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

Blacklock, Claire and MacPepple, Ekelechi and Kunutsor, Setor and Witter, Sophie (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. ISSN 00393665

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Official URL: http://doi.org/10.1111/sifp.12001

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
Divisions: School of Health Sciences > The Institute for Global Health and Development
Date Deposited: 28 Nov 2016 11:40
Last Modified: 24 Apr 2017 09:45
URI: http://eresearch.qmu.ac.uk/id/eprint/4621

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