Costing of reproductive health services

Mitchell, M.D., Littlefield, J. and Gutter, S. (1999) Costing of reproductive health services. International Family Planning Perspectives, 25 9999 Suppl.: S17-S21. doi:10.2307/2991867

Author Mitchell, M.D.
Littlefield, J.
Gutter, S.
Title Costing of reproductive health services
Journal name International Family Planning Perspectives   Check publisher's open access policy
ISSN 0190-3187
Publication date 1999-01-01
Sub-type Article (original research)
DOI 10.2307/2991867
Volume 25
Issue 9999 Suppl.
Start page S17
End page S21
Total pages 5
Place of publication New York, N.Y. U.S.A.
Publisher Alan Guttmacher Institute
Language eng
Subject 1103 Clinical Sciences
Formatted abstract
The principles endorsed by delegates to the 1994 International Conference on Population and Development expanded on the areas typically included in reproductive health. Yet implementation of more comprehensive reproductive health programs has been slow, and the impediments to program expansion need to be identified.

The elements of a reproductive health care program were identified, and in 1995, the disaggregated costs of providing some of these services were gathered from a program of the Zimbabwe National Family Planning Council (ZNFPC) and from MEXFAM, a nongovernmental organization in Mexico affiliated with the International Planned Parenthood Federation. These data were used to estimate and compare the costs (in U.S. dollars) of various components of reproductive health care per visit (or per diagnosis and treatment) in the two countries.


The costs of providing contraceptive methods, particularly surgical ones, as well as gynecologic and general health services, varied between ZNFPC and MEXFAM. Whereas tubal ligation cost $70 and oral contraceptives $3 at ZNFPC, a tubal ligation cost $269 and oral contraceptives $4 at MEXFAM. During a gynecologic visit, the cost of treatment for a sexually transmitted disease was $19 at ZNFPC and $29 at MEXFAM. The cost of providing an adolescent with a routine examination and iron supplement was $5 at ZNFPC and $4 at MEXFAM. At ZNFPC, providing a Pap smear, screening for a reproductive tract infection and checking an IUD during a single visit cost $4, compared with $6 when the procedures were performed separately.


Costing reproducitive health programs requires breaking service components into individual cost elements. This process can help managers understand both the financial and programmatic implications of alternative implementation strategies.
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status Unknown

Document type: Journal Article
Sub-type: Article (original research)
Collection: UQ Centre for Clinical Research Publications
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Created: Thu, 26 Aug 2010, 23:05:34 EST