Improvements in FP/SRH cannot be achieved without quality services. Quality is considered good when adequate infrastructure, supplies, and equipment are in place. In addition, critical to the provision of high-quality care is the availability of well-trained, skilled, motivated, and supported staff who are performing to established standards and providing services that are accessible, acceptable, and accountable to the clients and communities they serve.
Effective training, supervision, logistics, and referral systems are essential for the delivery of high-quality services. Program managers may need to address the organization of work and service integration, as well as explore public-private partnerships. At the facility level, or for community-based or mobile services, infrastructure may need to be upgraded and the reliable and sustained availability of commodities, equipment, and supplies ensured. Staff must be of adequate number, motivated to provide quality services, and enabled (through managerial support and proper infrastructure) to manage services effectively.
Administrative, financial, and management systems also need to be in place, with administrators focused on evidence-based medicine and the use of data for decision making to improve service quality and plan and manage programs. Further, to ensure quality, health services should be strongly linked with and accountable to the communities they serve. Communities can also be valuable partners in defining and maintaining quality services when given opportunities to participate in overseeing and managing health services.