Resource Allocation for Family Planning in Developing Countries Report of a Meeting (1995) / Chapter Skim
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Criteria for the Public Provision of Services
Criteria for the Public Provision of Services
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Increased resources for family planning programs can be expected, both from aid donors and the governments of developing countries. The Programme of Action adopted at the International Conference on Population and Development in Cairo in September 1994 estimated that the family planning component of a comprehensive reproductive health strategy would cost $10.2 billion in 2000 and $ 13.8 billion in 2015 (costs in 1993 US dollars United Nations, 1994, sect.
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The purpose of the meeting, which brought together researchers and officials from developed countries, international agencies, and developing countries, was to exchange ideas about what current research has to say about the interconnected themes of program costs, effectiveness, and financing, and to point out the major gaps in our knowledge. This report summarizes both the background papers prepared for the meeting and the presentations and discussions at the meeting itself.
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of Contraceptive Users, cat 1990-2000b Contraceptive Prevalence Below 40% Bolivia 26 90 Botswana 35 96 Egypt 24 77 Jordan 34 108 Kenya 40 121 Nigeria 30 275 Pakistan 32 165 Philippines 23 78 Zimbabwe 30 79 Contraceptive Prevalence 40% or Above Bangladesh 39 76 Brazil 18 26 India 20 64 Korea 7 7 Mexico 21 46 Thailand 17 25 Vietnam 26 52 aFrom United Nations medium projections. bTo increase contraceptive prevalence rate by 15 percentage points over estimates for late 1980s, or halfway to 75 percent, whichever is less.
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a, CRITERIA FOR THE PUBLIC PROVISION OF SERVICES Dean Jamison discussed criteria for public provision or financing of healthrelated services, focusing on market failure and poverty alleviation arguments and the potential for targeting interventions. Following the line of argument for health services in general that was laid out in the 1993 World Development Report, Investing in Health (World Bank, 1993: 55-58)
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is considered, as environmentalists do, a means of saving humanity or the planet as a whole from ecological disaster, then it has a strong claim on public services. If it is seen mainly as a means of improving women's and children's health, then it should properly be considered in resource allocation terms along with all the other possible means of doing so: vaccinations, injury prevention, antibiotic treatment for tuberculosis, and so forth, with each country or region having its own customized version of the generalized comparisons made in the 1993 World Develop 3Stiglitz (1986: chs.
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