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ASSESSING THE QUALITY OF CONTRACEPTIVE COUNSELLING SERVICES IN SOME SELECTED SECONDARY PUBLIC HEALTH CARE FACILITIES OF ZAMFARA STATE

Contraceptive counselling for rightful decision making in family planning methods selection is one important reproductive right of a woman. The study aimed to assess quality of contraceptive counselling services in some selected secondary public health care facilities of Zamfara state. A qualitative study design was employed for the study. Seven (7) secondary public health care
facilities out of the 22 available hospitals were selected for the study through sequential sampling technique from which 48 clients were interviewed. The tools for data collection were an observation guide and an interview checklist adopted from Kim (1995) used to elicit responses of the respondents via overt non-participant observations during counselling sessions by the researcher. Information from client exit interview was audiotaped for subsequent analysis. Data from Client Exit Interview (CEI) was transcribed in Hausa and translated into English by a translation expert. The data was subsequently coded and analysed using ATLAS.ti Software for qualitative analysis. The report
from the observations of the counselling sessions was coded and also analysed using same software. Findings revealed that quality of client-provider interaction was found to be poor because greetings were only initiated by the clients, assessment of both new and returning clients receiving family planning were skipped by the service providers; most of the clients were not asked about their
breastfeeding status. Findings on counselling revealed that explanation on how the selected methods works were not fully explained to the clients as evaluated by the researcher and reported by the respondents. It is therefore suggested the need for FP providers to be specifically trained on contraceptive counselling techniques to improve the quality of FP counselling services in public health care facilities in Zamfara state. 

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