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Evaluating an Integrated Family Planning and Mother/Child Health Program
Evaluating an Integrated Family Planning and Mother/Child Health Program
Evaluating an Integrated Family Planning and Mother/Child Health Program
Evaluating an Integrated Family Planning and Mother/Child Health Program
Evaluating an Integrated Family Planning and Mother/Child Health Program
Evaluating an Integrated Family Planning and Mother/Child Health Program
Evaluating an Integrated Family Planning and Mother/Child Health Program
Evaluating an Integrated Family Planning and Mother/Child Health Program
Evaluating an Integrated Family Planning and Mother/Child Health Program
Evaluating an Integrated Family Planning and Mother/Child Health Program
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Evaluating an Integrated Family Planning and Mother/Child Health Program

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The national service delivery program in Bangladesh.

The national service delivery program in Bangladesh.

Published in: Economy & Finance, Business
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  • 1. Evaluating an Integrated Family Planning and Mother/Child Health Program The National Service Delivery Program in Bangladesh
  • 2. The Traditional Approach to Fertility Reduction in Bangladesh
    • The preferred Government of Bangladesh model;
    • Based on door-to-door delivery of contraception;
    • Family planning/reproductive health services not explicitly linked to maternal and child health services;
    Symposium2008 www.cpc.unc.edu/measure
  • 3. The Challenge: A Fertility Plateau Evident by the mid-1990s Symposium 2008 www.cpc.unc.edu/measure Sources: Bangladesh DHS (1993, 1996,1999, 2004), Bangladesh Fertility Survey (1975,1989) , Contraceptive Prevalence Survey (1991).
  • 4. The National Service Delivery Program
    • USAID-funded effort (begun 1998) to achieve further progress in lowering fertility;
    • Recognized a potential link between persistently high fertility and persistently high infant and maternal mortality;
    • Integrated delivery of family planning (FP) and an essential services package (ESP) of reproductive and mother and child health services.
    Symposium2008 www.cpc.unc.edu/measure
  • 5. The National Service Delivery Program (NSDP)
    • Delivery of FP and the ESP through a network of NGOs operating central health centers (static clinics), smaller mobile facilities (satellite clinics) and village- and neighborhood-level providers of FP (depotholders);
    • Integrated approach which abandons door-to-door FP delivery mechanism in favor of “one-stop” model;
    • Significant health communication component aimed at both brand recognition and improved health behaviors;
    Symposium2008 www.cpc.unc.edu/measure
  • 6. Monitoring and Impact Evaluation of the NSDP
    • Random samples of women age 15-49 selected and interviewed in program and non-program areas;
    • Women asked a rich battery of questions related to their background and ESP-related outcomes, behaviors and attitudes.
    • Timeline:
    Symposium2008 www.cpc.unc.edu/measure 1998 1999 2000 2001 2002 2003 2004 2005 (Program Begins) Baseline Round 1 st Follow-Up 2 nd Follow-Up 3 rd Follow-Up
  • 7. Monitoring Symposium2008 www.cpc.unc.edu/measure Modern Contraceptive Use Rates, Married Women in Rural Areas
  • 8. Impact Evaluation: Difference-In-Difference
    • Basic Idea of Difference-in-Difference Tool:
    • See if those in program areas experienced more progress over time than those in non-program areas.
    • Example: If the change in an indicator between 1998 and 2005 is greater in NSDP areas than non-NSDP areas, the program performed well and clearly had a positive impact compared with the likely alternative.
    Symposium2008 www.cpc.unc.edu/measure
  • 9. Some Examples of Difference-in-Difference Results Symposium2008 www.cpc.unc.edu/measure * Indicates statistical significance Behavior Program Impact Modern Contraception .007 Currently Pregnant -.013* Vitamin A .103* Polio 3 -.046 ANC .114
  • 10. Further Results: The Effect of the Health Communication Component Symposium2008 www.cpc.unc.edu/measure * Indicates statistical significance Behavior Program Impact ANC .184* DPT3 .131* Measles .146

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