Contraception (Birth Control) and Family Planning PubHealthInfo

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PubHealth.info® (a subsidiary of PakMed) presents scientific information mainly based on abstracts of articles published on a variety of public health issues/topics, particularly encompassing population planning, disease prevention, maternal and child health, and communicable and non-communicable diseases (like HIV AIDS, malaria, etc) that are affecting a significant portion of population in developing and developed countries. Here you can find abstracts of articles published on a variety of public health topics under category "Contraception (Birth Control) and Family Planning". Contraception (birth control) is a regimen of one or more actions, devices, or medications followed in order to deliberately prevent or reduce the likelihood of a woman becoming pregnant or giving birth. Therefore contraception is the utilization of various and sundry surgical procedures, devices, practices, agents, or drugs with the intention of preventing conception or impregnation (pregnancy). Methods and intentions typically termed birth control may be considered a pivotal ingredient to family planning. Birth control is a controversial political and ethical issue in many cultures and religions, and although it is generally less controversial than abortion specifically.

YEAR: 2004

CATEGORY: Contraception (Birth Control) and Family Planning

TITLE

Cost efficiency in maternal and child health and family planning service

delivery in Bangladesh: implications for NGOs.

AUTHORS

Routh S; Thwin AA; Barb N; Begum A

SOURCE

Health Policy and Planning. 2004;19(1):11-21.

ABSTRACT

The main goal of the health reform programme recently initiated in Bangladesh is to reduce costs and improve cost

efficiency of the service delivery systems, and thereby ensure the sustainable provision of essential health and family

planning services. With significant dependency on external funding, attainment of this objective is more critical for

non-government organization (NGO) programmes. The paper analyzes costs of the NGO service delivery systems for

maternal and child health and family planning, and identifies areas for increasing efficiency, especially through

reducing labour costs and increasing service outputs. The operations research on cost analyses was conducted

within the health and family planning programmes of a leading NGO, using the `ingredients approach'. The findings

demonstrated a significantly high proportion of personnel costs in field (outreach) service delivery systems, ranging

between 70-85%. More than two-thirds of the working time of providers was spent on support activities, personal

preoccupations and idle time. Simulations of various cost reduction options showed that considerable efficiency

gains were possible through the combined effects of lowering personnel costs for field activities, increasing service

outputs at the clinics, and ensuring more efficient use of providers' time. However, these factors, neither separately

nor in combination, resulted in any substantive decrease for certain clinic services (e.g. antenatal care), implying the

need to subsidize these services. The findings of the operations research indicated that cost analyses could be an

effective decision-making tool for NGOs in developing cost-efficient service delivery strategies. (PubHealth.info

Document ID: CONT1T 517-06)

PubHealth.info NOTE: The author(s) of this article titled, "Cost efficiency in maternal and child health and family

planning service delivery in Bangladesh: implications for NGOs.", is(are) Routh S; Thwin AA; Barb N; Begum A.

The source of this article is "Health Policy and Planning. 2004;19(1):11-21.". This article was published in 2004 in

English language(s). (PubHealth.info® Document ID: CONT1T 517-06. All rights reserved with PubHealth.info) PIN:

517

This article is peer-reviewed.

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