| Literature DB >> 4060211 |
S R Schuler, E N McIntosh, M C Goldstein, B R Pande.
Abstract
To investigate why family planning (FP) services in the Kathmandu Valley of Nepal are underused, a study was initiated under the auspices of the Nepal Family Planning/Maternal--Child Health Project. The study was intended to provide a user perspective, by examining interactions between FP clinic staff and their clientele. "Simulated" clients were sent to 16 FP clinics in Kathmandu to request information and advice. The study revealed that in the impersonal setting of a family planning clinic, clients and staff fall into traditional, hierarchical modes of interaction. In the process, the client's "modern" goal of limiting her family size is subverted by the service system that was created to support this goal. Particularly when status differences are greatest, that is, with lower-class and low caste clients, transmission of information is inhibited.Entities:
Keywords: Asia; Attitude; Behavior; Caste; Clinic Activities; Communication; Counseling; Delivery Of Health Care; Developing Countries; Economic Factors; Educational Status; Evaluation; Family Planning; Family Planning Personnel; Family Planning Personnel Evaluation; Family Planning Program Evaluation; Family Planning Programs; Health; Health Personnel; Health Services Evaluation; High Income Population; Iec; Information Distribution; Interpersonal Relations; Low Income Population; Nepal; Organization And Administration; Program Acceptability; Program Activities; Program Appropriateness; Program Evaluation; Programs; Psychological Factors; Psychosocial Factors; Qualitative Evaluation; Quality Of Health Care; Research Report; Social Class; Socioeconomic Factors; Socioeconomic Status; Southern Asia; Staff Attitude; Urban Population
Mesh：
Year: 1985 PMID： 4060211
Source DB: PubMed Journal: Stud Fam Plann ISSN： 0039-3665