1986 - Dov Chernichovsky

Abstract

Indonesia has achieved one of the most impressive records in fertility reduction over the past two decades. The country's total fertility rate has declined from an estimated 5.5 in 1967 - 1970 to 3.4 in 1987. Population growth has been estimated at 2.1 percent during the eighties. Many observers credit Indonesia's National Family Planning Coordinating Board (BKKBN) as being instrumental in this fertility reduction and slowdown of population growth. BKKBN is a public sector organization responsible for planning and coordination of almost all family planning activities in Indonesia. The study objective is to provide BKKBN and the government of Indonesia with data that can help improve the cost-effectiveness of family planning delivery. The study examines resource allocation, cost, funding institutions, and output of the program at grassroots level in selected regencies in three provinces: West Java, the Special District of Yogyakarta, and South Kalimantan. It is based on data about the program's field operations collected during November 1986 - March 1987, and routine service statistics of BKKBN.

  • Country: Indonesia
  • # Pages: 197
  • Publication Year: 1991
  • Type of Media: Scientific Report

Abstract

This paper evaluates the Profamilia's outreach effort of 1986. Profamilia is an affiliate of the International Planned Parenthood Federation and provides more than 60 percent of Colombia's family planning services. This paper focuses around the question of Profamilia's ability to provide more protection with the same resources. The authors found that: (i) operations tend to be constrained by limited personnel and supplies; (ii) the labor costs and unit costs of contraception are lower in the outreach and clinical programs, which can be expanded with available infrastructure; (iii) the clinical and outreach program is the least cost-effective because of the higher cost of sterilization; (iv) more resources should be targeted to areas where there are proportionately more mothers and where people are better educated; (v) experienced and married workers sell more in the outreach program than their junior unmarried colleagues; and (vi) in both the clinical and surgical programs, output would increase if there were proportionately more nurses and fewer doctors.

  • Country: Colombia
  • # Pages: 113
  • Publication Year: 1991
  • Type of Media: Scientific Report
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