Cost Recovery Strategies in SRH

March 27, 2016

Family Planning Association Nepal (FPAN) is a pioneer organization that provides family Planning services throughout the country. With the objective of developing comprehensive cost recovery strategy; FPAN conducted an assessment study. The study would consolidate its experiences within the policy relevant framework and explore the major issues that need to be addressed in the design and implementation of effective and efficient cost recovery strategy.

The methodology used in the study were conducting interviews, reviewing and analyzing existing cost recovery strategies developed and adopted by FPAN, finding out potential program areas like services, expertise, drugs, contraceptives, and IEC/BCC materials, vehicles to implement cost recovery system and recommending some strategies for the cost recovery.

Data collection was done in five districts. Within the Districts, VDCs were selected randomly. Data were collected from 8 VDCs/Municipalities. Altogether 360 households were selected with at least 30 percent households from underprivileged group in each district. One couple and one adolescent (10-19) from one household were selected randomly and interviewed using standard questionnaire.

Two focus group discussions and six in depth interviews were carried out among stakeholders and services providers in each district. Similarly, 93 exit clients were also selected randomly from the FPAN static clinics and interviewed using separate questionnaire. Cost Recovery Assessment (CRA) was done in five districts.

All instruments using in this study were pre-tested in non-sample VDCs of Lalitpur District. Interviewers and Supervisors were selected, trained and deputed in selected districts. List of working VDCs was obtained from FPAN branch offices and sample VDCs were selected randomly. Households were selected with cluster method. Focus group discussions were done by the Field team

Consulting with FPAN branch office, list of working VDCs were developed and sample VDCs were selected randomly. Exit clients were selected randomly and interviewed with structured questionnaire.

Data gathered in districts were edited manually by supervisors and interviewers. Those data were centralized and processed using SPSS.

For detail please refer to
Family Planning Association Nepal
Post box no 486
Phone no. 5524440/5524675
Fax no. 5524211
Harihar Bhaban, Lalitpur

Key Words: Cost Recovery Strategies, Data collection,

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