PMID- 33137153
OWN - NLM
STAT- MEDLINE
DCOM- 20201223
LR  - 20201223
IS  - 1932-6203 (Electronic)
IS  - 1932-6203 (Linking)
VI  - 15
IP  - 11
DP  - 2020
TI  - Quality of care in sterilization services at the public health facilities in 
      India: A multilevel analysis.
PG  - e0241499
LID - 10.1371/journal.pone.0241499 [doi]
LID - e0241499
AB  - Female sterilization is the most popular contraceptive method among Indian 
      couples, and the public sector is the major source of sterilization services in 
      the country. However, concerns remain on the quality of services provided, 
      deaths, failures, and complications following sterilization. In this paper, we 
      study the complexities around the quality of care in female sterilization 
      services at public health facilities and identify strategies for improving the 
      measurement of such quality. A better understanding of these issues could inform 
      pragmatic strategies for enhancing quality. This study uses data from the 
      National Family Health Survey (NFHS) 2015-16 and District Level Household and 
      Facility Survey (DLHS) 2012-13. The study is limited to only districts whose data 
      are available in both DLHS 2012-13 and NFHS 2015-16. The methods of analysis 
      include bivariate statistics, Pearson's chi-square test, and two-level 
      mixed-effects logistic regression. We found that the quality of care (QoC) in 
      sterilization service at the public health facilities in India is associated with 
      facility readiness and the socio-economic characteristics of the clients. There 
      is a significant association between household wealth and the QoC received. Our 
      study provides empirical shreds of evidence on the role of structural attributes 
      in delivering quality sterilization services. The spatial analyses revealed the 
      geographies in the country where the QoC and facility readiness are low. Quality 
      should be an overriding priority to establish the credibility of any health care 
      delivery system. It is essential to provide safeguards against adverse events to 
      develop the client's confidence in the services, which is the key to success for 
      any voluntary family planning program like in India.
FAU - Joseph K J, Vinod
AU  - Joseph K J V
AUID- ORCID: 0000-0001-8783-3969
AD  - Department of Public Health and Mortality Studies, International Institute for 
      Population Sciences, Mumbai, India.
FAU - Mozumdar, Arupendra
AU  - Mozumdar A
AUID- ORCID: 0000-0002-2170-2656
AD  - Reproductive Health Division, Population Council, New Delhi, India.
FAU - Lhungdim, Hemkhothang
AU  - Lhungdim H
AD  - Department of Public Health and Mortality Studies, International Institute for 
      Population Sciences, Mumbai, India.
FAU - Acharya, Rajib
AU  - Acharya R
AD  - Reproductive Health Division, Population Council, New Delhi, India.
LA  - eng
PT  - Journal Article
PT  - Research Support, U.S. Gov't, Non-P.H.S.
DEP - 20201102
PL  - United States
TA  - PLoS One
JT  - PloS one
JID - 101285081
SB  - IM
MH  - Chi-Square Distribution
MH  - Geography
MH  - *Health Facilities
MH  - Humans
MH  - India
MH  - Logistic Models
MH  - *Multilevel Analysis
MH  - *Public Health
MH  - *Quality of Health Care
MH  - *Sterilization, Reproductive
PMC - PMC7605679
COIS- The authors have declared that no competing interests exist.
EDAT- 2020/11/03 06:00
MHDA- 2020/12/29 06:00
PMCR- 2020/11/02
CRDT- 2020/11/02 17:14
PHST- 2020/07/16 00:00 [received]
PHST- 2020/10/16 00:00 [accepted]
PHST- 2020/11/02 17:14 [entrez]
PHST- 2020/11/03 06:00 [pubmed]
PHST- 2020/12/29 06:00 [medline]
PHST- 2020/11/02 00:00 [pmc-release]
AID - PONE-D-20-22065 [pii]
AID - 10.1371/journal.pone.0241499 [doi]
PST - epublish
SO  - PLoS One. 2020 Nov 2;15(11):e0241499. doi: 10.1371/journal.pone.0241499. 
      eCollection 2020.