Table 1 Factors that affect voucher use
Facilitating factors* | ||
|---|---|---|
Pre-existing | Distribution | Redemption |
• Existing demand for family planning (9/9) | • Community-based distribution (6/9) | • Cost (free) (9/9) |
• Knowledge of health risks (9/9) | • Support and facilitation by village chief (6/9) | • Transportation reimbursement (9/9) |
• Positive experiences at health centers (9/9) | • Information about health services (3/9) | • Ease of use (9/9) |
• Joint decision-making about family planning with partners (5/9) | • Perceived quality of life improvements (5/9) | |
• Personal decision-making about family planning (3/9) | ||
Inhibiting factors* | ||
Pre-existing | Distribution | Redemption |
• Experiences with side effects of contraception (5/9) | • Confusion about voucher program logistics (4/9) | • Limited locations and services (3/9) |
• Male partner resistance to family planning (3/9) | • Perceived poverty misclassification (3/9) | • Confusion with other programs (3/9) |
• Informal costs or “tea money” (3/9) | • Missed distribution opportunities (3/9) | • Negative reactions from providers at hospitals (3/9) |
• Preference for traditional care (3/9) | • Fear of hidden costs (2/9) | |