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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.
Reprod Health 2014; 11:39RH

Abstract

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.

Authors+Show Affiliations

Research, Monitoring & Evaluation Department, Marie Stopes Society, Karachi, Pakistan. Khurram.azmat@gmail.com.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

24885657

Citation

Azmat, Syed Khurram, et al. "A Study Protocol: Using Demand-side Financing to Meet the Birth Spacing Needs of the Underserved in Punjab Province in Pakistan." Reproductive Health, vol. 11, 2014, p. 39.
Azmat SK, Ali M, Hameed W, et al. A study protocol: using demand-side financing to meet the birth spacing needs of the underserved in Punjab Province in Pakistan. Reprod Health. 2014;11:39.
Azmat, S. K., Ali, M., Hameed, W., Mustafa, G., Abbas, G., Ishaque, M., ... Temmerman, M. (2014). A study protocol: using demand-side financing to meet the birth spacing needs of the underserved in Punjab Province in Pakistan. Reproductive Health, 11, p. 39. doi:10.1186/1742-4755-11-39.
Azmat SK, et al. A Study Protocol: Using Demand-side Financing to Meet the Birth Spacing Needs of the Underserved in Punjab Province in Pakistan. Reprod Health. 2014 May 30;11:39. PubMed PMID: 24885657.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - A study protocol: using demand-side financing to meet the birth spacing needs of the underserved in Punjab Province in Pakistan. AU - Azmat,Syed Khurram, AU - Ali,Moazzam, AU - Hameed,Waqas, AU - Mustafa,Ghulam, AU - Abbas,Ghazanfer, AU - Ishaque,Muhammad, AU - Bilgrami,Mohsina, AU - Temmerman,Marleen, Y1 - 2014/05/30/ PY - 2014/05/02/received PY - 2014/05/26/accepted PY - 2014/6/3/entrez PY - 2014/6/3/pubmed PY - 2014/12/15/medline SP - 39 EP - 39 JF - Reproductive health JO - Reprod Health VL - 11 N2 - 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. SN - 1742-4755 UR - https://www.unboundmedicine.com/medline/citation/24885657/A_study_protocol:_using_demand_side_financing_to_meet_the_birth_spacing_needs_of_the_underserved_in_Punjab_Province_in_Pakistan_ L2 - https://reproductive-health-journal.biomedcentral.com/articles/10.1186/1742-4755-11-39 DB - PRIME DP - Unbound Medicine ER -