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: 1997

CATEGORY: Contraception (Birth Control) and Family Planning

TITLE

Cost-effectiveness of family planning and maternal and child health

alternative service-delivery strategies in rural Bangladesh.

AUTHORS

Levin A; Amin A; Saifi R; Rahman A; Barkat-e-Khuda; Mozumder K

SOURCE

[Unpublished] 1997. Presented at the Annual Meeting of the Population

Association of America, Washington, D.C., March 27-29, 1997. vi, 29 p. USAID

Cooperative Agreement No. 388-0071-A-00-3016-00

ABSTRACT

This study examines the cost effectiveness and efficiency of the national family planning and maternal and child

health program in two field sites in the International Center for Diarrheal Disease Extension area in Bangladesh. The

sites included one with central cluster spots and one with an increased number of outreach satellite clinics.

Average total costs (ATC) includes average fixed costs and average variable costs. Pareto improvement is the

reallocation of resources that makes at least one person better off, with no one being worse off. Program

effectiveness is the degree to which program aims are achieved. Efficiency is the achievement of aims without

wasting resources. Methods of data collection are based on the "bottom up approach" used by Janowitz (1995) and

Reinke (1988). Observations were made of family welfare visitors (FWVs) based in clinics, clinic assistants or

"ayas," and family welfare assistants (FWAs) who were field workers. Service providers spent less time on service

delivery in cluster unions than in doorstep deliveries. Only in Mirsarai thana was travel time smaller in the cluster

than in home delivery. FWA time allocation data reveal that there were fewer average monthly services in cluster

unions, but more clients came to clusters in the low-performing area than in the high-performing area. Costs for

specific contraceptive methods varied between thanas, between service delivery strategies, and between method

types. Cluster service delivery was not more cost-effective than home delivery. Services were more cost-effective for

all services in the low-performing Mirasai thana and for the IUD and prenatal care in the high-performing Abhoynagar

thana. The growth of satellite clinics was more cost-effective than existing service delivery. Findings suggest that

alternative service delivery strategies may take more time to introduce and may require refinement in high-performing

areas. (PubHealth.info Document ID: CONT2T 521-06)

PubHealth.info NOTE: The author(s) of this article titled, "Cost-effectiveness of family planning and maternal and

child health alternative service-delivery strategies in rural Bangladesh.", is(are) Levin A; Amin A; Saifi R; Rahman

A; Barkat-e-Khuda; Mozumder K. The source of this article is "[Unpublished] 1997. Presented at the Annual Meeting

of the Population Association of America, Washington, D.C., March 27-29, 1997. vi, 29 p. USAID Cooperative

Agreement No. 388-0071-A-00-3016-00". This article was published in 1997 in English language(s).

(PubHealth.info® Document ID: CONT2T 521-06. All rights reserved with PubHealth.info) PIN: 5521

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