How user fees influence contraception in low and middle income countries: a systematic review

Catherine Korachais, Elodie Macouillard, Bruno Meessen

    Research output: Contribution to journalA1: Web of Science-article

    Abstract

    Accessible and quality reproductive health services are critical for low- and middle-income countries (LMICs). After a decade of waning investment in family planning, interest and funding are growing once again. This article assesses whether introducing, removing, or changing user fees for contraception has an effect on contraceptive use. We conducted a search of 14 international databases. We included randomized controlled trials, interrupted-time series analyses, controlled before-and-after study designs, and cohort studies that reported contraception-related variables as an outcome and a change in the price of contraceptives as an intervention. Four studies were eligible but none was at low risk of bias overall. Most of these, as well as other studies not included in the present research, found that demand for contraception was not cost-sensitive. We could draw no robust summary of evidence, strongly suggesting that further research in this area is needed.
    Original languageEnglish
    JournalStudies in Family Planning
    Volume47
    Issue number4
    Pages (from-to)341-356
    Number of pages16
    ISSN0039-3665
    DOIs
    Publication statusPublished - 2016

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