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Table 1 Results related to contraception and STI/HIV prevention before, during and after the intervention

From: Does a competitive voucher program for adolescents improve the quality of reproductive health care? A simulated patient study in Nicaragua

Categories with their criteria

Before

During (with voucher)

After

 

16 clinics (%)1

17 clinics (%)1

P2 (14 pair)

15 clinics (%)1

P3 (12 pair)

A. Family planning, choice of method

1. Asks any question on the sexual relationship

9 (56)

10.7 (63)

 

4 (27)

 

2. Presents minimal three contraceptive methods

12 (75)

10.6 (62)

0.09

10 (67)

 

3. Does not create unnecessary barriers for the use of chosen methods

12 (75)

17.0(100)

0.08

10 (67)

 

4. Decides on best method together with the girl

5 (31)

13.3 (78)

0.02

11 (73)

0.03

5. Patient is satisfied with explanations on FP methods

5 (31)

11.3 (67)

 

8 (53)

0.08

Score 1

5.4

7.4

 

5.7

 

B. Family planning, continuity in use

1. Patient left with a contraceptivemethod/receipt

8 (50)

16.0 (94)

0.01

12 (80)

0.10

2. Correct information is given on use of selected method

10 (62)

14.7 (86)

 

10.5 (70)

 

3. New appointment was made

13 (81)

16.2 (95)

 

7 (47)

0.08

4. Health education material on FP is given

4.5 (28)

8.6 (51)

 

4.5 (30)

 

5. Patient is satisfied with attention doctor

9.5 (59)

11.3 (67)

 

8.5 (57)

 

Score 2

5.6

7.9

 

5.7

 

C. STI/HIV prevention

1. Discussed risks STI/HIV

10.5 (66)

13.9 (82)

 

13.5 (90)

 

2. Gave correct information on prevention of STI/HIV

8 (50)

11.4 (67)

 

12 (80)

0.10

3. Gave health education material

5 (31)

11.0 (65)

 

3 (20)

 

4. Patient satisfied with the explanations

5 (31)

8.1 (48)

 

6.5 (43)

 

5. Promoted the use of condoms

8.5 (53)

11.9 (70)

 

14 (93)

0.03

6. Asked if patient had other concerns/asked for RTI/STI related complaints

6.5 (41)

5.1 (30)

 

5 (33)

 

Score 3

4.5

6.0

 

6.0

 

Sum score 1 + 2 + 3

15.5 (sd 7.8)

20.9 (sd 6.9)

 

17.4 (sd 7.2)

 
  1. FP Family Planning STI Sexually Transmitted Disease
  2. 1Column before: the information is based on 17 observations. Column during: the information is based on 30 observations. Column after: the information is based on 18 observations. When a clinic was visited more than once, the mean values of that clinic were calculated and considered
  3. 2 the p value that is the result of the Wilcoxon Signed Ranks test (Paired design), comparing the scores of the clinics before and during the program, only p-values ≤ 0.10 are reflected.
  4. 3 the p value that is the result of the Wilcoxon Signed Ranks test (Paired design), comparing the scores of the clinics before and after the program, only p-values ≤ 0.10 are reflected.
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BMC Public Health

ISSN: 1471-2458

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