In turn, clients' perception of the quality of care improved. Performance Improvement Performance improvement refers to a process for achieving better results from the performance of organizations and individuals. Performance improvement goes beyond training to address the institutional, organizational, and managerial factors that affect health care delivery. The performance improvement approach recognizes that achieving better quality of care, including better counseling, is the responsibility of the entire health care system, not just of providers and trainers themselves. In particular, assuring providers enough time to counsel their clients would improve the quality of care they can offer.
Most providers have so many duties and so many clients that time for counseling is limited.
In Bangladesh, for example, rising demand for the pill reduced the amount of time that field workers had to counsel each woman on proper pill use. Removing administrative burdens on providers, such as excessive paperwork, can free up time for counseling.