Evaluating Quality of Contraceptive Counseling: An analysis of the Method Information Index

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Evaluating Quality of Contraceptive Counseling: An analysis of the Method Information Index

Article | January 2019

Going beyond the MII’s ‘did the client receive information?’ to ‘what information did they actually receive?’

SUMMARY: Increasingly used as a standard tool to measure and track quality of care in family planning programs, the Method Information Index (MII) is calculated from contraceptive users’ responses to questions regarding counseling content. By asking women follow-up questions, this article assesses the consistency between MII responses and the contraceptive method received in a prospective study in Uganda and Pakistan.

FINDINGS: Consistency was high when asking whether users were informed about other methods and what to do about side effects. Responses were least consistent when asking whether side effects were mentioned. Adjusting for inconsistency, scores were up to 50 percent and 30 percent lower in Pakistan and Uganda, respectively, compared to unadjusted MII scores, suggesting MII administered using client-exit interviews may overestimate the information successfully exchanged during counseling and retained by the client.

Citation: Chang, K. T., Mukanu, M. , Bellows, B. , Hameed, W. , Kalamar, A. M., Grépin, K. A., Gul, X. and Chakraborty, N. M. (2019), Evaluating Quality of Contraceptive Counseling: An analysis of the Method Information Index. Studies in Family Planning. doi:10.1111/sifp.12081