Reframing Ideal Family Planning Services Through a Rights-Based Quality of Care Lens

Authors

DOI:

https://doi.org/10.36283/ziun-pjmd14-4/108

Keywords:

Rights-based family planning , Client-centered services, Quality of care

Abstract

For the advancement of reproductive health, gender equality, and sustainable development, high-quality family planning (FP) services are essential. However, having access to services alone does not ensure success. Equally important is the standard of treatment given. According to the World Health Organization (WHO), the best FP services should maintain human rights, therefore ensuring non-discrimination, dignity, autonomy, privacy, informed choice, access, and continuity of care 1.

Historically stressing six aspects as pillars of quality, the “Bruce-Jain framework” is the freedom of choice for method selection, shared guidance, professional expertise, communication dynamics, continued support, and a comprehensive care network 2. Building upon this, a rights-based approach stresses that FP services must prioritize individual agency, free from coercion or bias. Research on client-centeredness in providing effective contraceptive care and its relevance for more general reproductive health care underlines the several benefits of client-centeredness in delivering good contraceptive care and its significance for more general 3.

Author Biographies

  • Jawaria Mukhtar Ahmed, Aga Khan University, Karachi, Pakistan.

    Department of Community Health Sciences and Research Specialist and Coordinator for WHO HRP EM Hub,

  • Sarah Saleem, Agha Khan University Karachi, Pakistan.

    Department of Community Health Sciences and Professor & Section Head at Population and Reproductive Health,

References

1. Gausman J, Saggurti N, Adanu R, Rajamani D, LeFevre AE, Sudhinaraset M. Validation of a measure to assess decision-making autonomy in family planning services in three low- and middle-income countries: The Family Planning Autonomous Decision-Making scale (FP-ADM). PLoS One. 2023 Nov;18(11):e0293586. doi:10.1371/journal.pone.0293586

2. Satia J, Chauhan K. What is quality? Quality of care frameworks. In: Improving quality of care in family planning: a research and advocacy agenda for India. New Delhi: Population Council; 2018. p.13-31.

3. Manzer JL, Carrillo-Perez A, Tingey L, Robbins C, Proulx C, Trujillo E, et al. Client perspectives on contraceptive care: A systematic review. Am J Prev Med. 2024 Jul 31:S0749-3797(24)00347-0. doi:10.1016/j.amepre.2024.07.019

4. Hazel E, Mohan D, Chirwa E, Chimbwandira F, Gichane MW, Chimchere M, et al. Disrespectful care in family planning services among youth and adult simulated clients in public sector facilities in Malawi. BMC Health Serv Res. 2021 Jul 14;21(1):709. doi:10.1186/s12913-021-06353-z

5. Khan AA. Family planning trends and programming in Pakistan. J Pak Med Assoc. 2021 Nov;71(11 Suppl 1):S9-11. doi:10.47391/JPMA.22-51

6. Hardee K, Jordan S. Advancing rights-based family planning from 2020 to 2030. Open Access J Contracept. 2021 Sep 2;12:157-71. doi:10.2147/OAJC.S324678

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Published

2025-09-29

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How to Cite

1.
Ahmed JM, Saleem S. Reframing Ideal Family Planning Services Through a Rights-Based Quality of Care Lens. PJMD [Internet]. 2025 Sep. 29 [cited 2026 Jun. 4];14(4). Available from: https://ojs.zu.edu.pk/pjmd/article/view/3758

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