Perceived quality of care is an important factor that determines whether people choose to utilise SRH services. Evidence from Bangladesh, Senegal and Tanzania suggests that in areas where women felt that they were receiving a high standard of care, they were more likely to use contraceptives than in areas with lower quality health facilities. Improving quality of care requires that patients’ perspectives and levels of satisfaction are taken into account when evaluating services, and are incorporated into policy decisions. This means that in addition to clinical factors.