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Cost Effectiveness Analysis of Family Planning Provision in Kenya

Author

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  • Mercy G. Mugo

    (School of Economics, University of Nairobi)

  • Peterson J. Muriithi

    (School of Public Health, University of Nairobi, Kenya)

Abstract

In Kenya, total fertility rate and contraceptive prevalence rate have shown marginal changes since the 1990s, raising questions about efficiency and effectiveness of provision of reproductive health services, which has received little attention in the country and elsewhere in Africa. We use data from Thika sub-county in central Kenya to conduct a cost-effectiveness analysis of family planning service provision alternatives. The results show that costs per couple year of protection vary widely across facilities within government and non-government providers, but are slightly higher amongst the former. The cost-effectiveness ratios were sensitive to exclusion of certain commodity costs. We conclude that family planning provision systems found in Thika are efficient but call for strengthening of lower level facilities, which are more cost effective and largely serve the poor.

Suggested Citation

  • Mercy G. Mugo & Peterson J. Muriithi, 2018. "Cost Effectiveness Analysis of Family Planning Provision in Kenya," Journal of African Development, African Finance and Economic Association (AFEA), vol. 20(1), pages 13-22.
    • Handle: RePEc:afe:journl:v:20:y:2018:i:1:p:13-22
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    File URL: http://www.afeawpapers.org/RePEc/afe/afe-journl/wp-content/uploads/2017/10/JAD_20n1_Spring_2018_3.pdf
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    References listed on IDEAS

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    2. Birdsall, Nancy & Kelley, Allen C. & Sinding, Steven (ed.), 2003. "Population Matters: Demographic Change, Economic Growth, and Poverty in the Developing World," OUP Catalogue, Oxford University Press, number 9780199261864.
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    4. Seiber, Eric E. & Hotchkiss, David R. & Rous, Jeffrey J. & Berruti, Andrés A., 2005. "Maternal and child health and family planning service utilization in Guatemala: implications for service integration," Social Science & Medicine, Elsevier, vol. 61(2), pages 279-291, July.
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    Cited by:

    1. Joseph I. Uduji & Elda N. Okolo-Obasi & Simplice A. Asongu, 2019. "Multinational Oil Companies in Nigeria and Corporate Social Responsibility in the HIV/AIDS Response in Host Communities," Working Papers of the African Governance and Development Institute. 19/012, African Governance and Development Institute..

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    More about this item

    Keywords

    Economic Evaluation; Family Planning; Kenya; Africa;
    All these keywords.

    JEL classification:

    • D61 - Microeconomics - - Welfare Economics - - - Allocative Efficiency; Cost-Benefit Analysis
    • H51 - Public Economics - - National Government Expenditures and Related Policies - - - Government Expenditures and Health
    • I11 - Health, Education, and Welfare - - Health - - - Analysis of Health Care Markets
    • I15 - Health, Education, and Welfare - - Health - - - Health and Economic Development

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