The study was completed on time and the findings revealed that the State's services with respect to the family planning were demand driven and no specific efforts had been made to maintains quality. Further national level protocols for service delivery were noticeable by their absence. A dissemination workshop to discuss the findings of the study in the state capital was attended by health activists, bureaucrats belonging to the Health Ministry at the National and State level, and medical services personnel, When the findings of the study were reported, the medical services officials and the government representatives requested that the specific PHC's be identified. They contended that it was possible that the findings of the study were fabricated since it was not possible that such adverse conditions really existed, They suggested that if the names of the PHC and their staff were identified the matter could be verified. They also argued that to rectify the situation, if it truly existed, identification was necessary.
Cases are fictional, but based on real events.
All organization and individual names have been changed.