Family Planning in Private Hospitals

Code:    Proj-66
Date:    12/01/1977 - 06/01/1979
Duration: 18 Months

This action research project involved 15 private hospitals in the delivery of contraceptive services, particularly the more effective methods, like voluntary surgical sterilization (VSS) and IUD. It attempted to gather evidence to support the hypothesis that if family planning services generate revenue for a private hospital, it would offer the same services on a self-sufficient basis. To help start family planning operations in these hospitals, PCF facilitated the training of their personnel in surgical sterilization, client motivation, and management of family planning services. PCF provided funds for motivation and service subsidy for indigent sterilization acceptors and non-beneficiaries of Medicare during the first six months of the hospitals' family planning operations. Sterilization and IUD insertion instruments and devices and printed informational materials on family planning were provided at the start of operations. As of December 31, 1978, the project registered 454 sterilization acceptors and almost 400 acceptors of various temporary methods. During the first six months of operation, majority of the hospitals reported financial losses in their family planning operation, saying most of their family planning clients were nonpaying patients. The hospitals could avail themselves only of the sterilization subsidy (P 92.00 for minilaparotomy and P 50.00 for vasectomy). Most of the hospitals did not charge patients of temporary methods. PCF also organized a training-workshop in project management for the project directors. The workshop was intended to help them identify strategies for increasing the number of paying clients. The second phase of the project covered January to June 1979.