TY - JOUR
T1 - Paying for Performance to Improve the Delivery and Uptake of Family Planning in Low and Middle Income Countries
T2 - A Systematic Review
AU - Blacklock, Claire
AU - MacPepple, Ekelechi
AU - Kunutsor, Setor
AU - Witter, Sophie
N1 - © 2016 The Population Council, Inc.
PY - 2016/12
Y1 - 2016/12
N2 - 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.
AB - 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.
U2 - 10.1111/sifp.12001
DO - 10.1111/sifp.12001
M3 - Article (Academic Journal)
C2 - 27859313
SN - 0039-3665
VL - 47
SP - 309
EP - 324
JO - Studies in Family Planning
JF - Studies in Family Planning
IS - 4
ER -