facilities. Postnatal home visits reach most women. The incidence of induced abortion has been reduced; and 6) The overall contraceptive prevalence in women while female sterilization and IUD are the two methods most frequently used. CONCLUSION: Quality of family planning services has been improved, while to engage men into the family planning campaign and to extend the coverage to unmarried young people should be addressed in future endeavour.
Authors: Li, K.
Country: China
Category: Research
Department: Development Policy & Practice
Institute: KIT (Royal Tropical Institute)
Keywords: reproductive health , family , policy
Language: eng
Organization: KIT - Royal Tropical Institute
PAGE: iv, 40
Year: 2008
Region: East Asia
Right: © 2008 Li
Subject: Health and Nutrition
Title: The quality of family planning services in China since 1990s
Training: Master in International Health (MIH)