Reducing Bias Among Health Care Providers: Experimental Evidence from Tanzania, Burkina Faso and Pakistan
通过随机对照试验,评估了一项针对坦桑尼亚、布基纳法索和巴基斯坦227家诊所的干预措施,该措施通过教育、沟通和奖励减少计划生育提供者对年轻女性的偏见,结果显示改善了态度和咨询质量,但方法提供变化不一。
Abstract Bias among health care providers can lead to poor-quality care and poor health outcomes, and it can exacerbate disparities. We use a randomised controlled trial to evaluate an intervention to reduce family planning provider bias towards young women in 227 clinics in Tanzania, Burkina Faso and Pakistan. The intervention educated providers about bias towards young women, facilitated communication about bias with other providers and offered non-financial public awards to clinics with the least biased care. After twelve months, the intervention led to less biased attitudes and beliefs among providers and more comprehensive counselling. Clients also perceived better treatment at intervention clinics compared to control clinics. Despite reductions in reported bias, we find mixed evidence regarding changes in method dispensing.