How User Fees Influence Contraception in Low and Middle Income Countries: A Systematic Review.
How User Fees Influence Contraception in Low and Middle Income Countries: A Systematic Review.
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DOI：
10.1111/sifp.12005
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发表时间：
2016-12
影响因子：
2.1
通讯作者：
Meessen B
中科院分区：
文献类型：
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作者：
Korachais C;Macouillard E;Meessen B
可持续和高质量的生殖健康服务对低收入和中等收入国家至关重要。在计划生育投资减少十年之后，人们的兴趣和资金再次增加。本文评估是否引入，删除，或改变避孕的用户费用对避孕药具的使用有影响。我们检索了14个国际数据库。我们纳入了随机对照试验、中断时间序列分析、对照前后研究设计以及队列研究，这些研究将避孕相关变量作为结果，将避孕药具价格的变化作为干预措施。四项研究符合条件，但总体上没有一项偏倚风险较低。其中大多数研究以及未纳入本研究的其他研究发现，避孕需求对成本不敏感。我们无法得出有力的证据摘要，强烈建议在这一领域需要进一步的研究。
Accessible and quality reproductive health services are critical for low‐ and middle‐income countries (LMICs). After a decade of waning investment in family planning, interest and funding are growing once again. This article assesses whether introducing, removing, or changing user fees for contraception has an effect on contraceptive use. We conducted a search of 14 international databases. We included randomized controlled trials, interrupted‐time series analyses, controlled before‐and‐after study designs, and cohort studies that reported contraception‐related variables as an outcome and a change in the price of contraceptives as an intervention. Four studies were eligible but none was at low risk of bias overall. Most of these, as well as other studies not included in the present research, found that demand for contraception was not cost‐sensitive. We could draw no robust summary of evidence, strongly suggesting that further research in this area is needed.