Cost Effectiveness Analysis of Family Planning Services Offered by Mobile Clinics versus Static Clinics in Assiut, Egypt

This study reports cost effectiveness (CE) information of family planning (FP) services gathered from the mobile clinics and a comparable number of the static clinics in Assiut Governorate. The findings of this study may guide and help policy makers at the Ministry of Health (MOH) to reallocate resources of the family planning program in a way to fulfill its maximum benefits. The data for the study was obtained through records reviews for all the mobile clinics (15 in number) that serve in Assiut Governorate and for 15 corresponding static clinics. The total costs of the mobile clinics -serving in Assiut Governorate and offering family planning / reproductive health services - were higher than the costs of a corresponding number of the static clinics. The salaries and capital costs have the major share for the total costs in the mobile clinics, as well as for the static clinics. As for effectiveness measures; the Couple Years of Protection (CYPs) were higher for the mobile clinics than for the static clinics as more IUDs were used at the mobile clinics. However, total number of family planning visits were higher for the static clinics than for the mobile clinics. The static clinics are more cost effective than the mobile clinics. The government needs to reallocate the resources in the right way that assure the continuity in providing family planning services to women living in the deprived areas on one hand and in the wise and effective use of the money spent on these services on the other hand.  

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