Systematic Reviews of Mechanisms for Financing Family Planning: Findings, Implications, and Future Agenda

Lissner, Craig; Ali, Moazzam

doi:10.1111/sifp.12008

Cited by 7 publications

(6 citation statements)

References 11 publications

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“…2016; Bellows et al. 2016; Lissner and Ali 2016). For example, providing free vouchers for contraceptives did not increase contraceptive use or shift method choice among postpartum women in Kenya in a randomized controlled trial (McConnell et al.…”

Section: Introductionmentioning

confidence: 98%

Free Access to a Broad Contraceptive Method Mix and Women's Contraceptive Choice: Evidence from Sub‐Saharan Africa

Chang

Tumlinson

2021

Studies in Family Planning

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Financial barriers may restrict women's ability to use their preferred contraceptive methods, especially long-acting reversible contraceptives (LARC). Providing free access to a broad contraceptive method mix, including both LARC and short-acting reversible contraceptives (SARC), may increase contraceptive use, meet women's various fertility needs, and increase their agency in contraceptive decisions. Linking facility and individual data from eight countries in sub-Saharan Africa, we use a propensity score approach combined with machine learning techniques to examine how free access to a broad contraceptive method mix affects women's contraceptive choice. Free access to both LARC and SARC was associated with an increase of . percentage points ( percent confidence interval: ., .) in the likelihood of contraceptive use, driven by greater use of SARC. Among contraceptive users, free access did not prompt women to switch to LARC and had no effect on contraceptive decision-making. The price effects were larger among older and more educated women, but free access was associated with lower contraceptive use among adolescents. While free access to contraceptives is associated with a modest increase in contraceptive use for some women, removing user fees alone does not address all barriers women face, especially for the most vulnerable groups of women.

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Section: Introductionmentioning

confidence: 98%

Free Access to a Broad Contraceptive Method Mix and Women's Contraceptive Choice: Evidence from Sub‐Saharan Africa

Chang

Tumlinson

2021

Studies in Family Planning

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“…Moreover, reducing unmet family planning needs has unequivocally saved lives and money [1,7]. The promotion of family planning in LMICs has the potential to reduce poverty and hunger and to prevent 30% of all maternal deaths and nearly 10% of childhood deaths [8]. Moreover, the additional immunisation costs decrease over time as population size decreases [9].…”

Section: Introductionmentioning

confidence: 99%

Illicit financial flows and the provision of child and maternal health services in low- and middle-income countries

Ortega

Sanjuán

Casquero

2020

BMC Int Health Hum Rights

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Background Illicit financial flows (IFFs) drain domestic resources with harmful social effects, especially in countries which are too poor to mobilise the revenues required to finance the provision of essential public goods and services. In this context, this article empirically examined the association between IFFs and the provision of essential health services in low- and middle-income countries. Methods Firstly, a set of indicators was selected to represent the overall coverage of essential health services at the country level. Next, a linear multivariate regression model was specified and estimated for each indicator using cross-sectional data for 72 countries for the period 2008–2013. Results After controlling for other relevant factors, the main result of the regression analysis was that an annual 1 percentage point (p.p.) increase in the ratio of IFFs to total trade was associated with a 0.46 p.p. decrease in the level of family planning coverage, a 0.31 p.p. decrease in the percentage of women receiving antenatal care, and a 0.32 p.p. decrease in the level of child vaccination coverage rates. Conclusions These findings suggest that, for the whole sample of countries considered, at least 3.9 million women and 190,000 children may not receive these basic health care interventions in the future as a consequence of a 1 p.p. increase in the ratio of IFFs to total trade. Moreover, given that family planning, reproductive health, and child immunisation are foundational components of health and long-term development in poor countries, the findings show that IFFs could be undermining the achievement of the 2030 Agenda for Sustainable Development.

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“…35 The evidence base from LMIC on mechanisms to address user fees and improving quality of clinical care to increase uptake of GBV services, however, is limited. 36 An intervention in Kenya involved distributing vouchers offering GBV recovery care free of charge to women attending reproductive health facilities. Although a full-scale intervention evaluation was not undertaken, qualitative research identified reservations by community members on the validity of the vouchers and also on shame and stigma in accessing targeted GBV care.…”

Section: Discussionmentioning

confidence: 99%

Violence Against Women in Tanzania and its Association With Health-Care Utilisation and Out-of-Pocket Payments: An Analysis of the 2015 Tanzania Demographic and Health Survey

Seema¹

2019

EAHRJ

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Background: Violence against women is a major public health concern. In addition to adverse physical, mental, and sexual and reproductive health consequences, violence against women confers a considerable cost to health services and the health sector as well as to individuals and households in the form of out-of-pocket expenditures. This study aimed to assess whether physical or sexual violence against women is associated with higher health-care utilisation rates and out-of-pocket expenditures in Tanzania. Methods: This study used data from the 2015 Tanzania Demographic and Health Survey. Multivariate regression analysis was used to assess the association between health-care utilisation and partner and non-partner violence among 9,304 women. Outpatient and inpatient health expenditures were analysed using means and t-tests. Results: Women who had ever experienced physical or sexual violence (partner or non-partner) were significantly more likely to utilise health services, and in particular outpatient services, than never abused women. Out-of-pocket expenditures for outpatient care, however, did not differ by abuse status. This was in contrast to inpatient care, wherein, although abused women were not more likely to have higher utilisation rates compared with never abused women, abused women were significantly more likely to incur higher average out-of-pocket expenditures for inpatient visits. This significant difference in expenditure was possibly because of the different inpatient services sought-abused women were more likely to seek care because of illness, while never-abused women were more likely to seek care for pregnancy and delivery. Conclusion: This study highlights how violence against women in Tanzania potentially translates to higher health-care utilisation, possibly because of the long-term or chronic effects of persistent abuse. Health-care policies should, therefore, consider issues such as accessibility and affordability for health services. Additionally, governments should address the issue of violence against women more widely, thereby reducing their own costs as well.

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Systematic Reviews of Mechanisms for Financing Family Planning: Findings, Implications, and Future Agenda

Cited by 7 publications

References 11 publications

Free Access to a Broad Contraceptive Method Mix and Women's Contraceptive Choice: Evidence from Sub‐Saharan Africa

Free Access to a Broad Contraceptive Method Mix and Women's Contraceptive Choice: Evidence from Sub‐Saharan Africa

Illicit financial flows and the provision of child and maternal health services in low- and middle-income countries

Violence Against Women in Tanzania and its Association With Health-Care Utilisation and Out-of-Pocket Payments: An Analysis of the 2015 Tanzania Demographic and Health Survey

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