Family Planning Vouchers in Low and Middle Income Countries: A Systematic Review.
Family Planning Vouchers in Low and Middle Income Countries: A Systematic Review.
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DOI：
10.1111/sifp.12006
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发表时间：
2016-12
影响因子：
2.1
通讯作者：
Bajracharya A
中科院分区：
文献类型：
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作者：
Bellows B;Bulaya C;Inambwae S;Lissner CL;Ali M;Bajracharya A
自1960年代以来，计划生育券一直针对弱势群体提供优质生殖健康服务补贴。为了总结计划生育券计划在低收入和中等收入国家的影响，进行了一项系统性综述，通过三个阶段从33个数据库中筛选研究：关键词检索，标题和摘要审查以及全文审查。选择了16篇文章，包括随机对照试验、对照前后、中断时间序列分析、队列和前后研究。23项研究结果集中在避孕药具的使用上，研究结果包括早期研究中的生育能力以及最近出版物中的公平性和停药。研究差距包括计划生育质量的衡量、意外结果、客户的质量经验、计划生育凭单与卫生系统的整合以及与扩大凭单方法有关的问题。
Family planning (FP) vouchers have targeted subsidies to disadvantaged populations for quality reproductive health services since the 1960s. To summarize the effect of FP voucher programs in low‐ and middle‐income countries, a systematic review was conducted, screening studies from 33 databases through three phases: keyword search, title and abstract review, and full text review. Sixteen articles were selected including randomized control trials, controlled before‐and‐after, interrupted time series analyses, cohort, and before‐and‐after studies. Twenty‐three study outcomes were clustered around contraceptive uptake, with study outcomes including fertility in the early studies and equity and discontinuation in more recent publications. Research gaps include measures of FP quality, unintended outcomes, clients’ qualitative experiences, FP voucher integration with health systems, and issues related to scale‐up of the voucher approach.