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Cost-Effectiveness of a Family Planning Voucher Program in Rural Pakistan

Overview of attention for article published in Frontiers in Public Health, September 2017
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Title
Cost-Effectiveness of a Family Planning Voucher Program in Rural Pakistan
Published in
Frontiers in Public Health, September 2017
DOI 10.3389/fpubh.2017.00227
Pubmed ID
Authors

Edward Ivor Broughton, Waqas Hameed, Xaher Gul, Shabnum Sarfraz, Yar Baig, Monica Villanueva

Abstract

This study reports on the effectiveness and efficiency from the program funder's perspective of the Suraj Social Franchise (SSF) voucher program in which private health-care providers in remote rural areas were identified, trained, upgraded, and certified to deliver family planning services to underserved women of reproductive age in 29 districts of Sindh and 3 districts of Punjab province, Pakistan between October 2013 and June 2016. A decision tree compared the cost of implementing SSF to the program funder and its effects of providing additional couple years of protection (CYPs) to targeted women, compared to business-as-usual. Costs included vouchers given to women to receive a free contraceptive method of their choice from the SSF provider. The vouchers were then reimbursed to the SSF provider by the program. A total of 168,206 married women of reproductive age (MWRA) received SSF vouchers between October 2013 and June 2016, costing $3,278,000 ($19.50/recipient). The average effectiveness of the program per voucher recipient was an additional 1.66 CYPs, giving an incremental cost-effectiveness of the program of $4.28 per CYP compared to not having the program (95% CI: $3.62-5.31). The result compares favorably to other interventions with similar objectives and appears affordable for the Pakistan national health-care system. It is therefore recommended to help address the unmet need for contraception among MWRA in these areas of Pakistan and is worthy of trial implementation in the country more widely.

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Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 39 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 39 100%

Demographic breakdown

Readers by professional status Count As %
Student > Master 9 23%
Student > Ph. D. Student 6 15%
Researcher 5 13%
Student > Bachelor 3 8%
Other 2 5%
Other 5 13%
Unknown 9 23%
Readers by discipline Count As %
Social Sciences 10 26%
Medicine and Dentistry 6 15%
Business, Management and Accounting 4 10%
Nursing and Health Professions 2 5%
Unspecified 2 5%
Other 4 10%
Unknown 11 28%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 23 September 2017.
All research outputs
#18,572,844
of 23,003,906 outputs
Outputs from Frontiers in Public Health
#5,864
of 10,231 outputs
Outputs of similar age
#244,443
of 318,615 outputs
Outputs of similar age from Frontiers in Public Health
#65
of 93 outputs
Altmetric has tracked 23,003,906 research outputs across all sources so far. This one is in the 11th percentile – i.e., 11% of other outputs scored the same or lower than it.
So far Altmetric has tracked 10,231 research outputs from this source. They typically receive more attention than average, with a mean Attention Score of 10.0. This one is in the 24th percentile – i.e., 24% of its peers scored the same or lower than it.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 318,615 tracked outputs that were published within six weeks on either side of this one in any source. This one is in the 12th percentile – i.e., 12% of its contemporaries scored the same or lower than it.
We're also able to compare this research output to 93 others from the same source and published within six weeks on either side of this one. This one is in the 7th percentile – i.e., 7% of its contemporaries scored the same or lower than it.