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Citation

Speizer, Ilene S.; Guilkey, David K.; Winston, Jennifer Jane; & Calhoun, Lisa M. (2022). Does Provider Bias Affect Choice of a Facility for Family Planning Services by Women in Urban Senegal?. Studies in Family Planning, 53(1), 133-151. PMCID: PMC9148548

Abstract

Few studies to date have determined the effect of provider bias based on age, parity, and marital status on women's method and facility choice. Using data from women using modern methods in six cities of Senegal and a facility survey that included a facility audit and provider interviews, we undertake conditional logit analyses to determine whether women's choice of a family planning facility is associated with provider bias at the facility, controlling for other facility characteristics (e.g., size, sector, and number of methods available). We find that women bypass facilities where there is greater provider bias to attain their current family planning method. Women also bypass facilities of lower quality. This is the first study to demonstrate the effects of provider bias on women's contraceptive seeking behaviors and suggests the importance of training providers to reduce age and parity bias that affect access to a full range of methods and facilities for all women.

URL

http://dx.doi.org/10.1111/sifp.12181

Reference Type

Journal Article

Year Published

2022

Journal Title

Studies in Family Planning

Author(s)

Speizer, Ilene S.
Guilkey, David K.
Winston, Jennifer Jane
Calhoun, Lisa M.

Article Type

Regular

PMCID

PMC9148548

Data Set/Study

Measurement, Learning & Evaluation (MLE) Project

Continent/Country

Senegal

Sex/Gender

Women

ORCiD

Speizer - 0000-0001-6204-1316