Replicating a Peruvian study, this research introduced the Standard Days Method (SDM) into Rwanda Ministry of Health clinics and evaluated client counseling on the new method against that given for contraceptive pills. Providers received technical reinforcement concerning established procedures in addition to SDM training. The study was conducted to check the Quality of delivery of the Standard Days Method compared with contraceptive pills in Rwanda. The secondary aim was to assess their quality of care, and simulated clients implemented a service test in visits to 20 clinics.
As in Peru, providers exchanged significantly more relevant information with clients who chose SDM than those who chose pills. This convinces the client to use the Standard Days Method (SDM). Also, a minority of providers posed barriers to SDM access by refusing to give SDM tools to the client until she brought her partner for consultation.
This study’s findings concluded that SDM counseling is generally satisfactory, although SDM training needs adjustment, and that the rigour of providers’ pill counseling remains below capacity. It is important to understand the behavior of providers because they influence the customer decisions.
Reference: https://srh.bmj.com/content/32/4/231
