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Paying for Performance to Improve the Delivery and Uptake of Family Planning in Low and Middle Income Countries: A Systematic Review

Blacklock, C, MacPepple, Ekelechi, Kunutsor, S and Witter, S (2016) Paying for Performance to Improve the Delivery and Uptake of Family Planning in Low and Middle Income Countries: A Systematic Review Studies in Family Planning, 47 (4). pp. 309-324.

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Abstract

Paying for performance is a strategy to meet the unmet need for family planning in low and middle income countries; however, rigorous evidence on effectiveness is lacking. Scientific databases and grey literature were searched from 1994 to May 2016. Thirteen studies were included. Payments were linked to units of targeted services, usually modified by quality indicators. Ancillary components and payment indicators differed between studies. Results were mixed for family planning outcome measures. Paying for performance was associated with improved modern family planning use in one study, and increased user and coverage rates in two more. Paying for performance with conditional cash transfers increased family planning use in another. One study found increased use in the upper wealth group only. However, eight studies reported no impact on modern family planning use or prevalence. Secondary outcomes of equity, financial risk protection, satisfaction, quality, and service organization were mixed. Available evidence is inconclusive and limited by the scarcity of studies and by variation in intervention, study design, and outcome measures. Further studies are warranted.

Item Type: Article
Subjects : Economics
Divisions : Faculty of Arts and Social Sciences > School of Economics
Authors :
NameEmailORCID
Blacklock, CUNSPECIFIEDUNSPECIFIED
MacPepple, Ekelechie.macpepple@surrey.ac.ukUNSPECIFIED
Kunutsor, SUNSPECIFIEDUNSPECIFIED
Witter, SUNSPECIFIEDUNSPECIFIED
Date : 17 November 2016
Identification Number : 10.1111/sifp.12001
Copyright Disclaimer : © 2016 The Authors. Studies in Family Planning published by Wiley Periodicals, Inc. on behalf of The Population Council, Inc. This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.
Depositing User : Symplectic Elements
Date Deposited : 24 Feb 2017 16:04
Last Modified : 31 Oct 2017 19:09
URI: http://epubs.surrey.ac.uk/id/eprint/813636

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