Abstract: | Effective contraception benefits individuals, communities, and humankind. Access to family planning and quality care are human rights. High quality care is especially important to ensure safety and client satisfaction. Contraceptive efficacy is therefore related not only to actions taken by clients, but also to the actions of providers and managers of family planning services. Motivated and satisfied clients are more likely to use contraception consistently and correctly. In one way or another, all aspects of the quality of care provided have an impact upon efficacy, including the quality of information and counseling provided, the accessibility of services, the technical competence of the service providers, the quality and range of contraceptives available, the continuity of services, and any other aspect of quality of care which may influence client motivation and satisfaction. Information and counseling, technical competence, access, and supply issues are discussed. |