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Nirali M Chakraborty

Nirali M Chakraborty
Metrics for Management · Research and Technical Assistance

Ph.D.

About

40
Publications
14,217
Reads
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1,103
Citations
Additional affiliations
December 2010 - February 2016
Population Services International
Position
  • Senior Research Advisor
Education
September 2005 - March 2010
Johns Hopkins Bloomberg School of Public Health
Field of study
  • International Health

Publications

Publications (40)
Article
Full-text available
Purpose: Poor privacy and confidentiality practices and provider bias are believed to compromise adolescent and young adult sexual and reproductive health service quality. The results of focus group discussions with global youth leaders and sexual and reproductive health implementing organizations indicated that poor privacy and confidentiality pr...
Article
Full-text available
Universal Health Coverage in Low- and Middle-Income Countries is increasingly expanding through incorporation of private clinics, pharmacies, and hospitals into an overall health system funded in whole or part through government-managed health insurance. This underscores the importance of policies on health provision which apply across the whole de...
Article
Full-text available
Background Improving facility-based quality for maternal and neonatal care is the key to reducing morbidity and mortality rates in low- and middle-income countries. Recent guidance from WHO and others has produced a large number of indicators to choose from to track quality. Objective To explore how to translate complex global maternal and neonata...
Article
Full-text available
Background: The quality of contraceptive counseling that women receive from their provider can influence their future contraceptive continuation. We examined (1) whether the quality of contraceptive service provision could be measured in a consistent way by using existing tools from 2 large-scale social franchises, and (2) whether facility quality...
Article
Full-text available
Introduction: Several measures to assess family planning service quality (FPQ) exist, yet there is limited evidence on their association with contraceptive discontinuation. Using data from the Measurement, Learning & Evaluation (MLE) Project, this study investigates the association between FPQ and discontinuation-while-in-need without switching in...
Article
Full-text available
Little consensus exists about how to measure quality of care in abortion. Our purpose is to (a) provide common language for healthcare quality definitions, frameworks and measurement; (b) synthesize literature about quality measurement in abortion; and (c) present criteria for quality metric development. Quality includes effectiveness, patient cent...
Article
Full-text available
Introduction: Several measures to assess family planning service quality (FPQ) exist, yet there is limited evidence on their association with contraceptive discontinuation. Using data from the Measurement, Learning & Evaluation (MLE) Project, this study investigates the association between FPQ and discontinuation-while-in-need in five cities in Ken...
Article
Full-text available
Objective: To develop a shortened, valid and reliable scale applicable across multiple settings for routine monitoring of person-centered maternity care (PCMC). Methods: Exploratory analysis was used to generate parsimonious versions of a 30-item PCMC scale in four datasets from cross-sectional surveys conducted between August 2016 and October 2...
Article
Quality of family planning counseling is likely associated with whether or not women continue to use the same contraceptive method over time. The Method Information Index (MII) is a widely available measure of contraceptive counseling quality but little is known about its association with rates of method continuation. The index ranges from 0 to 3 b...
Article
Full-text available
The Method Information Index (MII) is calculated from contraceptive users’ responses to questions regarding counseling content—whether they were informed about methods other than the one they received, told about method‐specific side effects, and advised what to do if they experienced side effects. The MII is increasingly reported in national surve...
Article
Full-text available
Understanding differences in the wealth status of patients can inform planning decisions aimed at providing affordable access to high quality care to all. This study assesses differences in the wealth status of clients of family planning and child health services by health sector. It also describes reason for facility choice, cost of services, and...
Article
Full-text available
Background: A key component of universal health coverage is the ability to access quality healthcare without financial hardship. Poorer individuals are less likely to receive care than wealthier individuals, leading to important differences in health outcomes, and a needed focus on equity. To improve access to healthcare while minimizing financial...
Technical Report
Full-text available
In Kenya the public sector provides 59.9% of all contraception, the remaining 40% delivered by commodity outlets, NGOs, faith-based organizations, social franchised providers, and for-profit clinics. Across many countries, population based surveys have shown that there is a socio-economic differential in sources of family planning, with women in hi...
Article
Objectives: The aim of the study was to assess continuation rates and satisfaction among post-partum intrauterine device (PPIUD) accepters. Methods: This prospective observational study comprised 591 Zambian women who underwent PPIUD insertion at sites of the Society for Family Health, Lusaka, Zambia. The women were contacted 6-12 months after P...
Technical Report
Full-text available
In order to understand if and how well the poor are being served at health facilities, social franchises and other service providers have begun to systematically assess the wealth of their clients. Understanding whether or not the relatively poor are seeking health services at a particular type of facility is only moderately helpful without associa...
Article
Full-text available
Background In Kenya, as in many low-income countries, the private sector is an important component of health service delivery and of providing access to preventive and curative health services. The Tunza Social Franchise Network, operated by Population Services Kenya, is Kenya’s largest network of private providers, comprising 329 clinics. Franchis...
Conference Paper
Full-text available
This interactive workshop covers the development of the EquityTool, a free, easy-to-use, mobile-based application that assesses the wealth of program beneficiaries in low- and middle-income countries. The workshop illustrates the difference between wealth quintiles and other measures of economic equity, and walks participants through the process fo...
Article
Full-text available
Background: Social franchising programs in low- and middle-income countries have tried using the standard wealth index, based on the Demographic and Health Survey (DHS) questionnaire, in client exit interviews to assess clients’ relative wealth compared with the national wealth distribution to ensure equity in service delivery. The large number of...
Conference Paper
Full-text available
Background: The private sector makes up a significant portion of healthcare in low- and middle-income countries (LMICs). One strategy for improving healthcare standards for the poor is social franchising, which applies the contracting and managerial systems of commercial franchising to social aims. In 2011, the Social Franchising Metrics Working Gr...
Article
Full-text available
In many low- and middle-income countries, a majority of people seek health care from the private sector. However, fragmentation, poor economies of scale, inadequate financing, political opposition, a bias toward curative services, and weak regulatory and quality control systems pose serious challenges for the private sector. Social franchising addr...
Article
Full-text available
Background Nepal has high unmet need for family planning and low use of intrauterine devices (IUDs). While clients¿ attitudes toward the IUD are known in a variety of contexts, little is known about providers¿ knowledge and perceptions of the IUD in developing countries. Nepal¿s liberal IUD service provision policies allow the opportunity to explor...
Article
Public policies can influence many different types of interfaces. Popular topics within HCI that are subject to rules and regulations include accessibility, voting, and healthcare. However, as the HCI community has gotten more involved with the development of gaming systems, it is also important to examine how games are influenced by policies aimed...
Technical Report
Full-text available
This guide provides practical, step-by-step advice for M&E staff, data analysts, and program implementers on the calculation of nationally representative wealth quintiles from programmatic data, a key step in monitoring equity in health and development programs. The guide provides a worked example taken from a recent household survey, plus detailed...
Article
Full-text available
Background The majority of social marketing programs are intended to reach the poor. It is therefore essential that social marketing organizations monitor the health equity of their programs and improve targeting when the poor are not being reached. Current measurement approaches are often insufficient for decision making because they fail to show...
Conference Paper
Full-text available
Motivating improved health provider behaviors related to quality, productivity, customer satisfaction and equity is central to the success of health service delivery through PSI’s 24 social franchise networks globally. In order to do this PSI applies the same marketing rigor to influencing providers as an important target audience as would be appli...
Article
Full-text available
Women's empowerment is a dynamic process that has been quantified, measured and described in a variety of ways. We measure empowerment in a sample of 3500 rural women in 128 villages of Bangladesh with five indicators. A conceptual framework is presented, together with descriptive data on the indicators. Linear regressions to examine effects of cov...
Article
Full-text available
Policy makers in developing countries need to assess how public health programmes function across both public and private sectors. We propose an evaluation framework to assist in simultaneously tracking performance on efficiency, quality and access by the poor in family planning services. We apply this framework to field data from family planning p...
Conference Paper
Background: In cash strapped bureaucracies, an effective method to assess health programs using available data is important. As policy makers in developing countries look to extend, improve and assess their family planning and reproductive health services, we propose a novel tool and framework to assist them. Methods: Facility and exit interview...
Article
Full-text available
BACKGROUND There is a growing interest in the role of private health providers in low- and middle-income countries (LMICs). Informal private providers (IPPs) provide a significant portion of health care in many LMICs, but they have not received training in allopathic medicine. Interventions have been developed to take advantage of their potential t...
Article
Full-text available
There has been an increasing availability and accessibility of modern health services in rural Bangladesh over the past decades. However, previous studies on the socioeconomic differentials in the utilization of these services were based on a limited number of factors, focusing either on preventive or on curative modern health services. These studi...
Conference Paper
Background: Microcredit loans, providing collateral free loans to the poor worldwide, are often hailed as a tool to improve health. Although the relationship between wealth and health is well established, the role of microcredit in this framework has not been well studied. Purpose: To compare household consumption patterns of new microcredit clie...
Article
Full-text available
A rticle 25 of The Univer-sal Declaration of Human Rights proclaims that ev-eryone has a right to medical care necessary for health and well be-ing [1]. As members of the United Nations, states have a normative responsibility to ensure access to necessary healthcare for their citi-zens. Nevertheless, private provi-sion of healthcare is omnipresent...
Conference Paper
Objectives: Frameworks for assessing service quality in reproductive health/family planning (RH/FP) have traditionally only used the client's perspective, and quantitative analyses of service quality in reproductive health clinics are limited and rarely combine multiple sources of information. We derived a quality index using survey data from facil...
Presentation
The key social goals in health service provision are quality and accessibility to the poor. Social franchises are one mechanism to achieve both goals, but little is known about their performance. The objective of this paper is to compare the cost per each percentage point increase in the proportion of poor clients for social franchises as compared...

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