Evidence map›Paper›PMID 34479545›Full record

ArticleBMC health services research2021

Role of financial incentives in family planning services in India: a qualitative study.

Kamlesh Lalchandani, Aditi Gupta, Ashish Srivastava, Gulnoza Usmanova, Ashwarya Maadam, Bulbul Sood

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Article in BMC health services research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Article
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors.

Kamlesh LalchandaniJhpiego - an affiliate of Johns Hopkins University, New Delhi, 110020, India.
Aditi GuptaJhpiego - an affiliate of Johns Hopkins University, New Delhi, 110020, India. dr.aditigupta86@yahoo.com.
Ashish SrivastavaJhpiego - an affiliate of Johns Hopkins University, New Delhi, 110020, India.
Gulnoza UsmanovaJhpiego - an affiliate of Johns Hopkins University, New Delhi, 110020, India.
Ashwarya MaadamJhpiego - an affiliate of Johns Hopkins University, New Delhi, 110020, India.
Bulbul SoodJhpiego - an affiliate of Johns Hopkins University, New Delhi, 110020, India.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIn an effort to encourage Family Planning (FP) adoption, since 1952, the Government of India has been implementing various centrally sponsored schemes that offer financial incentives (FIs) to acceptors as well as service providers, for services related to certain FP methods. However, understanding of the role of FIs on uptake of FP services, and the quality of FP services provided, is limited and mixed.

methodsA qualitative descriptive study was conducted in Chatra and Palamu districts of Jharkhand state. A total of 64 interviews involving multiple stakeholders were conducted. The stakeholders included recent FP acceptors or clients, FP service providers of public health facilities including Accredited Social Healthcare Activists (ASHAs), government health officials managing FP programs at the district and state level, and members of development partners supporting FP programs in Jharkhand. Data analysis included both inductive and deductive strategies. It was done using the software Atlas ti version 8.

resultsIt has emerged that there is a strong felt need for FP among majority of the clients, and FIs may be a motivator for uptake of FP methods only among those belonging to the lower socio economic strata. For ASHAs, FI is the primary motivator for providing FP related services. There may be a tendency among them and the nurses to promote methods which have more financial incentives linked with them. There are mixed opinions on discontinuing FIs for clients or replacing them with non-financial incentives. Delays in payment of FIs to both clients and the ASHAs is a common issue and adversely effects the program.

conclusionFIs for clients have limited influence on their decision to take up a FP method while different amounts of FIs for ASHAs and nurses, linked with different FP methods, may be influencing their service provision. More research is needed to determine the effect of discontinuing FI for FP services.

Indexed as

Family Planning ServicesMotivationDelivery of Health CareGovernmentHumansIndiaQualitative ResearchFamily planningIncentivesIndiaQualitative study

Identifiers

PMID34479545
PMCPMC8414850

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.