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RCFP_ Contraceptive Methods A Compendium Cost Budget Impacts %28English%29 |
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Spacing Methods
IUDs
Hormonal
Injectables
Implants
CONTRACEPTIVE METHODS: A COMPENDIUM
COSTS, BUDGET IMPACT
Average Direct Cost per method (in USDs)
calculated as part of an economic evaluation ₁
Cost (Efficiency)
Approx. $0.77 per couple protected per year
Most Cost-effective if administered
appropriately and kept for the duration
intended.
High upfront cost; But more cost effective
Approx. $8.61 per couple protected per year
than pills
Jadelle approx. $8.50 per contraceptive
implant
Moderate cost
Budget Impact ₂
Low
High
High
Barrier
Oral Contraceptive Pills
Given the efficacy at 92%-95%, the CE ratio is
Approx. $7.26 per couple protected per year
among the highest.
Condoms
Diaphragm
Approx. $4.17 per couple protected per
year
Low cost upfront but recurring cost is high.
Overall cost effectiveness is low.
Approx. 15$-75$ per device last up-to two
years
Initial cost may be high (depending on brands)
but the device could be used for up-to two
years.
Moderate
Low
Low
Limiting Methods
Average Direct Cost per method (in USDs)
calculated as part of an economic evaluation*
Cost (Efficiency)
Budget Impact
Tubectomy
Most common method of contraception
overall (74%). Mostly performed in public
health funded mode in India
Cost effectiveness is moderate
Public health funded procedures are free
Moderate
Vasectomy
Spacing Methods
IUDs
Low level of adoption. Mostly performed in
public health funded mode in India
Cost effectiveness is moderate
Public health funded procedures are free
Moderate
SCALABILITY & SYSTEM REQUIREMENTS
Level of implementation in the health
system₃
Scalability in National Programs ₄
PHC, CHC, District Hospital
High potential to scale up.
System Requirements ₅
Training of providers. Need to ensure
regular supply. Counselling by
providers/ frontline health workers ₆
Hormonal
Injectables
Implants
District Hospital, Medical College
High potential to scale up
Training of providers. Need to ensure
regular supply. Counselling by
providers/ frontline health workers
Sub-centre, PHC, CHC, District Hospital
Training of providers for insertion and
removal. Need to ensure regular supply
Internationally, the availability is already high. Counselling by providers/ frontline
Potential to scale-up.
health workers
Oral Contraceptive Pills
Barrier
Condoms
Diaphragm
Limiting Methods
Availability through various public and private
At home, SC, PHC, CHC, District Hospital
channels is high across India.
Need to ensure regular supply
Counselling by providers/ frontline
health workers
Static and mobile camps, CHC, District
Hospitals
The most prevalent method. Promoted as
spacing method and as a preventive measure
for STI/HIV
Need to ensure regular supply.
CHC, District Hospitals
Level of implementation in the health
system
Potential to scale up.
Scalability in National Programs
Counselling and training for proper
insertion
System Requirements
Tubectomy
Availability already High. Potential to improve
Mobile camps, CHC, District Hospitals
quality of care exists.
Training of providers
Infrastructure availability
Vasectomy
Mobile camps, CHC, District Hospitals
Availability already High. Very low uptake.
Potential to increase motivation amongst men
to adopt vasectomy exits.
1 Adding It Up: Costs and Benefits of Contraceptive Services. Estimates for 2012. Susheela Singh and Jacqueline E. Darroch. Costs are weighted by the country-specific numbers of current users of each method in 2012, distributed across specific types within each method category based on the distribution of
contraceptives reported in the Reproductive Health Interchange for the country in 2009–2011
2 Based on the per eligible couple cost (mentioned above)
3 Annual Report 2013-14, MoHFW, Govt of India
4 As a summary analysis of previous 4 indicators: Budget impact, efficacy, safety, programmatic possibility
5 As a summary analysis of previous 4 indicators: Budget impact, efficacy, safety, programmatic possibility
6 Bull Pan Am Health Organ. 1995 Sep;29(3):206-15. Comparative study of safety and efficacy of IUD insertions by physicians and nursing personnel in Brazil. Lassner KJ1, Chen CH, Kropsch LA, Oberle MW, Lopes IM, Morris L
Training of providers
Infrastructure availability
B-28, Qutab Instituional Area, New Delhi-110016 www.populationfoundation.in