COPE -- client-oriented provider-efficient services : a process and tools for quality improvement in family planning and other reproductive health services

Although it originally emphasized sterilization services, COPE has come to include services for temporary contraception methods and other reproductive health services, e.g., postabortion care, services for men, referrals for services not provided at the clinic or hospital, and services for reproductive tract infections and sexually transmitted diseases such as HIV infection. This handbook provides all the elements needed to facilitate a complete COPE exercise, including: initiating COPE and helping sites prepare for a COPE exercise; facilitating the COPE introductory meeting; using the four COPE tools (self-assessment guides, client interviews, client-flow analysis, and the action plan); facilitating the action plan meeting; and conducting follow-up. Sample letters, schedules, and completed samples of forms are included throughout the text. The appendices include a blank copy of each form and guide used during the exercise. For sites that perform sterilization, an explanation of the Sterilization Record Review is also appended. (Author abstract)