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...

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Main Authors: Chowdhury, Sadia, Vergeer, Petra, Schmidt, Harald, Barroy, Helene, Bishai, David, Halpern, Scott
Format: Working Paper
Language:English
en_US
Published: World Bank, Washington, DC 2014
Subjects:
HIV
IUD
SEX
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
id okr-10986-17564
recordtype oai_dc
repository_type Digital Repository
institution_category Foreign Institution
institution Digital Repositories
building World Bank Open Knowledge Repository
collection World Bank
language English
en_US
topic ABORTION
ABSTINENCE
ACCESS TO HEALTH SERVICES
ADOLESCENTS
AGGRESSIVE
APPROACH TO WOMEN
BABIES
BEHAVIOR CHANGE
BIRTH RATE
BIRTH RATES
CAPITATION
CHANGES IN FERTILITY
CHILD HEALTH
CHILD MORTALITY
CHILD SURVIVAL
CHILDBIRTH
CHILDREN PER WOMAN
CITIES
CLASSICAL ECONOMICS
COERCION
COMMISSION ON POPULATION
COMMUNITY HEALTH
COMPLICATIONS
COMPREHENSIVE REPRODUCTIVE HEALTH
CONDOMS
CONSUMERS
CONTRACEPTIVE ACCEPTORS
CONTRACEPTIVE CHOICES
CONTRACEPTIVE METHODS
CONTRACEPTIVE PREVALENCE
CONTRACEPTIVE USE
COUNSELING
DECISION MAKING
DEMAND CURVE
DEMOGRAPHERS
DEMOGRAPHIC GOALS
DEPARTMENT OF POPULATION
DEVELOPING COUNTRIES
DRUGS
EARTHQUAKE
ECONOMIC PERFORMANCE
EMPLOYMENT
EQUAL ACCESS
ESSENTIAL HEALTH SERVICES
ETHICAL CONSIDERATIONS
EXPENDITURES
EXTENDED FAMILIES
FAMILIES
FAMILY PLANNING
FAMILY PLANNING PROGRAMS
FAMILY PLANNING SERVICES
FAMILY SIZE
FAMILY WELFARE
FATIGUE
FEMALE STERILIZATION
FERTILITY
FERTILITY DECLINE
FERTILITY DECLINES
FERTILITY RATE
FERTILITY RATES
FOOD SUPPLIES
FORCED ABORTION
FREE CHOICE
GENDER EQUITY
HEALTH CARE
HEALTH CARE COVERAGE
HEALTH CARE POLICY
HEALTH CARE PROVIDERS
HEALTH CARE SERVICES
HEALTH CARE WORKERS
HEALTH CENTERS
HEALTH ECONOMICS
HEALTH EDUCATION
HEALTH EFFECTS
HEALTH FACILITIES
HEALTH INDICATORS
HEALTH INVESTMENTS
HEALTH OUTCOMES
HEALTH POLICY
HEALTH PROFESSIONALS
HEALTH PROVIDERS
HEALTH RESULTS
HEALTH RISKS
HEALTH SECTOR
HEALTH SERVICE
HEALTH SERVICES
HEALTH SPECIALIST
HEALTH SYSTEM
HEALTH WORKERS
HIGH FERTILITY
HIV
HIV/AIDS
HOSPITAL
HOSPITALS
HOUSEHOLD INCOME
HUMAN CAPITAL
HUMAN DEVELOPMENT
HUMAN RESOURCES
HUMAN RIGHTS
ILLNESS
IMMUNIZATIONS
IMPACT EVALUATIONS
IMPACT ON HEALTH
INFANTS
INFORMATION SERVICES
INFORMED CHOICE
INFORMED CHOICES
INFORMED DECISIONS
INJECTABLE CONTRACEPTIVES
INSURANCE
INTEGRATION
INTERNATIONAL ACTION
INTERNATIONAL CONFERENCE ON POPULATION
INTERNATIONAL FAMILY PLANNING
IUD
IUDS
LACK OF INFORMATION
LACK OF KNOWLEDGE
LARGE FAMILIES
LIVE BIRTHS
LOW-INCOME COUNTRIES
LOWER FERTILITY
MARRIED WOMEN
MATERNAL DEATHS
MATERNAL HEALTH
MATERNAL HEALTH CARE
MATERNAL MORTALITY RATIO
MATERNITY LEAVE
MEDICAL CARE
MEDICAL ETHICS
MEDICAL RECORDS
MEDICAL SPECIALISTS
MEDICAL TREATMENT
METHOD OF CHOICE
METHODS OF FAMILY PLANNING
MINISTRY OF HEALTH
MODERN CONTRACEPTION
MODERN CONTRACEPTIVE METHODS
MODERN FAMILY
MODERN FAMILY PLANNING
MODERN FAMILY PLANNING METHODS
MORTALITY
NATIONAL GOVERNMENT
NATIONAL POPULATION
NATURAL RESOURCES
NEWBORNS
NUMBER OF COUPLES
NUMBER OF PEOPLE
NUMBER OF WOMEN
NUTRITION
ORAL CONTRACEPTIVES
OUTPATIENT CARE
PACE OF POPULATION GROWTH
PAMPHLET
PANDEMIC
PARENTHOOD FEDERATION
PATIENT
PATIENT SATISFACTION
PATIENTS
PENSIONS
POLICY IMPLICATIONS
POLICY MAKERS
POPULATION AND DEVELOPMENT
POPULATION CONTROL
POPULATION GROWTH
POPULATION POLICIES
POPULATION RESEARCH
POPULATION RESEARCH CENTRE
POSTERS
PREGNANCIES
PREGNANCY
PREGNANT WOMEN
PRENATAL CARE
PRICE SUBSIDIES
PRODUCTION COSTS
PROVISION OF SERVICES
PUBLIC HEALTH
QUALITY ASSURANCE
QUALITY CARE
QUALITY OF CARE
QUALITY OF SERVICES
QUALITY SERVICES
REDUCING MATERNAL MORTALITY
RELIGIOUS REASONS
REPRODUCTIVE HEALTH
REPRODUCTIVE HEALTH PROGRAM
REPRODUCTIVE RIGHTS
RESPECT
RURAL WOMEN
SAFE MOTHERHOOD
SCREENING
SERVICE DELIVERY
SERVICE PROVIDERS
SEX
SEXUALLY ACTIVE
SIDE EFFECTS
SMALL FAMILIES
SMALLER FAMILIES
SMOKING
SOCIAL COMPENSATION
SOCIAL CONSEQUENCES
SOCIAL MARKETING
SOCIAL REASONS
SOCIOECONOMIC DEVELOPMENT
SOCIOECONOMIC FACTORS
SPOUSE
SPOUSES
STATE GOVERNMENTS
STERILIZATION
SUBSTANCE ABUSE
SUPPLY CURVE
SUPPLY CURVES
TRAINING HEALTH WORKERS
TRANSPORTATION
UNINTENDED PREGNANCIES
UNSAFE ABORTIONS
URBAN AREAS
VASECTOMY
WORKERS
spellingShingle ABORTION
ABSTINENCE
ACCESS TO HEALTH SERVICES
ADOLESCENTS
AGGRESSIVE
APPROACH TO WOMEN
BABIES
BEHAVIOR CHANGE
BIRTH RATE
BIRTH RATES
CAPITATION
CHANGES IN FERTILITY
CHILD HEALTH
CHILD MORTALITY
CHILD SURVIVAL
CHILDBIRTH
CHILDREN PER WOMAN
CITIES
CLASSICAL ECONOMICS
COERCION
COMMISSION ON POPULATION
COMMUNITY HEALTH
COMPLICATIONS
COMPREHENSIVE REPRODUCTIVE HEALTH
CONDOMS
CONSUMERS
CONTRACEPTIVE ACCEPTORS
CONTRACEPTIVE CHOICES
CONTRACEPTIVE METHODS
CONTRACEPTIVE PREVALENCE
CONTRACEPTIVE USE
COUNSELING
DECISION MAKING
DEMAND CURVE
DEMOGRAPHERS
DEMOGRAPHIC GOALS
DEPARTMENT OF POPULATION
DEVELOPING COUNTRIES
DRUGS
EARTHQUAKE
ECONOMIC PERFORMANCE
EMPLOYMENT
EQUAL ACCESS
ESSENTIAL HEALTH SERVICES
ETHICAL CONSIDERATIONS
EXPENDITURES
EXTENDED FAMILIES
FAMILIES
FAMILY PLANNING
FAMILY PLANNING PROGRAMS
FAMILY PLANNING SERVICES
FAMILY SIZE
FAMILY WELFARE
FATIGUE
FEMALE STERILIZATION
FERTILITY
FERTILITY DECLINE
FERTILITY DECLINES
FERTILITY RATE
FERTILITY RATES
FOOD SUPPLIES
FORCED ABORTION
FREE CHOICE
GENDER EQUITY
HEALTH CARE
HEALTH CARE COVERAGE
HEALTH CARE POLICY
HEALTH CARE PROVIDERS
HEALTH CARE SERVICES
HEALTH CARE WORKERS
HEALTH CENTERS
HEALTH ECONOMICS
HEALTH EDUCATION
HEALTH EFFECTS
HEALTH FACILITIES
HEALTH INDICATORS
HEALTH INVESTMENTS
HEALTH OUTCOMES
HEALTH POLICY
HEALTH PROFESSIONALS
HEALTH PROVIDERS
HEALTH RESULTS
HEALTH RISKS
HEALTH SECTOR
HEALTH SERVICE
HEALTH SERVICES
HEALTH SPECIALIST
HEALTH SYSTEM
HEALTH WORKERS
HIGH FERTILITY
HIV
HIV/AIDS
HOSPITAL
HOSPITALS
HOUSEHOLD INCOME
HUMAN CAPITAL
HUMAN DEVELOPMENT
HUMAN RESOURCES
HUMAN RIGHTS
ILLNESS
IMMUNIZATIONS
IMPACT EVALUATIONS
IMPACT ON HEALTH
INFANTS
INFORMATION SERVICES
INFORMED CHOICE
INFORMED CHOICES
INFORMED DECISIONS
INJECTABLE CONTRACEPTIVES
INSURANCE
INTEGRATION
INTERNATIONAL ACTION
INTERNATIONAL CONFERENCE ON POPULATION
INTERNATIONAL FAMILY PLANNING
IUD
IUDS
LACK OF INFORMATION
LACK OF KNOWLEDGE
LARGE FAMILIES
LIVE BIRTHS
LOW-INCOME COUNTRIES
LOWER FERTILITY
MARRIED WOMEN
MATERNAL DEATHS
MATERNAL HEALTH
MATERNAL HEALTH CARE
MATERNAL MORTALITY RATIO
MATERNITY LEAVE
MEDICAL CARE
MEDICAL ETHICS
MEDICAL RECORDS
MEDICAL SPECIALISTS
MEDICAL TREATMENT
METHOD OF CHOICE
METHODS OF FAMILY PLANNING
MINISTRY OF HEALTH
MODERN CONTRACEPTION
MODERN CONTRACEPTIVE METHODS
MODERN FAMILY
MODERN FAMILY PLANNING
MODERN FAMILY PLANNING METHODS
MORTALITY
NATIONAL GOVERNMENT
NATIONAL POPULATION
NATURAL RESOURCES
NEWBORNS
NUMBER OF COUPLES
NUMBER OF PEOPLE
NUMBER OF WOMEN
NUTRITION
ORAL CONTRACEPTIVES
OUTPATIENT CARE
PACE OF POPULATION GROWTH
PAMPHLET
PANDEMIC
PARENTHOOD FEDERATION
PATIENT
PATIENT SATISFACTION
PATIENTS
PENSIONS
POLICY IMPLICATIONS
POLICY MAKERS
POPULATION AND DEVELOPMENT
POPULATION CONTROL
POPULATION GROWTH
POPULATION POLICIES
POPULATION RESEARCH
POPULATION RESEARCH CENTRE
POSTERS
PREGNANCIES
PREGNANCY
PREGNANT WOMEN
PRENATAL CARE
PRICE SUBSIDIES
PRODUCTION COSTS
PROVISION OF SERVICES
PUBLIC HEALTH
QUALITY ASSURANCE
QUALITY CARE
QUALITY OF CARE
QUALITY OF SERVICES
QUALITY SERVICES
REDUCING MATERNAL MORTALITY
RELIGIOUS REASONS
REPRODUCTIVE HEALTH
REPRODUCTIVE HEALTH PROGRAM
REPRODUCTIVE RIGHTS
RESPECT
RURAL WOMEN
SAFE MOTHERHOOD
SCREENING
SERVICE DELIVERY
SERVICE PROVIDERS
SEX
SEXUALLY ACTIVE
SIDE EFFECTS
SMALL FAMILIES
SMALLER FAMILIES
SMOKING
SOCIAL COMPENSATION
SOCIAL CONSEQUENCES
SOCIAL MARKETING
SOCIAL REASONS
SOCIOECONOMIC DEVELOPMENT
SOCIOECONOMIC FACTORS
SPOUSE
SPOUSES
STATE GOVERNMENTS
STERILIZATION
SUBSTANCE ABUSE
SUPPLY CURVE
SUPPLY CURVES
TRAINING HEALTH WORKERS
TRANSPORTATION
UNINTENDED PREGNANCIES
UNSAFE ABORTIONS
URBAN AREAS
VASECTOMY
WORKERS
Chowdhury, Sadia
Vergeer, Petra
Schmidt, Harald
Barroy, Helene
Bishai, David
Halpern, Scott
Economics and Ethics of Results-Based Financing for Family Planning : Evidence and Policy Implications
relation Health, Nutrition, and Population (HNP) discussion paper;
description 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.
format Publications & Research :: Working Paper
author Chowdhury, Sadia
Vergeer, Petra
Schmidt, Harald
Barroy, Helene
Bishai, David
Halpern, Scott
author_facet Chowdhury, Sadia
Vergeer, Petra
Schmidt, Harald
Barroy, Helene
Bishai, David
Halpern, Scott
author_sort Chowdhury, Sadia
title Economics and Ethics of Results-Based Financing for Family Planning : Evidence and Policy Implications
title_short Economics and Ethics of Results-Based Financing for Family Planning : Evidence and Policy Implications
title_full Economics and Ethics of Results-Based Financing for Family Planning : Evidence and Policy Implications
title_fullStr Economics and Ethics of Results-Based Financing for Family Planning : Evidence and Policy Implications
title_full_unstemmed Economics and Ethics of Results-Based Financing for Family Planning : Evidence and Policy Implications
title_sort economics and ethics of results-based financing for family planning : evidence and policy implications
publisher World Bank, Washington, DC
publishDate 2014
url 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
_version_ 1764438100715503616
spelling okr-10986-175642021-04-23T14:03:39Z Economics and Ethics of Results-Based Financing for Family Planning : Evidence and Policy Implications Chowdhury, Sadia Vergeer, Petra Schmidt, Harald Barroy, Helene Bishai, David Halpern, Scott ABORTION ABSTINENCE ACCESS TO HEALTH SERVICES ADOLESCENTS AGGRESSIVE APPROACH TO WOMEN BABIES BEHAVIOR CHANGE BIRTH RATE BIRTH RATES CAPITATION CHANGES IN FERTILITY CHILD HEALTH CHILD MORTALITY CHILD SURVIVAL CHILDBIRTH CHILDREN PER WOMAN CITIES CLASSICAL ECONOMICS COERCION COMMISSION ON POPULATION COMMUNITY HEALTH COMPLICATIONS COMPREHENSIVE REPRODUCTIVE HEALTH CONDOMS CONSUMERS CONTRACEPTIVE ACCEPTORS CONTRACEPTIVE CHOICES CONTRACEPTIVE METHODS CONTRACEPTIVE PREVALENCE CONTRACEPTIVE USE COUNSELING DECISION MAKING DEMAND CURVE DEMOGRAPHERS DEMOGRAPHIC GOALS DEPARTMENT OF POPULATION DEVELOPING COUNTRIES DRUGS EARTHQUAKE ECONOMIC PERFORMANCE EMPLOYMENT EQUAL ACCESS ESSENTIAL HEALTH SERVICES ETHICAL CONSIDERATIONS EXPENDITURES EXTENDED FAMILIES FAMILIES FAMILY PLANNING FAMILY PLANNING PROGRAMS FAMILY PLANNING SERVICES FAMILY SIZE FAMILY WELFARE FATIGUE FEMALE STERILIZATION FERTILITY FERTILITY DECLINE FERTILITY DECLINES FERTILITY RATE FERTILITY RATES FOOD SUPPLIES FORCED ABORTION FREE CHOICE GENDER EQUITY HEALTH CARE HEALTH CARE COVERAGE HEALTH CARE POLICY HEALTH CARE PROVIDERS HEALTH CARE SERVICES HEALTH CARE WORKERS HEALTH CENTERS HEALTH ECONOMICS HEALTH EDUCATION HEALTH EFFECTS HEALTH FACILITIES HEALTH INDICATORS HEALTH INVESTMENTS HEALTH OUTCOMES HEALTH POLICY HEALTH PROFESSIONALS HEALTH PROVIDERS HEALTH RESULTS HEALTH RISKS HEALTH SECTOR HEALTH SERVICE HEALTH SERVICES HEALTH SPECIALIST HEALTH SYSTEM HEALTH WORKERS HIGH FERTILITY HIV HIV/AIDS HOSPITAL HOSPITALS HOUSEHOLD INCOME HUMAN CAPITAL HUMAN DEVELOPMENT HUMAN RESOURCES HUMAN RIGHTS ILLNESS IMMUNIZATIONS IMPACT EVALUATIONS IMPACT ON HEALTH INFANTS INFORMATION SERVICES INFORMED CHOICE INFORMED CHOICES INFORMED DECISIONS INJECTABLE CONTRACEPTIVES INSURANCE INTEGRATION INTERNATIONAL ACTION INTERNATIONAL CONFERENCE ON POPULATION INTERNATIONAL FAMILY PLANNING IUD IUDS LACK OF INFORMATION LACK OF KNOWLEDGE LARGE FAMILIES LIVE BIRTHS LOW-INCOME COUNTRIES LOWER FERTILITY MARRIED WOMEN MATERNAL DEATHS MATERNAL HEALTH MATERNAL HEALTH CARE MATERNAL MORTALITY RATIO MATERNITY LEAVE MEDICAL CARE MEDICAL ETHICS MEDICAL RECORDS MEDICAL SPECIALISTS MEDICAL TREATMENT METHOD OF CHOICE METHODS OF FAMILY PLANNING MINISTRY OF HEALTH MODERN CONTRACEPTION MODERN CONTRACEPTIVE METHODS MODERN FAMILY MODERN FAMILY PLANNING MODERN FAMILY PLANNING METHODS MORTALITY NATIONAL GOVERNMENT NATIONAL POPULATION NATURAL RESOURCES NEWBORNS NUMBER OF COUPLES NUMBER OF PEOPLE NUMBER OF WOMEN NUTRITION ORAL CONTRACEPTIVES OUTPATIENT CARE PACE OF POPULATION GROWTH PAMPHLET PANDEMIC PARENTHOOD FEDERATION PATIENT PATIENT SATISFACTION PATIENTS PENSIONS POLICY IMPLICATIONS POLICY MAKERS POPULATION AND DEVELOPMENT POPULATION CONTROL POPULATION GROWTH POPULATION POLICIES POPULATION RESEARCH POPULATION RESEARCH CENTRE POSTERS PREGNANCIES PREGNANCY PREGNANT WOMEN PRENATAL CARE PRICE SUBSIDIES PRODUCTION COSTS PROVISION OF SERVICES PUBLIC HEALTH QUALITY ASSURANCE QUALITY CARE QUALITY OF CARE QUALITY OF SERVICES QUALITY SERVICES REDUCING MATERNAL MORTALITY RELIGIOUS REASONS REPRODUCTIVE HEALTH REPRODUCTIVE HEALTH PROGRAM REPRODUCTIVE RIGHTS RESPECT RURAL WOMEN SAFE MOTHERHOOD SCREENING SERVICE DELIVERY SERVICE PROVIDERS SEX SEXUALLY ACTIVE SIDE EFFECTS SMALL FAMILIES SMALLER FAMILIES SMOKING SOCIAL COMPENSATION SOCIAL CONSEQUENCES SOCIAL MARKETING SOCIAL REASONS SOCIOECONOMIC DEVELOPMENT SOCIOECONOMIC FACTORS SPOUSE SPOUSES STATE GOVERNMENTS STERILIZATION SUBSTANCE ABUSE SUPPLY CURVE SUPPLY CURVES TRAINING HEALTH WORKERS TRANSPORTATION UNINTENDED PREGNANCIES UNSAFE ABORTIONS URBAN AREAS VASECTOMY WORKERS 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. 2014-04-01T20:32:33Z 2014-04-01T20:32:33Z 2013-12 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 English en_US Health, Nutrition, and Population (HNP) discussion paper; CC BY 3.0 IGO http://creativecommons.org/licenses/by/3.0/igo/ World Bank, Washington, DC Publications & Research :: Working Paper Publications & Research