Limited
availability of methods
- Program or national policies
that inhibit access
- Lack of provider training
- Lack of sufficient staffing
or facilities
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Photo: WHO/J. Mohr Slide 12
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Good client-provider interaction, including family planning
counseling, is not the only factor that affects a clients
ability to make an informed choice. Various types of barriers
can limit informed choice.
The range of method options available at a service delivery
site affects what methods a client can choose. If the availability
of methods is limited, a client may not be able to receive a
preferred method. In this case, the program should try to refer
the client to a program that does offer that method.
Program or national policies might inhibit access to informed
choice. For example, restrictions on serving adolescents limits
informed choice for that group. Requiring laboratory tests that
are not needed for safe contraceptive use can limit informed
choice by discouraging use.
Providers may lack sufficient training to know the most recent
scientific information. Also, providers may not have been trained
to encourage clients to make their own decisions about family
planning.
Staffing and facilities can limit informed choice. If there
are not enough providers, clients may not have a chance to ask
questions and have an in-depth conversation before making a
choice. If facilities are not accessible or available to clients,
choices are limited.
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