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: 1991

CATEGORY: Contraception (Birth Control) and Family Planning

TITLE

Impact of contraceptive price on contraceptive choice.

AUTHORS

Molyneaux JW; Diman T

SOURCE

In: Secondary analysis of the 1987 National Indonesia Contraceptive Prevalence

Survey. Volume I: Fertility and family planning, [compiled by] Indonesia. National

Family Planning Coordinating Board [BKKBN], East-West Center. East-West

Population Institute. Jakarta, Indonesia, BKKBN, [1991]. :[2], 36 p.

ABSTRACT

The authors analyze 1987 National Indonesia Contraceptive Prevalence Survey data on the reported price paid for

contraceptives to determine how the Indonesian family planning program may best reallocate the distribution of

family planning resources from those who are able to pay their own costs to those who require continued public

support. The purchase of pills and IUDs from private sector providers generally reflects consumer preference for

either the greater convenience or higher perceived quality of a private provider. The analysis found that private sector

purchases of pills represent expenditures of almost Rp.1500 per cycle, while clinics, hospitals, and other

government sources are in the range Rp.23-52, differing by a factor of more than 30 to one. Government, clinic, and

hospital-supplied IUDs are frequently free or almost so, averaging less than Rp.800 per insertion, while private sector

insertions are more than 20 times higher at almost Rp.16,000 per insertion. The difference in the price of

injectables between the public and private sectors is relatively small, and their distribution characterized by limited

supplies in both sectors. Private sector pill and IUD use are less than 5% and 10%, respectively, of the total. The

observed disparity in prices for private services raises doubt that privately-supplied methods can be directly

substituted with publicly-provided services. Moreover, it is likely that the large differences in prices are due to real

differences in service quality. The increase in the average reported price of contraception in 1987 from Rp.110 to

Rp.220 sparked a decline in contraceptive prevalence from 43.1% to 39.7%. If all public sector services were,

however, supplied at price levels prevailing in the private sector as of 1987, overall prevalence could decline from

43% to 29%. These results suggest that the adoption of private-sector pricing for commodities currently supplied at

subsidized rates could cause a substantial number of women to abandon the use of contraception. The findings

also indicate that price increases will induce relatively better-educated women to switch methods rather than

discontinue use of contraception. Less educated women, however, are more likely to discontinue use when faced

with higher prices. Patterns indicate that future pricing strategies must be sensitive to price elasticity shifts

occurring among households of different socioeconomic status. The failure to take such change into account may

result in the emergence of inequity in the accessibility and use of family planning services. (PubHealth.info

Document ID: CONT3T 2061-06)

PubHealth.info NOTE: The author(s) of this article titled, "Impact of contraceptive price on contraceptive choice.",

is(are) Molyneaux JW; Diman T. The source of this article is "In: Secondary analysis of the 1987 National Indonesia

Contraceptive Prevalence Survey. Volume I: Fertility and family planning, [compiled by] Indonesia. National Family

Planning Coordinating Board [BKKBN], East-West Center. East-West Population Institute. Jakarta, Indonesia,

BKKBN, [1991]. :[2], 36 p.". This article was published in 1991 in English language(s). (PubHealth.info® Document

ID: CONT3T 2061-06. All rights reserved with PubHealth.info) PIN: 12061

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