अमूर्त

Cost of family planning service in desie city administration, amhara regional state, Ethiopia

Biniyam Kassa

The cost of providing family planning service and its potential burden on the economy is not clearly considered by most policy makers and government officials. The objective of this study is, to measure cost of Family Planning service provision in Dessie City Administration, Amhara regional state, Ethiopia. To carry out this research, facility-based cross-sectional study design which combines quantitative and qualitative techniques was employed. A stratified random sampling technique was used to select a total of 10 health facilities (4 governmental, 4 private and 2 NGO). Purposive sampling technique was used to select key informants and participants of focus group discussion. Analysis of Variance (ANOVA) was also used to explain comparison of mean cost across health facilities. The mean total cost of providing one unit of Family Planning service in all health facilities varies from ETB 10.44 ($0.45) for condom to ETB 227.53 ($9.76) for Jadell. On the other hand, cost per Couple Years of Protection (CYP) varies from ETB 9.66 ($0.41) for IUCD to ETB 130.38 ($5.6) for DMPA. Results of one-way ANOVA revealed that, there is a statistically significant difference between Governmental, Non-governmental and Private health facilities in the total cost of providing family planning service. Long-term FP services are the most efficient contraceptive methods as their cost per Couple Years of Protection is found to be lower in all health facilities.