Family Planning Targets and Quality of Services: Workers' Perspectives and Dilemmas
dc.contributor.author | Simmons, Ruth | en_US |
dc.contributor.author | Ghiron, Laura | en_US |
dc.date.accessioned | 2010-04-14T14:18:28Z | |
dc.date.available | 2010-04-14T14:18:28Z | |
dc.date.issued | 1999 | en_US |
dc.identifier.citation | Simmons, Ruth; Ghiron, Laura (1999). "Family Planning Targets and Quality of Services: Workers' Perspectives and Dilemmas." Journal of Health Management 1(2): 277-292. <http://hdl.handle.net/2027.42/69103> | en_US |
dc.identifier.issn | 0972-0634 | en_US |
dc.identifier.uri | https://hdl.handle.net/2027.42/69103 | |
dc.description.abstract | This paper uses data from in-depth group interviews with family planning workers in Bangladesh to demonstrate both the dysfunctional influence of family planning targets on quality of care as well as the strong connection between targets and the manage ment system. The findings show that the presence of targets influenced the advice and information workers provided, pushing them towards long-term methods such as steril isation and the IUD rather than helping clients select methods most suited to their needs. The paper then shows the connection between the target system and the struc ture of official and unofficial incentives, the pattern of supervision, the system of accountability and a hierarchically organised and gender-biased organisational cul ture. The authors argue that unless these underlying managerial determinants of qual ity of care are addressed, the hope for reaching the goals of the International Conference on Population and Development (ICPD) will remain illusory. | en_US |
dc.format.extent | 3108 bytes | |
dc.format.extent | 714941 bytes | |
dc.format.mimetype | text/plain | |
dc.format.mimetype | application/pdf | |
dc.publisher | Sage Publications | en_US |
dc.title | Family Planning Targets and Quality of Services: Workers' Perspectives and Dilemmas | en_US |
dc.type | Article | en_US |
dc.subject.hlbsecondlevel | Nursing | en_US |
dc.subject.hlbsecondlevel | Public Health | en_US |
dc.subject.hlbtoplevel | Health Sciences | en_US |
dc.description.peerreviewed | Peer Reviewed | en_US |
dc.contributor.affiliationum | University of Michigan, School of Public Health, Department of Health Behaviour/Health Education, 1420 Washington Heights, Ann Arbor, MI 48109-2029, USA | en_US |
dc.contributor.affiliationum | University of Michigan, School of Public Health, Ann Arbor, USA | en_US |
dc.description.bitstreamurl | http://deepblue.lib.umich.edu/bitstream/2027.42/69103/2/10.1177_097206349900100206.pdf | |
dc.identifier.doi | 10.1177/097206349900100206 | en_US |
dc.identifier.source | Journal of Health Management | en_US |
dc.identifier.citedreference | Bruce, Judith (1990). Fundamental elements of quality of care: A conceptual framework. Studies in Family Planning, 21(2), 61-91. | en_US |
dc.identifier.citedreference | Drucker, Peter (1968). The practice of management. London: Pan. | en_US |
dc.identifier.citedreference | Haaga, John G. and Rushikesh M. Maru (1996). The effects of operations research on program changes in Bangladesh. Studies in Family Planning, 27(2), 75-87. | en_US |
dc.identifier.citedreference | Khallil, K. and C. Myntti (1994). Target-setting in family planning programs: Issues and controversies. Presented at the Population Council symposium on Family, Gender, and Population Policy: International Debates and Middle Eastern Realities, Cairo, Egypt, 7-9. February. | en_US |
dc.identifier.citedreference | Phillips, James F., R. Simmons, G.B. Simmons and Md. Yunus (1984). Transferring health and family planning service innovations to the public sector: An experiment in organization development in Bangladesh. Studies in Family Planning, 15(5), 212-21. | en_US |
dc.identifier.citedreference | Senge, Peter M. (1990). The fifth discipline: The art and practice of the learning organisation. New York : Doubleday. | en_US |
dc.identifier.citedreference | Ward, Rinehart, Sharan Rudy and Megan Drennan (1998). GATHER guide to counseling: Population reports, Series J, No.48. Baltimore: Centre for Communication Programmes, The Johns Hopkins School of Public Health. | en_US |
dc.owningcollname | Interdisciplinary and Peer-Reviewed |
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