The benefits of employing a rights-based approach in family planning (FP) programmes have made the client’s rights to informed choices and quality care an essential part of any such programme. client-provider interaction is one of the critical components of the quality of care (QoC) framework of FP. While several studies have assessed QoC in FP services in India, very few have focused on the in-depth assessment of the interaction between the client and the provider during service delivery. The present study used the mystery client approach to assess the quality of interactions between clients and FP service providers in two of the most populous states of India: Bihar and Uttar Pradesh (UP). Findings highlighted that the providers spent very little time with the clients, gave them information on only one or two FP methods, and rarely talked about possible side-effects of the methods. Furthermore, the providers seemed hesitant to suggest any FP method other than condoms to newly married women. This study concluded that despite being a government priority, the quality of client-provider interaction in these two states was extremely poor.

在计划生育 (FP) 计划中采用基于权利的方法的好处是，客户的知情选择权和优质护理的权利成为任何此类计划的重要组成部分。客户与提供者的互动是 FP 护理质量 (QoC) 框架的关键组成部分之一。虽然有几项研究评估了印度 FP 服务的 QoC，但很少有研究关注对服务交付过程中客户与提供商之间互动的深入评估。本研究使用神秘客户方法来评估印度人口最多的两个邦：比哈尔邦和北方邦 (UP) 的客户与 FP 服务提供商之间的互动质量。调查结果强调，服务提供者与客户相处的时间很少，只向他们提供一两种 FP 方法的信息，并且很少谈论这些方法可能产生的副作用。此外，提供者似乎不愿意向新婚女性建议除安全套之外的任何 FP 方法。这项研究的结论是，尽管这是政府的优先事项，但这两个州的客户与提供商互动的质量却极差。