Population and Reproductive Health: An Economic Framework for Policy Evaluation
Population and Reproductive Health: An Economic Framework for Policy Evaluation
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人口与生殖健康：政策评估的经济框架
DOI：
10.2307/2808022
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发表时间：
1998
影响因子：
2.5
通讯作者：
J. Knowles
中科院分区：
文献类型：
--
作者：
Jere R. Behrman;J. Knowles
本文介绍并说明了如何使用一个标准的简单经济框架来评价人口和生殖健康服务政策，并将这一框架与目前对这些领域若干问题的讨论作了对比。在人口和生殖健康领域，经济分析有着悠久的传统。尽管如此，当前的一些政策讨论可以从一些调整中受益，使之与人力资源政策分析的更广泛领域更加一致。我们认为，这样的调整有两个好处。首先，使用标准经济框架进行政策分析将促进在人口和生殖健康领域工作的分析员和政策制定者与不在这些领域工作的经济学家和政策制定者之间的沟通，这些经济学家和政策制定者不熟悉人口和生殖健康部门专家将政策问题概念化的方式。改善这种沟通很重要，因为正在进行的政策讨论涉及稀缺的公共资源应在多大程度上用于人口和生殖健康，而不是大量相互竞争的主张。这样的讨论可能会越来越多地与发展中国家的财政部和规划部、开发银行的主要工作人员以及双边捐助机构的政策和方案专家进行。如果没有本文所倡导的那种调整(或者至少没有根据这些受众调整分析的能力)，这种交互就有变得越来越令人沮丧的风险。如果更多地使用标准经济框架，人口和生殖健康领域的研究人员将成为更有效的政策分析员，而政策制定者将更有效地倡导促进计划生育和生殖健康服务的政策。
THIS ARTICLE PRESENTS and illustrates the use of a standard simple economic framework for the evaluation of policies on population and reproductive health services and contrasts this framework with current discussions of several issues in these fields. There is a long tradition of economic analysis in the population and reproductive health fields. Nevertheless, a number of current policy discussions could benefit from some realignment to become more consistent with the broader field of human resource policy analysis. We think that there are two gains from such a realignment. First, the use of the standard economic framework for policy analysis would facilitate communication between analysts and policymakers working in the population and reproductive health community and economists and policymakers not working in these fields who are unfamiliar with the way policy issues are conceptualized by population and reproductive health sector specialists. Improving this communication is important because of ongoing policy discussions related to the extent to which scarce public resources should be directed toward population and reproductive health versus a large number of competing claims. Such discussions are likely to take place increasingly with ministries of finance and planning in developing countries, with key staff of development banks, and with policy and program specialists in bilateral donor agencies. Absent a realignment of the kind advocated in this article (or at least the ability to adapt analyses to these audiences), such interactions run the risk of becoming increasingly frustrating. Researchers working in population and reproductive health will be more effective policy analysts, and policymakers using their work will be more effective advocates for policies promoting family planning and reproductive health services, if the standard economic framework is used more