QUALITY FAMILY PLANNING SERVICES PROVISION AT PRIVATE CLINICS OF KHYBER PAKHTUNKHWA PROVINCE, PAKISTAN

Abstract

Background: Private sector is providing 40% of the family planning services in Pakistan. The aim of this study
was to assess the structural parameters of the quality in private family planning clinics of Khyber Pakhtunkhwa
province.
Material & Methods: This descriptive study was conducted at private clinics from 2010 to 2014 through standard
checklist. Data entered and analyzed in Excel 2007 and percentages computed.
Results: All the parameters evaluated through five years and the percentages in the final year i.e. 2014, being
discussed. Physical setup showed boards and logos at 60%, IEC material at 80%, flip charts at 96.20%, privacy
for the clients was available at 98.9% and cleanliness at 91.5% of health facilities. Record keeping came out to
be a weaker component as 33.5%. Procedure room arrangements showed examination tables at 99.7%, proper
light source at 98.9%, gloves used at 99.3%, and 66.8% clinics had intrauterine contraceptive device insertion
posters prominently displayed. Infection prevention component showed 98% clinics with adequate water supply
along with provision of soap, 62.4% were using chlorine solution, boilers present at 98.5%, storage of instruments
in high level disinfection containers was at 98%, destru clips were being used in 91% outlets and disposal of the
waste by standard method came out to be 40% only which had plastic bags in the waste baskets. 59% clinics
were not following standard protocols which came out to be the weaker component.
Conclusion: Private clinics are providing quality family planning services in urban areas of Khyber Pakhtunkhwa
province.