Contraceptive prevalence is relatively high in Egypt with 56 percent of currently married women use a method according to the Egypt 2000 Demographic and Health Survey (El Zanaty and Way
2001). However, the family planning program is concerned about discontinuation rates showing that three in every 10 users stop using a method within the first 12 months of adoption. Evidence also suggests that the quality of care in Ministry of Health and Population (MOHP) clinics has improved and in many respects is quite good, yet some elements remain inadequate. A two-phase operations research study was launched in Egypt in early 2000 with the goal of demonstrating how improving the quality of client-provider interaction (CPI) could be achieved in large health care systems, specifically in relation to family planning. The study was designed to explore how CPI improvements could enhance family planning knowledge, method continuation rates, client satisfaction, and achievement of fertility goals. This study forms part of a global initiative conducted in comparable fashion in two other countries, Peru (León et al. 2003) and Uganda (Okullo et al. 2003)