Cost-Effectiveness Analysis of Family Planning Programs in Rural Bangladesh: Evidence from Matlab

1991 ◽  
Vol 22 (2) ◽  
pp. 83 ◽  
Author(s):  
George B. Simmons ◽  
Deborah Balk ◽  
Khodezatul K. Faiz
Keyword(s):  
Cost Effectiveness ◽  
Family Planning ◽  
Cost Effectiveness Analysis ◽  
Rural Bangladesh ◽  
Effectiveness Analysis ◽  
Family Planning Programs

scholarly journals Postpartum family planning in Rwanda: a cost effectiveness analysis

2019 ◽  
Vol 3 ◽  
pp. 887
Author(s):  
Pamela Williams ◽  
Katie Morales ◽  
Vikram Sridharan ◽  
Alekya Tummala ◽  
Elliot Marseille
Keyword(s):  
Cost Effectiveness ◽  
Family Planning ◽  
Unmet Need ◽  
Cost Effectiveness Analysis ◽  
Reproductive Age ◽  
World Health ◽  
Effectiveness Analysis ◽  
Postpartum Family Planning ◽  
Planning Methods ◽  
Family Planning Methods

Background: Globally, there is a large unmet need for family planning in the postpartum period: 90% of women in this group want family planning for birth spacing or to avoid unintended pregnancies and stop child bearing once desired family size has been reached. Women spend on average about 30 years, or three-quarters of their reproductive lives, attempting to avoid pregnancy. In total 76% of Rwandan women want family planning postpartum, yet a 26% unmet need remains. Methods: This cost effectiveness analysis compared the two most frequently-used family planning methods in Rwanda, longer-acting reversible contraception (LARC), injections and subdermal implants, and shorter-acting reversible contraceptives (non-LARC), pills and condoms. Women who do not use contraception postpartum were also represented. A time horizon of 24 months was used to reflect the World Health Organization suggested two-year spacing from birth until the next pregnancy, and the analysis was conducted from a health systems perspective. Results: For women of reproductive age (12-49 years) in Rwanda, including LARC postpartum family planning methods in the options, saves $18.73 per pregnancy averted, compared to family planning options that offer non-LARC methods exclusively. Conclusion: $2.8 million US$ per year can be saved if LARC is included as a contraceptive choice across all health centers in Rwanda; this cost savings provides the opportunity for these funds to be allocated to other high value interventions. Potential inclusion of these methods at Rwanda’s faith-based health facilities warrants further attention.

scholarly journals Postpartum family planning in Rwanda: a cost effectiveness analysis

2019 ◽  
Vol 3 ◽  
pp. 887
Author(s):  
Pamela Williams ◽  
Katie Morales ◽  
Vikram Sridharan ◽  
Alekya Tummala ◽  
Elliot Marseille
Keyword(s):  
Public Health ◽  
Cost Effectiveness ◽  
Family Planning ◽  
Unmet Need ◽  
Cost Effectiveness Analysis ◽  
World Health ◽  
Effectiveness Analysis ◽  
Postpartum Family Planning ◽  
Planning Methods ◽  
Family Planning Methods

Background: Globally, there is a large unmet need for family planning in the postpartum period: 90% of women in this group want family planning for birth spacing or to avoid unintended pregnancies and stop child bearing once desired family size has been reached. Women spend on average about 30 years, or three-quarters of their reproductive lives, attempting to avoid pregnancy. In total 76% of Rwandan women want family planning postpartum, yet a 26% unmet need remains. Methods: This cost effectiveness analysis compared the two most frequently-used family planning methods in Rwanda, longer-acting reversible contraception (LARC), injections and subdermal implants, and shorter-acting reversible contraceptives (non-LARC), pills and condoms. Women who do not use contraception postpartum were also represented. A time horizon of 24 months was used to reflect the World Health Organization suggested two-year spacing from birth until the next pregnancy, and the analysis was conducted from a health systems perspective. Results: For women of reproductive age (15-49 years) in Rwanda, including LARC postpartum family planning methods in the options, saves $18.73 per pregnancy averted, compared to family planning options that offer non-LARC methods exclusively. Conclusion: There is an opportunity to avert unplanned pregnancies associated with the increased utilization of LARC methods. Despite the availability of LARC methods in many of Rwanda’s health facilities, the full benefits are not yet realized. LARC is cost-saving compared with non-LARC methods. Effective public health messaging campaigns and other promotion targeting current resistance to LARC use for the postpartum population could both enhance health and save public health funds.

scholarly journals Postpartum family planning in Rwanda: a cost effectiveness analysis

2019 ◽  
Vol 3 ◽  
pp. 887
Author(s):  
Pamela Williams ◽  
Katie Morales ◽  
Vikram Sridharan ◽  
Alekya Tummala ◽  
Elliot Marseille
Keyword(s):  
Cost Effectiveness ◽  
Family Planning ◽  
Unmet Need ◽  
Cost Effectiveness Analysis ◽  
Service Package ◽  
Effectiveness Analysis ◽  
Postpartum Family Planning ◽  
Planning Methods ◽  
Subdermal Implants ◽  
Family Planning Methods

Background: Globally, there is a large unmet need for family planning in the postpartum period: 90% of women in this group want family planning for birth spacing or to avoid unintended pregnancies and stop child bearing once desired family size has been reached. In total 76% of Rwandan women want family planning postpartum, yet a 26% unmet need remains. Currently, the four most commonly used postpartum family planning methods in Rwanda are injections, subdermal implants, pills, and condoms. The economic and health benefit impact of the current method selection has not yet been evaluated. Methods: To evaluate the impact of current usage rates and method types, this cost effectiveness analysis (CEA) compared the most frequently used family planning methods in Rwanda broken into two categories, longer-acting reversible contraception (LARC) (injections and subdermal implants) and shorter-acting reversible contraceptives (non-LARC) (pills and condoms). A time horizon of 24 months was used to reflect the World Health Organization suggested two-year spacing from birth until the next pregnancy, and was conducted from a health systems perspective. This CEA compared two service package options to provide a comparator for the two method types, thus enabling insights to differences between the two. Results: For women of reproductive age (15-49 years) in Rwanda, including LARC postpartum family planning methods in the options, saves $18.73 per pregnancy averted, compared to family planning options that offer non-LARC methods exclusively. Conclusion: There is an opportunity to avert unplanned pregnancies associated with increased utilization of LARC methods. The full benefits of LARC are not yet realized in Rwanda. Under the conditions presented in this study, a service package that includes LARC has the potential to be cost-saving compared with one non-LARC methods. Effective health messaging of LARC use for the postpartum population could both enhance health and reduce costs.

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