Table 5: Respondents' suggestions for changing the MSS program*
	Group; no. (and %) of respondents
Suggestion	Family physicians n = 188		Obstetricians n = 68†		Midwives n = 11
Offer to select group of women only (i.e., those at high risk)	49	(26)	9	(13)	1	(9)
Decrease false-positive rate	33	(18)	12	(18)	1	(9)
Offer only to women > 35 yr	23	(12)	6	(9)	2	(18)
Ensure cost-effectiveness	9	(5)	14	(21)	0
Improve patient information (explain screening and risk prediction, increase public awareness, develop educational videotape)	18	(10)	4	(6)	1	(9)
Make offering the test elective	21	(11)	2	(3)	0
Change timing of test (make it earlier, shorten time to get results and thus allow earlier amniocentesis)	8	(4)	5	(7)	3	(27)
Offer financial compensation to providers for counselling	9	(5)	3	(4)	0
Have women pay for test	10	(5)	2	(3)	0
Fund differently from global health budget	7	(4)	4	(6)	0
Improve health care provider information	7	(4)	1	(1)	0
Other‡	42	(22)	19	(28)	5	(45)
*Multiple responses are possible. †Although 62 obstetricians indicated that the MSS program should be changed, 68 offered suggestions. ‡Includes the following: "exclude Down syndrome," "mention abortion," "need guidelines for women over 35" and "no routine dating ultrasound."

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