The Cost Effectiveness of Family Planning Services in Uganda

S. Ssewanyana, Ibrahim Kasirye
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引用次数: 7

Abstract

Although Uganda has devoted an increasing amount of resources to health interventions, funding for reproductive health services as well as general health sector remains inadequate. This study examines the cost effectiveness of four family planning interventions, namely, oral contraception, female sterilization, injectables, and condoms. Using the 2006 Uganda Demographic and Health Survey and the Uganda National Household Survey data we estimate cost effectiveness ratios in relation to the number of births averted for women aged 15-49 years. We find that only one out of five women using some form of contraceptive and a quarter of the women using contraceptives rely on traditional methods that are less effective in preventing child births. With regard to efficiency, we find that injectables are the most cost effective intervention. Nonetheless, we do not recommend solely targeting women in the reproductive age category with this particular method of contraception without due regard to differences in physiology and socioeconomic characteristics.
乌干达计划生育服务的成本效益
尽管乌干达为保健干预投入了越来越多的资源,但为生殖保健服务和一般保健部门提供的资金仍然不足。本研究考察了四种计划生育干预措施的成本效益,即口服避孕药、女性绝育、注射剂和避孕套。利用2006年乌干达人口与健康调查和乌干达全国家庭调查数据,我们估计了与15-49岁妇女避免生育人数相关的成本效益比率。我们发现,只有五分之一的妇女使用某种形式的避孕措施,四分之一的妇女使用避孕措施依赖于传统方法,这种方法在预防分娩方面效果较差。就效率而言,我们发现可注射药物是最具成本效益的干预措施。尽管如此,我们不建议在没有适当考虑生理和社会经济特征差异的情况下,只针对育龄妇女使用这种特殊的避孕方法。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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