Quality of Family Planning Services at Sangini Network Pharmacies in Nepal

Title: Quality of Family Planning Services at Sangini Network Pharmacies in Nepal
Principal Investigators: Phoebe Sloane, Sujan Karki
Timeline: Round 1 (2018), Round 2 (2019)

In Nepal, SHOPS Plus supports the goals of USAID and the Government of Nepal to increase the use of and access to family planning and other health products. To this end, SHOPS Plus provides technical assistance to the Nepal Contraceptive Retail Sales Company (CRS) to market and distribute modern family planning methods. CRS established the Sangini network of pharmacies that promote and provide high quality family planning services and methods. SHOPS Plus is working with CRS to improve CRS’ training and supportive supervision of Sangini pharmacies. In order to inform these activities, SHOPS Plus and CRS are conducting a survey to monitor the quality of family planning services at Sangini network pharmacies. The survey will take place in the rural hill and mountain districts of Nepal, covered by CRS’ Ghar Ghar Maa Swasthya, or “Health Homes” project, as one of CRS’s aims is to improve access to family planning services and methods in hard-to-reach areas of Nepal.

Research Questions

  • How are Sangini providers performing with regards to provision of family planning services? 
  • Do Sangini providers appropriately prescribe injectable contraceptives, oral contraceptives, and condoms? 
  • How does performance of Sangini providers compare when measured during technical support visits (when providers are aware that CRS Quality Assurance Officers are observing them) and mystery client visits (when providers are not aware that they are being observed)? 
  • Which topics and skills should future CRS training and support activities focus on to improve the quality of family planning services at Sangini network pharmacies? 

Methods

This study uses mystery client surveys to assess service quality. Survey enumerators pose as potential clients for family planning services at Sangini network pharmacies and answer any questions asked by Sangini providers according to a pre-defined script. After the visit, the mystery client fills out a short questionnaire designed to assess whether the Sangini provider followed guidelines for family planning counseling and recommended a family planning method appropriate for the scenario presented by the mystery client. 

CRS will use this information to assess the performance of Sangini providers and inform the design of its training and supportive supervision activities. 

Status: Round 1 ongoing
Date of last update: June 2018

Nepal, Networks and Franchising

See other SHOPS plus studies. 

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Sustaining Health Outcomes through the Private Sector (SHOPS) Plus is a five-year cooperative agreement (AID-OAA-A-15-00067) funded by the United States Agency for International Development (USAID). This website is made possible by the generous support of the American people through USAID. The information provided on this website is not official U.S. government information and does not represent the views or positions of USAID or the U.S. government.