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Costs, payments, and incentives in family planning programs: a review for developing countries
1Center for Population and Family Health, Columbia University, New York, NY 10032.
Studies in Family Planning
|September 1, 1988
Summary
Financing health and family planning programs involves diverse strategies, including consumer charges, cost reductions, and incentives. Data reveal inconsistencies, suggesting improvements in financial policies for contraceptive access.
Area of Science:
- Public Health
- Health Economics
- Family Planning
Background:
- Growing concerns regarding financing for health and family planning programs.
- Discussions around cost-recovery measures and increased consumer charges.
- Governmental interests in reducing costs to promote contraceptive use, alongside incentive/disincentive strategies.
Purpose of the Study:
- To analyze diverse financial strategies in contraceptive programs across developing countries.
- To examine charges for contraceptive supplies and services in public and private sectors.
- To investigate payments to clients and providers to offset costs and encourage contraceptive uptake.
Main Methods:
- Presentation of data from numerous developing countries on contraceptive cost structures.
- Analysis of charges, payments, and incentive/disincentive schemes.
- Review of ethical considerations in financial policy development.
Main Results:
- Significant diversity observed in contraceptive pricing and incentive structures across countries.
- Inconsistencies identified within national programs regarding financial policies.
- Evidence suggests potential for improving the design of financial mechanisms.
Conclusions:
- Current financial policies for contraceptive programs exhibit considerable variation and inconsistency.
- There is a clear need to refine and optimize the structures of charges, payments, and incentives.
- Development of effective financial policies, considering ethical implications, is crucial for enhancing contraceptive access.