1. Family Planning Vouchers in Low and Middle Income Countries: A Systematic Review
- Author
-
Craig L. Lissner, Carol Bulaya, Benjamin Bellows, Sophie Inambwae, Ashish Bajracharya, and Moazzam Ali
- Subjects
Program evaluation ,education.field_of_study ,medicine.medical_specialty ,030219 obstetrics & reproductive medicine ,business.industry ,Population ,Developing country ,Social class ,Voucher ,03 medical and health sciences ,0302 clinical medicine ,Family planning ,Family medicine ,Medicine ,030212 general & internal medicine ,Socioeconomics ,business ,education ,Socioeconomic status ,Social Sciences (miscellaneous) ,Demography ,Reproductive health - Abstract
Family planning (FP) vouchers have targeted subsidies to disadvantaged populations for quality reproductive health services since the 1960s. To summarize the effect of FP voucher programs in low- and middle-income countries, a systematic review was conducted, screening studies from 33 databases through three phases: keyword search, title and abstract review, and full text review. Sixteen articles were selected including randomized control trials, controlled before-and-after, interrupted time series analyses, cohort, and before-and-after studies. Twenty-three study outcomes were clustered around contraceptive uptake, with study outcomes including fertility in the early studies and equity and discontinuation in more recent publications. Research gaps include measures of FP quality, unintended outcomes, clients' qualitative experiences, FP voucher integration with health systems, and issues related to scale-up of the voucher approach.
- Published
- 2016
- Full Text
- View/download PDF