| What is the definition of counselling in family planning? | a client centered approach that involves communication between a service provider/counsellor and client | Counselling in family planning is the process of facilitating and enabling clients to make well informed, well considered and voluntary decisions about fertility and to choose a contraceptive method. Counselling is a client centered approach that involves communication between a service provider/counsellor and client. Counselling enables the service provider to understand client’s perception, attitudes, values, beliefs, family planning needs and preferences and accordingly the counselor can guide her/him towards decision making. | 215 | definition | 1.000 | https://nhm.gov.in/images/pdf/programmes/family-planing/guidelines/Standards_and_Quality_Assurance.pdf | Counselling is a client centered approach that involves communication between a service provider/counsellor and client. | 22 | page=22,block=12 | 0.850 | valid |
| How is quality assurance in sterilization services defined? | a cyclical process involving assessment leading to improvement, followed by further assessment and improvement. | Chapter 8. Quality Assurance in Sterilization Services The Quality in Sterilization services is an essential component to assure client’s satisfaction. This section is important for the service providers to enable them in delivering sterilization services as per the standards and guidelines. It is also important for program managers as it helps them in monitoring of the program as per standards. Quality Assurance (QA) may be defined as a cyclical process involving assessment leading to improvement, followed by further assessment and improvement. It is designed to objectively and systematically monitor and evaluate services offered to clients in accordance with pre- established standards and to resolve identified problems and pursue opportunities for improving services, leading to client satisfaction. | 440 | definition | 1.000 | https://nhm.gov.in/images/pdf/programmes/family-planing/guidelines/Standards_and_Quality_Assurance.pdf | Quality Assurance (QA) may be defined as a cyclical process involving assessment leading to improvement, followed by further assessment and improvement. It is designed to objectively and systematically monitor and evaluate services offered to clients in accordance with pre- established standards and to resolve identified problems and pursue opportunities for improving services, leading to client satisfaction. |
| What approach for sterilization services is mentioned in the document? | FDS(Fixed Day Static) approach for Sterilization Services | Standard Operating Procedures for Sterilization Services in Camps-2008. 4. Operational Guidelines on FDS(Fixed Day Static) approach for Sterilization Services-2008. and can be quoted in a court of law as the standard guideline of the Government of India on all matters concerning sterilization services in India in public and accredited private/NGO facilities. Target Audience Standards & Quality Assurance in Sterilization Services 2 | 101 | definition | 1.000 | https://nhm.gov.in/images/pdf/programmes/family-planing/guidelines/Standards_and_Quality_Assurance.pdf | Operational Guidelines on FDS(Fixed Day Static) approach for Sterilization Services-2008. | 18 | page=18,block=0 | 0.700 | valid |
| What does the procedure for reversing female sterilization entail? | a major surgical procedure involving end to end anastomosis of the ligated/occluded fallopian tube(s) i.e. Tuboplasty | Refer to the ‘Reference Manual for Female Sterilization (2014)’ for the details on the conditions mentioned below. Menstrual irregularities (e.g. menorrhagia and scanty period) Chronic pelvic inflammatory disease Psychological problems (e.g. depression) The wide spread prevalence of female sterilization particularly those opting for it at a younger age has led to an increasing number of requests for reversal procedures. Most women and their partners are satisfied with the procedure but life’s circumstances and outlook can change which may need reversal of female sterilization. Women considering female sterilization should not think it is reversible. The female sterilization reversal is a major surgical procedure involving end to end anastomosis of the ligated/occluded fallopian tube(s) i.e. Tuboplasty. the success of this procedure can not be guaranteed. | 695 | definition | 1.000 | https://nhm.gov.in/images/pdf/programmes/family-planing/guidelines/Standards_and_Quality_Assurance.pdf | The female sterilization reversal is a major surgical procedure involving end to end anastomosis of the ligated/occluded fallopian tube(s) i.e. Tuboplasty. |
| What is the goal of informed choice in making health care decisions? | to ensure that all clients choose the best option/s for their health care needs after getting full information about all available options | Service providers need to listen attentively and be prepared to answer questions the client may have and address problems she/ he has experienced after undergoing the procedure. This helps the client cope with common problems or side effects. The concepts of informed choice and informed consent are related but quite different in their intent. The purpose of informed choice is to ensure that all clients choose the best option/s for their health care needs after getting full information about all available options. Informed consent means that a client understands the surgical procedure and other options and then decides to receive the care. informed consent alone does not constitute informed choice (Annexure 1). The client's signature or putting her thumb impression on an informed consent form is the legal authorization for the sterilization procedure to be performed. | 379 | definition | 1.000 | https://nhm.gov.in/images/pdf/programmes/family-planing/guidelines/Standards_and_Quality_Assurance.pdf | The purpose of informed choice is to ensure that all clients choose the best option/s for their health care needs after getting full information about all available options. |
| What is the goal of obtaining informed consent in sterilization procedures? | that a client understands the surgical procedure and other options and then decides to receive the care | Service providers need to listen attentively and be prepared to answer questions the client may have and address problems she/ he has experienced after undergoing the procedure. This helps the client cope with common problems or side effects. The concepts of informed choice and informed consent are related but quite different in their intent. The purpose of informed choice is to ensure that all clients choose the best option/s for their health care needs after getting full information about all available options. Informed consent means that a client understands the surgical procedure and other options and then decides to receive the care. informed consent alone does not constitute informed choice (Annexure 1). The client's signature or putting her thumb impression on an informed consent form is the legal authorization for the sterilization procedure to be performed. | 542 | definition | 1.000 | https://nhm.gov.in/images/pdf/programmes/family-planing/guidelines/Standards_and_Quality_Assurance.pdf | Informed consent means that a client understands the surgical procedure and other options and then decides to receive the care. |
| What is the purpose of high-level disinfection (HLD) in processing instruments? | is effective in eliminating all micro-organisms except endospores and acceptable for processing instruments and other items for reuse, if sterilization is not possible. | The items should then be rinsed thoroughly with water and allowed to dry with soft cloth or air-dried or placed directly for HLD by boiling. is effective in eliminating all micro-organisms except endospores and acceptable for processing instruments and other items for reuse, if sterilization is not possible. HLD can be achieved either by boiling or by soaking in a high- level disinfectant for 20 minutes by soaking in a chemical solution like 2% glutaraldehyde solution. | 141 | definition | 1.000 | https://nhm.gov.in/images/pdf/programmes/family-planing/guidelines/Standards_and_Quality_Assurance.pdf | The items should then be rinsed thoroughly with water and allowed to dry with soft cloth or air-dried or placed directly for HLD by boiling. is effective in eliminating all micro-organisms except endospores and acceptable for processing instruments and other items for reuse, if sterilization is not possible. HLD can be achieved either by boiling or by soaking in a high- level disinfectant for 20 minutes by soaking in a chemical solution like 2% glutaraldehyde solution. |
| What is the purpose of the facility observation checklist mentioned in Annexure 6? | to assess the readiness of facilities in terms of the requisite inputs for providing sterilization services | The eligible couple registers (EC Registers) and the sterilization registers maintained at the government health facilities provide detailed information on the sterilization services provided to the eligible couples. During the routine monitoring visits by the programme managers, a sample of these records should be reviewed. The report on the basis of the routine record reviews undertaken by the different members of the team should be compiled quarterly. Facility assessment (using the facility observation checklist provided in Annexure 6) should be done quarterly by the District QAC to assess at least 10 per cent of the facilities. The purpose of this tool is to assess the readiness of facilities in terms of the requisite inputs for providing sterilization services. This checklist will be uniformly enforced to all identified static facilities, camps and accredited private facilities. | 668 | definition | 1.000 | https://nhm.gov.in/images/pdf/programmes/family-planing/guidelines/Standards_and_Quality_Assurance.pdf | The purpose of this tool is to assess the readiness of facilities in terms of the requisite inputs for providing sterilization services. |
| What is the purpose of the tool mentioned in Annexure 19? | measuring the client's satisfaction and also in addressing the gaps in service quality | The reportable complications are as follows: • • A quick assessment of the quality of sterilization services provided at the health facilities/ camps from the perspective of the clients should be obtained through client exit interviews. This tool (Annexure 19) is useful in measuring the client's satisfaction and also in addressing the gaps in service quality. It should be uniformly enforced by the District QA team to the clients coming out of the facility after accepting sterilization services and should be undertaken on a voluntary basis. Following procedures are to be adhered to for reporting of sterilization deaths. Sterilization deaths are to be reported in the Death Notification Form (Annexure 12) to the District CMO, i.e. the convener of the District QAC, within 24 hours of death by telephone, e-mail, or in person. | 274 | definition | 1.000 | https://nhm.gov.in/images/pdf/programmes/family-planing/guidelines/Standards_and_Quality_Assurance.pdf | This tool (Annexure 19) is useful in measuring the client's satisfaction and also in addressing the gaps in service quality. | 67 |
| What is the role of the Medical Eligibility Criteria provided by WHO for surgical sterilization? | guidelines for case selection based on the clinical findings of the client | The following features of the sterilization procedure should be explained to the client: i) It is a permanent procedure for preventing future pregnancies. ii) It is a surgical procedure that has a possibility of complications, including failure, requiring further management. Standards & Quality Assurance in Sterilization Services 6 There are no absolute contraindications for performing Tubectomy/Vasectomy operation. There are certain conditions that require caution, delay or referral to a specially equipped centre. The Medical Eligibility Criteria for Female/Male Surgical Sterilization procedures outlined by WHO (2011) serves as guidelines for case selection based on the clinical findings of the client (refer to ‘Reference Manual for Female and Male Sterilization’ for details on eligibility criteria). | 637 | definition | 1.000 | https://nhm.gov.in/images/pdf/programmes/family-planing/guidelines/Standards_and_Quality_Assurance.pdf | The Medical Eligibility Criteria for Female/Male Surgical Sterilization procedures outlined by WHO (2011) serves as guidelines for case selection based on the clinical findings of the client (refer to ‘Reference Manual for Female and Male Sterilization’ for details on eligibility criteria). |