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Table 4 Percentage of non-integrated and integrated facilities and clients meeting each QIQ Indicator (Malawi SPA 2013–2014)

From: Quality of family planning services in HIV integrated and non-integrated health facilities in Malawi and Tanzania

Indicator# Description Non-Integrated Integrated Total p-value
Facility-level Inventory (n = 305) % % %  
11 Provider (at facility) follows infection control procedures outlined in guidelines 60 63 61 0.620
18 Facility has all (approved) methods available; no stockouts 46 58 50 0.039
19 Facility has basic items needed for delivery of methods available through facility (sterilizing equipment, gloves, blood pressure cuff, specula, adequate lighting, water) 36 35 36 0.902
21 Facility has mechanisms to make programmatic changes based on client feedback 25 30 27 0.370
22 Facility has received a supervisory visit in past 6 monthsa 64 80 71 0.003
23 Facility has adequate storage of contraceptives and medicines (away from water, heat, direct sunlight) on premises 69 78 72 0.087
24 Facility has state-of-the-art clinical guidelines 45 48 46 0.629
Client-level FP Observation (n = 323)
1a Look and write on client record 84 96 89 0.005
1b Used any visual aids 20 21 20 0.907
1c Ensured visual and auditory privacy 90 82 87 0.334
2 Provider assures client of confidentiality 32 22 28 0.266
3 Provider asks client about reproductive intentions 29 26 28 0.688
5 Provider mentions HIV/AIDS (initiates or responds) 8 15 11 0.207
6 Provider discusses dual method use 6 15 10 0.095
9 Provider gives accurate information on the method accepted (how to use, side effects, complications)b 57 63 60 0.552
10 Provider gives instruction on when to return 84 94 88 0.050
13 Provider performs clinical procedures according to guidelinesc 57 60 58 0.795
15 Client participates actively in discussion and selection of method (i.e. is “empowered”) 42 47 44 0.633
Client-level FP Exit Interview (n = 315)
4 Provider discusses with client which method she would prefer 35 32 34 0.635
8 Provider tailors key information to the particular needs of the specific client 93 91 92 0.546
14 Staff treats client with dignity and respectd 99 98 99 0.236
25 Waiting time acceptable 87 85 86 0.732
  1. aFor this study, the cut-off was set at 6 months
  2. bNine cases did not obtain a method and were, therefore, excluded
  3. cForty-six cases did not undergo a clinical procedure and were, therefore, excluded
  4. dOne case did not provide information for this indicator and was, therefore, excluded