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首页> 外文期刊>Reproductive Health >Study protocol: incentives for increased access to comprehensive family planning for urban youth using a benefits card in Uganda. A quasi-experimental study
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Study protocol: incentives for increased access to comprehensive family planning for urban youth using a benefits card in Uganda. A quasi-experimental study

机译：研究方案：在乌干达使用福利卡，鼓励城市青年获得更多全面计划生育服务。准实验研究

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The use of contraception is one of the most cost-effective public health interventions and has the potential to prevent about 30% of maternal and 10% of child deaths in developing countries. Voucher-based initiatives for family planning are an effective and viable means of increasing contraceptive use. In this paper, we present a protocol for a pilot study of a novel incentive, a family planning benefits card (FPBC) program to increase uptake of family planning services among urban poor youth in Uganda while leveraging private sector funding. The study employs both impact and health economic evaluation methods to assess the effect of the FPBC program. We propose a quasi-experimental study design with two separate pre- and post-samples to measure program effectiveness. The main outcome of the impact evaluation is the percentage change in the prevalence of modern contraceptive use and unmet need for contraception. We will also conduct model-based incremental cost-effectiveness and budget impact analyses. The main outcomes of the economic evaluation are the cost per enrolled youth and cost per pregnancy averted, and cost per disability-adjusted life-year (DALY) averted. We will also pilot a corporate social responsibility model of sponsorship for the FPBC program in partnership with local corporations. Budget impact analysis will examine the potential affordability of scaling up the FPBC program and the fiscal implications of this scale up to the corporate social responsibility (CSR) budgets of partner corporations, the government, and the individual taxpayer. In this study, we propose an impact and economic evaluation to establish the proof concept of using a FPBC program to increase uptake of family planning services among urban poor youth in Uganda. The results of this study will present stakeholders in Uganda and internationally with a potentially viable option for corporate-sponsored access to family planning in urban poor communities. MUREC1/7 No. 10/05-17. Registered 19th July 2017.
机译：避孕是最具成本效益的公共卫生干预措施之一，有潜力预防发展中国家约30％的孕产妇死亡和10％的儿童死亡。以优惠券为基础的计划生育举措是增加避孕药具使用的有效途径。在本文中，我们提出了一项新型奖励计划的试点研究方案，即计划生育福利卡（FPBC）计划，目的是在利用私营部门资金的同时，增加乌干达城市贫困青年对计划生育服务的吸收。该研究采用影响和健康经济评估方法来评估FPBC计划的效果。我们提出了一个准实验研究设计，其中有两个单独的前样本和后样本来衡量计划的有效性。影响评估的主要结果是现代避孕药具使用率和未满足避孕需求的百分比变化。我们还将进行基于模型的增量成本效益和预算影响分析。经济评估的主要结果是每名已注册青年的成本和每笔怀孕的成本，以及每位残疾调整生命年（DALY）的成本。我们还将与当地公司合作，为FPBC计划试行企业社会责任赞助模式。预算影响分析将研究扩大FPBC计划的潜在负担能力，以及此规模对合作伙伴公司，政府和个人纳税人的企业社会责任（CSR）预算产生的财政影响。在这项研究中，我们提出了一项影响和经济评估，以建立使用FPBC计划增加乌干达城市贫困青年对计划生育服务的接受的证明概念。这项研究的结果将为乌干达和国际上的利益相关者提供一个潜在的可行选择，供企业赞助在城市贫困社区中获得计划生育服务。 MUREC1 / 7第10 / 05-17号。 2017年7月19日注册。

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