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[Unpublished] 1998 Jul 1. 59,  p.This paper presents the results from a study designed to explore consumers' expectations for quality of family planning (FP) services and how it may influence demand in Egypt. The first section of the paper presents findings on women's and men's knowledge of reproductive health issues, including their definition of FP, the various FP methods, rumors and misinformation about these methods, attitudes and decision-making processes about FP practice and sources of information on FP. The findings provide a context for the types of services that Egyptian women and men may want or need. The second section covers the elements of quality that participants consider critical to good services and how the participants ranked these elements. The elements of quality are illustrated by descriptions of women's experiences with FP services as either positive or negative examples of each element. Finally, the third section presents results on the respondents' willingness to pay for high-quality services.
Bethesda, Maryland, Abt Associates, Health Financing and Sustainability Project, 1995 Aug. , xvii, 69 p. (USAID Contract No. DPE-5974-Z-00-9026-00)This technical report, prepared by USAID's Health Financing and Sustainability (HFS) project, reviews policy issues and constraints in developing countries. This report summarizes the nature and extent of HFS applied research activities in over 40 countries, synthesizes findings, and draws some conclusions and implications for policy and applied research. The following topics were the focus of HFS research: 1) quality of care and cost recovery, 2) protection of the poor under cost recovery, 3) mechanisms to promote demand, 4) provider incentives, 5) feasibility of social financing and insurance for low income populations, 6) public-private differences in efficiency, 7) private sector development, 8) private-public collaboration, and 9) reallocation of public sector spending. Over 40 applied research projects were conducted in mostly low income countries. Each project included a literature review of health service provision and costs, lessons learned, and field work. This report refers extensively to HFS research activities in Niger, Senegal, and the Central African Republic because of the large size and scope of research activities in these locations. Major findings are presented on the following topics: quality of care and its role in cost recovery and in government health services, protection of the poor under cost recovery, public sector reform, efficiency in service provision and differences between the public and private sectors, reallocation of public sectoring spending, expanding social financing, private sector potential for health care delivery in Africa, and the economic impact of malaria in Africa. It is concluded that the main quality of care problems were lack of drugs, medical supplies, and equipment and inappropriate medical practices. It is concluded that cost recovery may be able to cover the cost of essential drugs for treatment of ambulatory patients. Factors relating to the high rates of cost recovery are identified. Use of a fee or insurance system is considered to be dependent on the population's willingness to purchase premiums, managerial capability, and the means to invest insurance revenues. Willingness to pay appeared to be high among most population and income groups.