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A study protocol: using demand-side financing to meet the birth spacing needs of the underserved in Punjab Province in Pakistan
BACKGROUND: High fertility rates, unwanted pregnancies, low modern contraceptive prevalence and a huge unmet need for contraception adversely affect women’s health in Pakistan and this problem is compounded by limited access to reliable information and quality services regarding birth spacing especi...
Autores principales: | , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2014
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4059733/ https://www.ncbi.nlm.nih.gov/pubmed/24885657 http://dx.doi.org/10.1186/1742-4755-11-39 |
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author | Azmat, Syed Khurram Ali, Moazzam Hameed, Waqas Mustafa, Ghulam Abbas, Ghazanfer Ishaque, Muhammad Bilgrami, Mohsina Temmerman, Marleen |
author_facet | Azmat, Syed Khurram Ali, Moazzam Hameed, Waqas Mustafa, Ghulam Abbas, Ghazanfer Ishaque, Muhammad Bilgrami, Mohsina Temmerman, Marleen |
author_sort | Azmat, Syed Khurram |
collection | PubMed |
description | BACKGROUND: High fertility rates, unwanted pregnancies, low modern contraceptive prevalence and a huge unmet need for contraception adversely affect women’s health in Pakistan and this problem is compounded by limited access to reliable information and quality services regarding birth spacing especially in rural and underserved areas. This paper presents a study protocol that describes an evaluation of a demand-side financing (DSF) voucher approach which aims to increase the uptake of modern contraception among women of the lowest two wealth quintiles in Punjab Province, Pakistan. METHODS/DESIGN: This study will use quasi-experimental design with control arm and be implemented in: six government clinics from the Population Welfare Department; 24 social franchise facilities branded as ‘Suraj’ (Sun), led by Marie Stopes Society (a local non-governmental organization); and 12 private sector clinics in Chakwal, Mianwali and Bhakkar districts. The study respondents will be interviewed at baseline and endline subject to voluntary acceptance and medical eligibility. In addition, health service data will record each client visit during the study period. DISCUSSION: The study will examine the impact of vouchers in terms of increasing the uptake of modern contraception by engaging private and public sector service providers (mid-level and medical doctors). If found effective, this approach can be a viable solution to satisfying the current demand and meeting the unmet need for contraception, particularly among the poorest socio-economic group. |
format | Online Article Text |
id | pubmed-4059733 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2014 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-40597332014-06-17 A study protocol: using demand-side financing to meet the birth spacing needs of the underserved in Punjab Province in Pakistan Azmat, Syed Khurram Ali, Moazzam Hameed, Waqas Mustafa, Ghulam Abbas, Ghazanfer Ishaque, Muhammad Bilgrami, Mohsina Temmerman, Marleen Reprod Health Study Protocol BACKGROUND: High fertility rates, unwanted pregnancies, low modern contraceptive prevalence and a huge unmet need for contraception adversely affect women’s health in Pakistan and this problem is compounded by limited access to reliable information and quality services regarding birth spacing especially in rural and underserved areas. This paper presents a study protocol that describes an evaluation of a demand-side financing (DSF) voucher approach which aims to increase the uptake of modern contraception among women of the lowest two wealth quintiles in Punjab Province, Pakistan. METHODS/DESIGN: This study will use quasi-experimental design with control arm and be implemented in: six government clinics from the Population Welfare Department; 24 social franchise facilities branded as ‘Suraj’ (Sun), led by Marie Stopes Society (a local non-governmental organization); and 12 private sector clinics in Chakwal, Mianwali and Bhakkar districts. The study respondents will be interviewed at baseline and endline subject to voluntary acceptance and medical eligibility. In addition, health service data will record each client visit during the study period. DISCUSSION: The study will examine the impact of vouchers in terms of increasing the uptake of modern contraception by engaging private and public sector service providers (mid-level and medical doctors). If found effective, this approach can be a viable solution to satisfying the current demand and meeting the unmet need for contraception, particularly among the poorest socio-economic group. BioMed Central 2014-05-30 /pmc/articles/PMC4059733/ /pubmed/24885657 http://dx.doi.org/10.1186/1742-4755-11-39 Text en Copyright © 2014 Azmat et al.; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/4.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated. |
spellingShingle | Study Protocol Azmat, Syed Khurram Ali, Moazzam Hameed, Waqas Mustafa, Ghulam Abbas, Ghazanfer Ishaque, Muhammad Bilgrami, Mohsina Temmerman, Marleen A study protocol: using demand-side financing to meet the birth spacing needs of the underserved in Punjab Province in Pakistan |
title | A study protocol: using demand-side financing to meet the birth spacing needs of the underserved in Punjab Province in Pakistan |
title_full | A study protocol: using demand-side financing to meet the birth spacing needs of the underserved in Punjab Province in Pakistan |
title_fullStr | A study protocol: using demand-side financing to meet the birth spacing needs of the underserved in Punjab Province in Pakistan |
title_full_unstemmed | A study protocol: using demand-side financing to meet the birth spacing needs of the underserved in Punjab Province in Pakistan |
title_short | A study protocol: using demand-side financing to meet the birth spacing needs of the underserved in Punjab Province in Pakistan |
title_sort | study protocol: using demand-side financing to meet the birth spacing needs of the underserved in punjab province in pakistan |
topic | Study Protocol |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4059733/ https://www.ncbi.nlm.nih.gov/pubmed/24885657 http://dx.doi.org/10.1186/1742-4755-11-39 |
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