Search

Your search keyword '"Chakraborty, Nirali"' showing total 30 results
Start Over Author "Chakraborty, Nirali"
30 results on '"Chakraborty, Nirali"'

5. Quality of care from the perspective of people obtaining abortion: a qualitative study in four countries

Author

Baum, Sarah E, primary, Jacobson, Laura, additional, Ramirez, Ana Maria, additional, Katz, Anna, additional, Grosso, Belen, additional, Bercu, Chiara, additional, Pearson, Erin, additional, Gebrehanna, Ewenat, additional, Chakraborty, Nirali M, additional, Dirisu, Osasuyi, additional, Chowdhury, Rezwana, additional, Zurbriggen, Ruth, additional, Filippa, Sofia, additional, Tabassum, Tanzila, additional, and Gerdts, Caitlin, additional

Published
2023
Full Text
View/download PDF

6. Client-reported quality of facility-managed medication abortion compared with pharmacy-sourced self-managed abortion in Bangladesh

Author

Jacobson, Laura E, Baum, Sarah E, Pearson, Erin, Chowdhury, Rezwana, Chakraborty, Nirali M, Goodman, Julia M, Gerdts, Caitlin, and Darney, Blair G

Abstract

ObjectiveWe used the newly developed Abortion Care Quality Tool (ACQTool) to compare client-reported quality of medication abortion care by source (facility-managed vs pharmacy-sourced self-managed abortion (SMA)) in Bangladesh.MethodsWe leveraged exit and 30-day follow-up surveys collected to develop and validate the ACQTool collected at nongovernmental organisation (NGO)-supported or -operated facilities in the public and private sector and pharmacies from three districts in Bangladesh. We used bivariate statistics to compare 18 client-reported quality indicators grouped in six domains and eight abortion outcomes, by source (facility vs pharmacy). We used multivariable logistic regression to identify factors associated with selected quality indicators and outcomes (abortion affordability, information provision, and knowing what to do for an adverse event), controlling for client sociodemographic characteristics.ResultsOf 550 abortion clients, 146 (26.5%) received a facility-managed medication abortion and 404 (73.5%) had a pharmacy-sourced SMA. Clients reported higher quality in facilities for five indicators, and higher in pharmacies for two indicators; the remaining 11 indicators were not different by source. Compared with facility-based clients, pharmacy clients had higher odds of reporting that the cost of abortion was affordable (adjusted odds ratio (aOR) 3.55; 95% CI 2.27 to 5.58) but lower odds of reporting high information provision (aOR 0.14; 95% CI 0.09 to 0.23). Seven of eight abortion outcomes showed no differences; pharmacy clients had lower odds of knowing what to do if an adverse event occurred (aOR 0.45; 95% CI 0.23 to 0.82).ConclusionsIn Bangladesh, there is no difference in client-reported quality of medication abortion care between health facilities and pharmacies for the majority of quality and outcome indicators. However, information provision and preparedness were higher quality at facilities, while pharmacies were more affordable.

Published
2024
Full Text
View/download PDF

20. Quality of care and abortion: beyond safety

Author

Darney, Blair G, primary, Powell, Bill, additional, Andersen, Kathyrn, additional, Baum, Sarah E, additional, Blanchard, Kelly, additional, Gerdts, Caitlin, additional, Montagu, Dominic, additional, Chakraborty, Nirali M, additional, and Kapp, Nathalie, additional

Published
2018
Full Text
View/download PDF

30. Client-reported quality of facility-managed medication abortion compared with pharmacy-sourced self-managed abortion in Bangladesh.

Author

Jacobson LE, Baum SE, Pearson E, Chowdhury R, Chakraborty NM, Goodman JM, Gerdts C, and Darney BG

Subjects
Pregnancy, Female, Humans, Bangladesh, Pharmacies, Self-Management, Abortion, Induced, Pharmacy
Abstract

Objective: We used the newly developed Abortion Care Quality Tool (ACQTool) to compare client-reported quality of medication abortion care by source (facility-managed vs pharmacy-sourced self-managed abortion (SMA)) in Bangladesh., Methods: We leveraged exit and 30-day follow-up surveys collected to develop and validate the ACQTool collected at nongovernmental organisation (NGO)-supported or -operated facilities in the public and private sector and pharmacies from three districts in Bangladesh. We used bivariate statistics to compare 18 client-reported quality indicators grouped in six domains and eight abortion outcomes, by source (facility vs pharmacy). We used multivariable logistic regression to identify factors associated with selected quality indicators and outcomes (abortion affordability, information provision, and knowing what to do for an adverse event), controlling for client sociodemographic characteristics., Results: Of 550 abortion clients, 146 (26.5%) received a facility-managed medication abortion and 404 (73.5%) had a pharmacy-sourced SMA. Clients reported higher quality in facilities for five indicators, and higher in pharmacies for two indicators; the remaining 11 indicators were not different by source. Compared with facility-based clients, pharmacy clients had higher odds of reporting that the cost of abortion was affordable (adjusted odds ratio (aOR) 3.55; 95% CI 2.27 to 5.58) but lower odds of reporting high information provision (aOR 0.14; 95% CI 0.09 to 0.23). Seven of eight abortion outcomes showed no differences; pharmacy clients had lower odds of knowing what to do if an adverse event occurred (aOR 0.45; 95% CI 0.23 to 0.82)., Conclusions: In Bangladesh, there is no difference in client-reported quality of medication abortion care between health facilities and pharmacies for the majority of quality and outcome indicators. However, information provision and preparedness were higher quality at facilities, while pharmacies were more affordable., Competing Interests: Competing interests: BGD’s institution receives research funding from Organon and the Office of Population Affairs (OPA) on which she is Principal Investigator, and she is a member of the Board of Directors of the Society of Family Planning (SFP) and a Deputy Editor on Contraception. She has received an honorarium from the American College of Obstetrics and Gynecology (ACOG) for committee work., (© Author(s) (or their employer(s)) 2024. No commercial re-use. See rights and permissions. Published by BMJ.)

Published
2024
Full Text
View/download PDF

Catalog

Books, media, physical & digital resources
See catalog results