pb8

เรื่องที่	Pb8
ประเภท	Program base
ชื่อเรื่อง	Cost of Public Family Planning Services and Scope of Private Sector Provisions
ชื่อผู้แต่ง	Boonlert Leoprapai, Chalongphop Susangkran, Kusol Soonthorndhada, Suganya Hutaserani, Varachai Thongthai, Kasem Harnchanpannich, Orapin Pituckmahaket, et al.
ที่มา	Research, March 1991, Institute for Population and Social Research(IPSR) - Mahidol University and Human Resources and Social Development Program – Thailand Development Research Institute(TDRI)
ปีที่ทำ	Fiscal year 1989 (October 1, 1988 – September 30, 1989)
บทคัดย่อ	N/A
วิธีการศึกษา	The research is designed to encompass both micro- and macro- level. However, micro- analysis is the focus of the research, supplemented by macro-analysis, because the former will give more detailed analysis of the two specific tasks. Thai is, to utilize detailed data on the costs (Labour, material, equipment and capital cost) and out put (Acceptance rates) of public family planning provisions by contraceptive method as well as those on the capacity (relative share, price, and expansion potential) of private providers. Such micro data are collected from various sources of public delivery services (e.g., provincial public- health centers, provincial/district hospitals, and sub district public health centers) and private outlets in the 20 sample provinces, together with various sections of Bangkok. The unit of analysis at the macro level is, therefore, type of service units. The sample provinces and type of service units are drawn on the basis of purposive sampling in order to ensure cooperation and reliability of data as well as to cover a broad spectrum of the extent of private sector provision. The macro level- analysis of the cost of public provisions, which is used to supplement the micro- level analysis, is based on aggregate data at the provincial level. These data provide the overall picture on the family-planning budget allocation to the sample provinces and on the costs of public provisions in those provinces by method and type of service units. The data will be gathered from both the Ministry of Public Health and provincial public-health centers.
วิธีคิดค่าเสื่อมราคา	These costs are the summation of the current values plus the maintenance costs of the building areas incurred to Administrative, Family Planning, and Pharmaceutical Divisions. The current values plus the maintenance costs of vehicles used for family planning activities by Transportation Division are also included. Administrative Division: Capital costs are the product of the depreciation values plus the maintenance costs of the building within which this division is located and the proportion of total areas of the building for Administrative division and the proportion of working time the areas are used for solely for administrative activities weighted by family planning personnel expenditures as a proportion of total personnel expenditures. Family Planning Division: Capital costs are the product of the depreciation values plus the maintenance costs of the Building within which this division is Located and the proportion of total areas of the building used as Family Planning Division and the Proportion of total working time the areas are used only for family planning activities. Pharmaceutical Division: Capital costs are the product of the depreciation values plus the maintenance costs of the building within which this division is located and the proportion of total area of the building used as Pharmaceutical Division and the proportion of total working time the areas are used solely for pharmaceutical activities, weighted by the proportion of total drug items that are family planning items. Transportation Division: Capital costs are the summation of the product of the depreciation values plus the maintenance costs of each vehicle used in family planning-related activities and the proportion of the total working time each vehicle is spent on family planning related activities. If family Planning items are no transported separately, rather they are transported with other drug items, the product mentioned above will have to be weighted by the proportion of total drug items that are family planning items.
วิธีการกระจายต้นทุน	N/A
ผลการศึกษา

Table: Average cost per acceptor, per couple-year of contraception of All Regions and Bangkok (National Level)

	Average Cost (in Baht) per
Method of Contraception	Acceptor	Couple -year of Projection	Birth Averted
Pill	198	168	656
Injectables	263	275	1075
IUD	474	212	786
Norplant	1528	n.a.	n.a.
Condom	228	248	1249
Male Sterilization	1177	151	531
Female Sterilization	1253	135	474
All method	343	183	703

n.a. = not applicable

Table: Percentage share of cost component of al methods of contraception by type of service unit and for Bangkok Metropolls.

Type of Service Unit	Labour Cost	Capital Cost	Material Cost	Equipment Cost	Total Cost
Provincial PH Centre	38.2	19.6	28.8	13.4	100
Provincial Hospital	47.7	21.5	19.8	11	100
District Hospital	33.7	28.6	23.8	13.9	100
Sub district PH Centre	36.4	25.5	32.2	5.8	100
Bangkok Metropolis	42.7	23.8	20.5	13	100

Table: Number of family planning acceptors in sample provinces and region

Type of Service Unit and Region	Pill	Injectables	IUD	Norplant	Condom	Male Ster.	Female Ster.	All Method
Provincial PH Centre	7,054	3,021	538	s.n.a.	2,959	s.n.a.	s.n.a.	13,572
Provincial Hospital	19,165	18,607	9,678	192	2,306	564	9,664	63,176
District Hospital	39,870	41,317	21,516	367	7,566	830	11,731	123,197
Subdistrict PH Centre	43,392	22,315	1,466	s.n.a.	3,094	s.n.a.	s.n.a.	69,267
BANGKOK							.
PH Centre	12,994	11,409	2,923	s.n.a.	1,005	s.n.a.	s.n.a.	27,631
Hospital	4,285	3,429	1,129	-	1,780	216	2,543	13,382
Total	125,060	100,098	37,250	559	21,710	1,610	23,938	310,225
North	48,528	33,559	5,860	416	6,549	576	5,494	100,982
Northeast	40,293	29,185	22,556	37	7,245	474	12,357	112,147
Central	10,628	13,313	2,845	-	2,337	183	2,558	31,864
South	9,132	9,203	1,937	106	2,794	161	986	24,219
All Regions	108,481	85,260	33,198	559	2,785	1,394	21,395	269,212
Bangkok	16,579	14,838	4,052	-	2,785	216	2,543	41,013
Total	125,060	100,098	37,250	559	21,710	1,610	41,013	310,225

s.n.a. = Service not available