Economics and Ethics of Results-Based Financing for Family Planning : Evidence and Policy Implications
This paper was developed for World Bank task team leaders (TTLs) and teams designing results-based financing (RBF) programs in family planning (FP). It explores the rationale for introducing such incentives based on insights from classical and beha...
| Main Authors: | , , , , , |
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| Format: | Working Paper |
| Language: | English en_US |
| Published: |
World Bank, Washington, DC
2014
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| Subjects: | |
| Online Access: | http://documents.worldbank.org/curated/en/2013/12/18933867/economics-ethics-results-based-financing-family-planning-evidence-policy-implications http://hdl.handle.net/10986/17564 |
| Summary: | This paper was developed for World Bank
task team leaders (TTLs) and teams designing results-based
financing (RBF) programs in family planning (FP). It
explores the rationale for introducing such incentives based
on insights from classical and behavioral economics, to
respond to supply- and demand-side barriers to using FP
services. To help the reader understand why incentivizing FP
requires specific attention in RBF, the evolution of
incentives in vertical FP programs introduced from the 1950s
to the early 1990s and the ethical concerns raised in these
programs are described. RBF programs after the 1990s were
also studied to understand the ways FP is currently
incentivized. The paper also touches on the effects of the
incentive programs for FP as described in the literature.
Finally, it examines ethical concerns related to FP
incentives that should be considered during the design,
implementation, and evaluation of programs and provides a
conceptual framework that can be of use for task teams in
the decision making process for FP in RBF programs. It
should be noted that the paper is concerned exclusively with
developing a framework that can help design ethical programs
to address the unmet need for FP. |
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