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.

中文翻译：

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提供者偏见是否会影响塞内加尔城市妇女对计划生育服务设施的选择？

迄今为止，很少有研究确定基于年龄、胎次和婚姻状况的提供者偏见对女性方法和设施选择的影响。我们使用塞内加尔六个城市使用现代方法的女性数据和包括设施审计和提供者访谈在内的设施调查，进行有条件的 logit 分析，以确定女性对计划生育设施的选择是否与设施的提供者偏见有关，控制对于其他设施特征（例如，规模、部门和可用方法的数量）。我们发现，妇女绕过提供者偏向较大的设施来实现她们目前的计划生育方法。妇女还绕过质量较低的设施。这是第一项证明提供者偏见对女性的影响的研究