Private Sector Involvement in Family Planning and Socio-economic Disparities in Modern Contraceptive Use
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This presentation discusses research findings on the expansion of the role of private providers in the delivery of modern contraceptive supplies being disassociated with increased horizontal inequity in modern contraceptive use.
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Private Sector Involvement in Family Planning and Socio-economic Disparities in Modern Contraceptive Use
- 1. Effect of an expansion in private sector provision of contraceptive supplies on horizontal inequity in modern contraceptive use: evidence from Africa and Asia David Hotchkiss, Deepali Godha, and Mai Do 9 July 2011
- 9. Results
- 17. Thank you!
Editor's Notes
- This study was supported by USAID’s MEASURE Evaluation PRH Project. I would like to acknowledge my co-authors, Deepali Godha and Mai Do.
- Very little research on this issue – one exception is a recent study by Agha and Do based on DHS data from five countries where there has been an expansion of the role of the private sector. The study found no evidence to support the hypothesis that the increased role of the private sector leads to increased disparities in contraceptive use, but the study did not control for the need for family planning.
- This was done using the indirect method of standardization, as suggested by the World Bank, where need-standardized modern contraceptive use is obtained by adding the overall sample mean of the indicator of modern contraceptive use to the difference between actual and need-predicted modern contraceptive use. The method of indirect standardization “corrects” the actual distribution by comparing it with the distribution that would be observed if all women had not their levels of the non-need variables but the same mean values of the non-need variables as the entire population. The concentration index of need-standardized contraceptive use provides a measure of horizontal equity. Limitation: study does not attribute changes in equity to changes in the role of the private sector
- There were often substantial differences between actual and need-standardized probabilities