Those involved should range from grassroots organizations and client representatives through service providers and policymakers. They may need to make crucial choices at the clinic level - for example, whether or not to provide IUDs where no screening is available for reproductive tract infections. Clients' involvement is essential, as their priorities are not necessarily the same as those of service providers. A clinic in Indonesia, for example, learned that clients saw information supported by drawings on family planning as more important than blood pressure testing, which was available at the market for little money. Clients lose interest when they make time and effort to visit a clinic, only to find nothing available for them.
Referrals can direct clients to other providers.
For example, birth assistants in some areas have been trained to diagnose complications at an early stage of pregnancy. Issues to be covered include quality and continuity of care, technical competence, sensitivity to client needs, and commitment to informed choice.