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Economics and Ethics of Results-Based Financing for Family Planning: Evidence and Policy Implications

  • Chowdury, Sadia
  • Vergeer, Petra
  • Schmidt, Harald
  • Barroy, Helene
  • Bishai, David
  • Halpern, Scott
Registered author(s):

    This paper was developed for World Bank task team leaders (TTLs) and teams designing results-based financing (RBF) programs in family planning (FP). It explores the rationale for introducing such incentives based on insights from classical and behavioral economics, to respond to supply- and demand-side barriers to using FP services. To help the reader understand why incentivizing FP requires specific attention in RBF, the evolution of incentives in vertical FP programs introduced from the 1950s to the early 1990s and the ethical concerns raised in these programs are described. RBF programs after the 1990s were also studied to understand the ways FP is currently incentivized. The paper also touches on the effects of the incentive programs for FP as described in the literature. Finally, it examines ethical concerns related to FP incentives that should be considered during the design, implementation, and evaluation of programs and provides a conceptual framework that can be of use for task teams in the decision making process for FP in RBF programs. It should be noted that the paper is concerned exclusively with developing a framework that can help design ethical programs to address the unmet need for FP.

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    File URL: http://www-wds.worldbank.org/external/default/WDSContentServer/WDSP/IB/2014/02/12/000442464_20140212120534/Rendered/PDF/846630WP0Econo00Box382143B00PUBLIC0.pdf
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    Paper provided by The World Bank in its series Health, Nutrition and Population (HNP) Discussion Paper Series with number 84663.

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    Length: pages 92 pages
    Date of creation: 01 Dec 2013
    Date of revision:
    Handle: RePEc:wbk:hnpdps:84663
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    1. Warren C. Robinson & John A. Ross, 2007. "The Global Family Planning Revolution : Three Decades of Population Policies and Programs," World Bank Publications, The World Bank, number 6788.
    2. Cryder, Cynthia E. & John London, Alex & Volpp, Kevin G. & Loewenstein, George, 2010. "Informative inducement: Study payment as a signal of risk," Social Science & Medicine, Elsevier, vol. 70(3), pages 455-464, February.
    3. Jessica Todd & Paul Winters & Guy Stecklov, 2012. "Evaluating the impact of conditional cash transfer programs on fertility: the case of the Red de Protección Social in Nicaragua," Journal of Population Economics, Springer, vol. 25(1), pages 267-290, January.
    4. Lewis, Maureen & Kenney, Genevieve, 1988. "The private sector and family planning in developing countries," Policy Research Working Paper Series 96, The World Bank.
    5. Guy Stecklov & Paul Winters & Jessica Todd & Ferdinando Regalia, 2006. "Demographic Externalities from Poverty Programs in Developing Countries: Experimental Evidence from Latin America," Working Papers 2006-01, American University, Department of Economics.
    6. Francesca Bastagli, 2009. "From Social Safety net to Social Policy? The Role of Conditional Cash Transfers in Welfare State Development in Latin America," Working Papers 60, International Policy Centre for Inclusive Growth.
    7. Luis Angeles, 2008. "Demographic Transitions: analyzing the effects of mortality on fertility," Working Papers 2008_25, Business School - Economics, University of Glasgow.
    8. Jejeebhoy, Shireen J., 1995. "Women's Education, Autonomy, and Reproductive Behaviour: Experience from Developing Countries," OUP Catalogue, Oxford University Press, number 9780198290339, March.
    9. Laibson, David, 1997. "Golden Eggs and Hyperbolic Discounting," The Quarterly Journal of Economics, MIT Press, vol. 112(2), pages 443-77, May.
    10. Shane Frederick & George Loewenstein & Ted O'Donoghue, 2002. "Time Discounting and Time Preference: A Critical Review," Journal of Economic Literature, American Economic Association, vol. 40(2), pages 351-401, June.
    11. Hector Lamadrid-Figueroa & Gustavo Angeles & Thomas Mroz & Jose Urquieta-Salomon & Bernardo Hernandez-Prado & Aurelio Cruz-Valdez & Martha Tellez-Rojo, 2010. "Heterogeneous impact of the social programme Oportunidades on use of contraceptive methods by young adult women living in rural areas," Journal of Development Effectiveness, Taylor & Francis Journals, vol. 2(1), pages 74-86.
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