Nepal
Partner Defined Quality (PDQ)
Activity Dates
2004-2007
Activity Summary
In order to improve clinic-community relationships in the areas where the PLA/RLGs were being implemented, HCP oriented almost 500 local leaders and implemented the Partner Defined Quality (PDQ) methodology in all 58 VDCs of the project area. Out of these, 30 PDQ were implemented directly under the HCP project. The rest of the PDQ activities were conducted under the NFHP and follow-up activity was implemented by HCP. Each of these communities now has detailed action plans for improving clinic quality.
Access to quality Family Planning/Reproductive Health (FP/RH) services is fundamental to every citizen’s right to good health. However, equity and access to quality FP/RH services by marginalized populations has been severely disregarded in Nepal for multiple reasons, including mistrust between clients and service providers. In order to address specific constraints experienced by the marginalized communities and to bridge the gap between the health providers and clients, the Partnership Defined Quality (PDQ) approach was applied.
PDQ aimed to increase ownership and involvement of the community in running their local health facility and thereby improve and strengthen utilization of services. PDQ is a process which ensures involvement of people from different segments, from elites to marginalized communities, in identifying, planning, implementing, monitoring and evaluating programs at the community level and thus providing an opportunity for community empowerment. It emphasizes the inclusion of disadvantaged population in the entire process.
The PDQ process included a one-day orientation and group discussion with periphery-level health facility staff, primarily with the objective of determining the health facility staff’s understanding of quality services. Similarly, on the second and third days, focus group discussions were held with community members, especially with marginalized male groups, mothers-in-law and daughters-in-law groups to understand their perspective of quality health services. On the fourth day an analysis of the group discussion was conducted, and on the fifth day a "Bridging the Gap" workshop was organized.
Audience
Clinic professionals and community members
Back to Nepal
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