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A systematic review of the use of adolescent mystery clients in assessing the adolescent friendliness of health services in high, middle, and low-income countries

Background: Mystery client methodology is a form of participatory research that provides a unique opportunity to monitor and evaluate the performance of health care providers or health facilities from the perspective of the service user. However, there are no systematic reviews that analyse the use...

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Autores principales: Chandra-Mouli, Venkatraman, Lenz, Cosima, Adebayo, Emmanuel, Lang Lundgren, Iliana, Gomez Garbero, Lucia, Chatterjee, Subidita
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Taylor & Francis 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6282470/
https://www.ncbi.nlm.nih.gov/pubmed/30482103
http://dx.doi.org/10.1080/16549716.2018.1536412
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author Chandra-Mouli, Venkatraman
Lenz, Cosima
Adebayo, Emmanuel
Lang Lundgren, Iliana
Gomez Garbero, Lucia
Chatterjee, Subidita
author_facet Chandra-Mouli, Venkatraman
Lenz, Cosima
Adebayo, Emmanuel
Lang Lundgren, Iliana
Gomez Garbero, Lucia
Chatterjee, Subidita
author_sort Chandra-Mouli, Venkatraman
collection PubMed
description Background: Mystery client methodology is a form of participatory research that provides a unique opportunity to monitor and evaluate the performance of health care providers or health facilities from the perspective of the service user. However, there are no systematic reviews that analyse the use of mystery clients in adolescent sexual and reproductive health (ASRH) research and monitoring and evaluation of programmes. Objective: To assess the use of adolescent mystery clients in examining health care provider and facility performance in providing ASRH services in high, middle, and low-income countries. Methods: We carried out a systematic review of published journal articles and reports from the grey literature on this topic from 2000 to 2017 (inclusive). Thirty research evaluations/studies were identified and included in the analysis. We identified common themes through thematic analysis. Results: The findings reveal that researchers and evaluators used mystery client methodology to observe client-provider relationships, and to reduce observation bias, in government or private health facilities, NGOs, and pharmacies. The mystery clients in the evaluations/studies were young people who played varying roles; in most cases, they were trained for these roles. Most reported good experiences and friendly providers; however, some reported lack of privacy and confidentiality, lack of sufficient written/verbal information, and unfavourable experiences such as sexual harassment and judgmental comments. Female mystery clients were more likely than males to report unfavourable experiences. Generally, the methodology was considered useful in monitoring and evaluating the attitudes of health service providers and ASRH service provision. Conclusions: The research evaluations/studies in this review highlight the usefulness of mystery clients as a method to gain insight, from an adolescent perspective, on the quality of ASRH services for research and monitoring and evaluation of programmes.
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spelling pubmed-62824702018-12-07 A systematic review of the use of adolescent mystery clients in assessing the adolescent friendliness of health services in high, middle, and low-income countries Chandra-Mouli, Venkatraman Lenz, Cosima Adebayo, Emmanuel Lang Lundgren, Iliana Gomez Garbero, Lucia Chatterjee, Subidita Glob Health Action Review Article Background: Mystery client methodology is a form of participatory research that provides a unique opportunity to monitor and evaluate the performance of health care providers or health facilities from the perspective of the service user. However, there are no systematic reviews that analyse the use of mystery clients in adolescent sexual and reproductive health (ASRH) research and monitoring and evaluation of programmes. Objective: To assess the use of adolescent mystery clients in examining health care provider and facility performance in providing ASRH services in high, middle, and low-income countries. Methods: We carried out a systematic review of published journal articles and reports from the grey literature on this topic from 2000 to 2017 (inclusive). Thirty research evaluations/studies were identified and included in the analysis. We identified common themes through thematic analysis. Results: The findings reveal that researchers and evaluators used mystery client methodology to observe client-provider relationships, and to reduce observation bias, in government or private health facilities, NGOs, and pharmacies. The mystery clients in the evaluations/studies were young people who played varying roles; in most cases, they were trained for these roles. Most reported good experiences and friendly providers; however, some reported lack of privacy and confidentiality, lack of sufficient written/verbal information, and unfavourable experiences such as sexual harassment and judgmental comments. Female mystery clients were more likely than males to report unfavourable experiences. Generally, the methodology was considered useful in monitoring and evaluating the attitudes of health service providers and ASRH service provision. Conclusions: The research evaluations/studies in this review highlight the usefulness of mystery clients as a method to gain insight, from an adolescent perspective, on the quality of ASRH services for research and monitoring and evaluation of programmes. Taylor & Francis 2018-11-28 /pmc/articles/PMC6282470/ /pubmed/30482103 http://dx.doi.org/10.1080/16549716.2018.1536412 Text en © 2018 WHO. Published by Informa UK Limited, trading as Taylor & Francis Group. http://creativecommons.org/licenses/by/3.0/igo This is an Open Access article distributed under the terms of the Creative Commons Attribution IGO License (http://creativecommons.org/licenses/by/3.0/igo/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. There should be no suggestion that the WHO endorses any specific organization, products or services. This notice should be preserved along with the article’s original URL.
spellingShingle Review Article
Chandra-Mouli, Venkatraman
Lenz, Cosima
Adebayo, Emmanuel
Lang Lundgren, Iliana
Gomez Garbero, Lucia
Chatterjee, Subidita
A systematic review of the use of adolescent mystery clients in assessing the adolescent friendliness of health services in high, middle, and low-income countries
title A systematic review of the use of adolescent mystery clients in assessing the adolescent friendliness of health services in high, middle, and low-income countries
title_full A systematic review of the use of adolescent mystery clients in assessing the adolescent friendliness of health services in high, middle, and low-income countries
title_fullStr A systematic review of the use of adolescent mystery clients in assessing the adolescent friendliness of health services in high, middle, and low-income countries
title_full_unstemmed A systematic review of the use of adolescent mystery clients in assessing the adolescent friendliness of health services in high, middle, and low-income countries
title_short A systematic review of the use of adolescent mystery clients in assessing the adolescent friendliness of health services in high, middle, and low-income countries
title_sort systematic review of the use of adolescent mystery clients in assessing the adolescent friendliness of health services in high, middle, and low-income countries
topic Review Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6282470/
https://www.ncbi.nlm.nih.gov/pubmed/30482103
http://dx.doi.org/10.1080/16549716.2018.1536412
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