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Achieving Cost Reductions
Pages 13-15

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From page 13...
... have shown, it is very difficult to tell from existing studies of costs of family planning programs the extent to which apparent cost differences are due to differences in the quantity of real resources needed to produce standard amounts of program output, and how much are due to differences among authors in the types of costs included or their allocation to different components of programs. Perhaps the most that can be said from the studies reviewed by Janowitz and Bratt is that the wide variation in costs per couple-year of protection provides prima facie evidence that many of the programs could be operating much more efficiently.
From page 14...
... Faced with donor support declining in absolute or proportional terms, a typical response of programs has been to introduce user fees; less common are serious efforts to reduce costs for the same level of subsidy and quality of service. Satia pointed out that increased efficiency is possible in every aspect of family planning programs: by carefully planned training, by redirecting information, education, and
From page 15...
... Stan Bernstein later pointed out that the United Nations Fund for Population Activities, as part of the follow-up to the 1994 International Conference on Population and Development, is helping countries prepare integrated reporting and cost estimates. It hopes to foster negotiations among bilateral donors, international agencies, and governments of developing countries to agree on "compacts" for the reallocation of resources to meet the provision of basic services envisioned in the Cairo Programme of Action.


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