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Better communication improves OC use.


 The need for high-quality family planning provider-client counseling is especially salient in the case of oral contraceptives (OCs) since pills must be taken every day to be effective. To ensure compliance, providers should question clients about their life style and help them strategize ways to ensure proper use. Some women may be unable to get home in time to take the pill on schedule each day; others may lack money for refills or transportation for return clinic visits. Any doubts or concerns a client has about a family planning method should be thoroughly addressed, as should ambivalence about postponing pregnancy. Many providers determine the contraceptive method for which a woman is medically eligible without considering her personal situation. In numerous studies where simulated clients have visited family planning clinics, providers were found to be disrespectful of poor women, to use medical language clients found difficult to understand, and to allot insufficient time to the interview. Many clients reported that providers were authoritarian in advocating a certain method, without offering a choice. Other studies have found a positive association between favorable, individualized provider-client interactions and contraceptive continuation and prevalence. A key to improving provider-client communication is for supervisors to model desired behaviors by creating an atmosphere of trust and respect among clinic staff.
