The Effect of Structural Characteristics on Family Planning Program Performance in Cote d'Ivoire and Nigeria

Author(s): Mancini D J, Stecklov G, Stewart J F

Year: 2001

Abstract:
This paper examines, using Côte d'Ivoire and Nigeria survey data, how structural and demographic factors influence family planning provision and cost. The model explains provision well, but poorly explains cost. We show that size and specialization matter. In both countries, vertical (exclusive family planning) facilities provide significantly more contraception than integrated medical establishments. In Nigeria, larger facilities also offer services at lower average cost. Since vertical facilities tend to be large, they at most incur no higher unit costs than integrated facilities. Model results and cost recovery information point to the relative efficiency of the International Planned Parenthood Federation, which operates large, mostly vertical facilities.