Gillian Eva1, Andrew Quinn2, Thoai D Ngo2. 1. Research, Monitoring and Evaluation Team, Marie Stopes International, London, UK. Electronic address: Gillian.eva@gmail.com. 2. Research, Monitoring and Evaluation Team, Marie Stopes International, London, UK.
Abstract
OBJECTIVES: To evaluate provision of vouchers for family planning and sexual and reproductive health (SRH) services. METHODS: A review was conducted to assess the effects of 24 voucher programs in Marie Stopes International programs across 11 countries in Asia and Africa between 2005 and the present. The outcome measures were uptake of services; service use among specific subgroups; user satisfaction with service quality; and efficiency of service delivery. RESULTS: Twelve of the 24 programs covered family planning only, whereas the other 12 programs covered family planning and/or SRH. Service uptake increased following implementation, although voucher redemption rates varied by program (44.1%-92.4%). Most programs were successful in reaching subgroups, such as the poor and young (under 25years), although this outcome depended on the targeting approach. Most programs recorded high user satisfaction; however, the evidence regarding efficiency was mixed. CONCLUSIONS: Vouchers increased uptake of services and, in some cases, improved service quality and reach to specific groups. Nevertheless, robust evaluation designs are required to measure efficiency.
OBJECTIVES: To evaluate provision of vouchers for family planning and sexual and reproductive health (SRH) services. METHODS: A review was conducted to assess the effects of 24 voucher programs in Marie Stopes International programs across 11 countries in Asia and Africa between 2005 and the present. The outcome measures were uptake of services; service use among specific subgroups; user satisfaction with service quality; and efficiency of service delivery. RESULTS: Twelve of the 24 programs covered family planning only, whereas the other 12 programs covered family planning and/or SRH. Service uptake increased following implementation, although voucher redemption rates varied by program (44.1%-92.4%). Most programs were successful in reaching subgroups, such as the poor and young (under 25years), although this outcome depended on the targeting approach. Most programs recorded high user satisfaction; however, the evidence regarding efficiency was mixed. CONCLUSIONS: Vouchers increased uptake of services and, in some cases, improved service quality and reach to specific groups. Nevertheless, robust evaluation designs are required to measure efficiency.
Authors: Boniface Oyugi; Urbanus Kioko; Stephen Mbugua Kaboro; Shadrack Gikonyo; Clarice Okumu; Sarah Ogola-Munene; Shaminder Kalsi; Simon Thiani; Julius Korir; Paul Odundo; Billy Baltazaar; Moses Ranji; Nicholas Muraguri; Charles Nzioka Journal: BMC Health Serv Res Date: 2017-03-27 Impact factor: 2.655
Authors: Afra Nuwasiima; Elly Nuwamanya; Janet U Babigumira; Robinah Nalwanga; Francis T Asiimwe; Joseph B Babigumira Journal: Contracept Reprod Med Date: 2019-08-05
Authors: Benjamin Bellows; Anna Mackay; Antonia Dingle; Richard Tuyiragize; William Nnyombi; Aisha Dasgupta Journal: Glob Health Sci Pract Date: 2017-09-28
Authors: Afra Nuwasiima; Elly Nuwamanya; Patricia Navvuga; Janet U Babigumira; Francis T Asiimwe; Solomon J Lubinga; Joseph B Babigumira Journal: Reprod Health Date: 2017-10-27 Impact factor: 3.223
Authors: Shehrin Shaila Mahmood; Mark Amos; Shahidul Hoque; Mohammad Nahid Mia; Asiful Haidar Chowdhury; Syed Manzoor Ahmed Hanifi; Mohammad Iqbal; William Stones; Saseendran Pallikadavath; Abbas Bhuiya Journal: Glob Health Action Date: 2019 Impact factor: 2.640
Authors: Carrie H K Yam; Eliza L Y Wong; Valerie L H Fung; Sian M Griffiths; Eng-Kiong Yeoh Journal: BMC Health Serv Res Date: 2019-11-21 Impact factor: 2.655