Three Strategies to Promote Sustainability of CEMOPLAF Clinics in Ecuador

The continuing trend of donor attention and resources away from Latin America threatens the sustainability of nongovernmental family planning organizations in that region. Managers can improve sustainability through cost control, cost recovery, and income generation. The Population Council's IN...

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Bibliographic Details
Published in:Studies in family planning 1998-03, Vol.29 (1), p.58-68
Main Authors: Bratt, John H., Foreit, James, de Vargas, Teresa
Format: Article
Language:English
Subjects:
Contraceptives
Cost control
Cost estimates
Cost recovery
Costs
Ecuador
Family planning
Family planning services
Fees
Funding
Income distribution
Intrauterine devices
Management
Medical sector
Medical service
Nongovernmental organizations
Organizations
Reproductive health
Strategies
Sustainability
Sustainable economies
Ultrasonography
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Summary:The continuing trend of donor attention and resources away from Latin America threatens the sustainability of nongovernmental family planning organizations in that region. Managers can improve sustainability through cost control, cost recovery, and income generation. The Population Council's INOPAL II and INOPAL III projects and Family Health International assisted CEMOPLAF, an Ecuadoran private voluntary organization, in carrying out operations research in each of these areas. Studies included cost-savings analysis from altering IuD revisit norms (cost control), an ability-to-pay study that showed potential gains from increased prices for reproductive health services (cost recovery), and a feasibility study to estimate income from ultrasound services (income generation). Results indicate that any one intervention will probably have a limited impact, and that managers likely will need to undertake several initiatives simultaneously to make significant progress toward sustainability.
ISSN:0039-3665
1728-4465
DOI:10.2307/172181