Family planning program sustainability: threat or opportunity?

Stud Fam Plann. 1992 Jan-Feb;23(1):63-5.

Abstract

PIP: This argument in favor of moving toward self-sufficiency in family planning suggests that programs can achieve by improving efficiency, generating income, and providing quality services. Philip Harvey in a 1991 article, offered persuasive arguments against moving toward self-sufficiency in family planning. He contends that self-sufficiency emphasizes income generation to the detriment of social objectives and reverses priorities to first serve those consumers within easy reach. Harvey's contention is countered by the following: 1) already favoring the well-off, policies of most developing countries rarely provide services to the poor. A self-sufficient program can cross-subsidize services for the poor. 2) studies have shown that even the poorest citizens are willing to pay for services they value. And 3) cost-benefit analysis has shown that family planning can have substantial economic benefits, and institutions that come to recognize these benefits will find it in their interest to pay for services. 2 issues involved in the move toward self-sufficiency are discussed: supply of funds and demand for services. As foreign assistance declines, family planning organizations will need to look to other sources for money. Money-raising strategies include persuading government and private institutions to pay for family planning services, and providing services such as sexually transmitted disease and infertility treatment for which clients are willing to pay. Grant reduction will make family planning organizations more conscious of cost-effectiveness and will increase efficiency. The importance of quality services is stressed: improved quality will attract more paying clients.

MeSH terms

  • Family Planning Services / economics
  • Family Planning Services / supply & distribution*
  • Health Services Needs and Demand* / economics
  • Humans