They rely on a wide array of management systems for essential supplies, equipment, and support. Therefore, efforts to improve the quality of care offered to family planning clients must go beyond the provider and encompass the following management systems. Logistics systems deliver contraceptive commodities and other supplies when and where they are needed and ensure that they are in good condition. For clients, this means a full range of contraceptive supplies are available when they seek services. Records systems deliver medical records to providers so they have access to clients' medical history and can ensure continuity of care.
Training systems teach providers and other staff members new skills and strengthen existing skills.
Supervision systems assess the performance of staff members and identify areas that need attention. Monitoring and accreditation systems enable managers and inspectors to determine which providers and facilities meet minimum standards of care. Referral systems give clients access to services that are beyond the capability of local facilities, for example, tubal ligation or domestic violence counseling. Program guidelines, including service policies, service standards, clinical protocols, and management procedures, shape the everyday operation of all of these management systems and determine the quality of care offered at family planning facilities. Reviewing and revising program guidelines to reflect the latest scientific evidence and the best management practices is a fundamental step in improving the quality of care.