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Patient-centered care in Haiti

Emily Hall, The Regents of the University of California, San Francisco

Project abstract

In Haiti, 33% of women who desire to space or prevent pregnancy are not yet using modern contraceptivemethods. This gap between those who desire to plan their pregnancies and those using contraceptives is thehighest in the western hemisphere. Unmet need for contraception results in unintended pregnancies that can have dangerous outcomes for mothers and infants. Patient centered techniques incorporate a balanced exchange of information, ideas and preferences during interactions between patients and their providers and can impact contraceptive utilization among women. Studies have not yet shown to what extent Haitian healthcare providers employ patient-centered practices. Additionally, the needs and priorities of Haitian women in their contraceptive visits have not been uncovered.

To understand the approach to contraceptive care in two rural health facilities in Haiti, this study will:

  • Aim 1: Describe the practices of Haitian contraceptive providers using two methods:
    1. Conduct a secondary analysis of healthcare facility level data gathered through the Demographic Health Survey Service Provider Assessment
    2. Analyze audio-taped contraceptive counseling sessions between patients and providers
  • Aim 2: Describe preferences of patients seeking conceptive care through in-depth interviews.

These data, when critically examined together, will provide a rich understanding of the contraceptive care currently provided to women and their preferences for that care. New knowledge will be applied to the development of a future intervention aimed at increasing the patient-centeredness of contraceptive care in Haiti.

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