The approaches and tools draw on principles of quality management developed in industry. Cost consciousness and efficiency Continuous quality improvement through learning and capacity building Return to the Quality of Care page. Although the demand for reproductive health services is much greater than supply in some sites, other sites experience under-utilization of service capacity. The client perspective is frequently lacking because services are organized around the needs of the system and providers rather than around clients' needs. Fragmented and vertical services make it difficult to focus on the totality of clients' needs.
Training is often inappropriate, narrowly focused, or unsupported.
Supervision tends to take on an aura of inspection rather than being an activity to support service providers. Return to the Quality of Care page.