Primary Outcomes (explanation)
Technical quality: Essential questions index and counseling on both short and long acting methods
For the essential questions index we will aggregate indicators for whether the provider asked about birth spacing preferences, contraceptive method preferences, and if the client had any questions for the provider. This information will be recorded in the exit surveys, provider observations, and mystery client visits. We will use the method outlined by Anderson (2008) to construct the index separately in each data source.
counseling on short and long acting methods will be based on the set of short acting methods, which includes condoms and pills and the set of long acting methods, which includes IUDs, injectables, and implants. If the visit included counseling on at least one method from each set, the visit will be coded as a one (and zero otherwise). This information will be collected in exits surveys, mystery client visits, and provider observations.
Patient centered care: Patient centered care index
The indexed will based on a scale created and validated by Sudhinaraset et al. (2018). We will use questions 37- 44 in the exit survey instrument and identical questions in the mystery client form to construct the index. Each of these questions has a response option of “No, never”, “Yes, a few times”, “Yes, most of the time”, and “Yes, all of the time”. In accordance with the index, we will set each of these 8 questions to 1 if the respondent/mystery client answered “Yes, all of the time” and to zero for all other response. We will then use the Anderson (2008) method to create the index.
Client outcomes: Client received modern method and client received long acting method
These outcomes will be based on two indicators for whether the client received a long acting method or a modern method.