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  • Title: A cost-benefit analysis of the Mexican Social Security Administration's family planning program.
    Author: Nortman DL, Halvas J, Rabago A.
    Journal: Stud Fam Plann; 1986; 17(1):1-6. PubMed ID: 3083537.
    Abstract:
    A cost-benefit analysis of the family planning program of the Mexican Social Security System (IMSS) was undertaken to test the hypothesis that IMSS's family planning services yield a net savings to IMSS by reducing the load on its maternal and infant care service. The cost data are believed to be of exceptionally high quality because they were empirically ascertained by a retrospective and prospective survey of unit time and personnel costs per specified detailed type of service in 37 IMSS hospitals and 16 clinics in 13 of Mexico's 32 states. Based on the average cost per case, the analysis disclosed that for every peso (constant 1983 currency) that IMSS spent on family planning services to its urban population during 1972-1984 inclusive, the agency saved nine pesos. The article concludes by raising the speculative question as to the proportion of the births averted by the IMSS family planning program that would have been averted in the absence of IMSS's family planning services. A cost-benefit analysis of the family planning program of the Mexican Social Security System (IMSS) was undertaken to test the hypothesis that IMSS's family planning services yield a net savings to IMSS by reducing the load on its maternal and infant care service. The results indicate that the IMSS family planning program considerably reduced the demand on its maternal and infant care services. As a consequence of its family planning program, IMSS was able to divert a total of 318 billion pesos (1983 currency) from maternal and infant care to payments for pensions and general health services. In other words, for every peso that IMSS spent on family planning services to its urban population in 1972-1984, the agency saved 9 pesos. Consistent findings lend credence to estimates of the demographic impact of the IMSS family planning program on its urban population. Among the IMSS urban population, sterilization accounts for 57% of the prevalence rate. Another measure of the demographic impact is the decline in the total fertility rate from 6.5 children per woman in 1972 to 2.93 in 1985. The cost data for this analysis are believed to be of exceptionally high quality because they were empirically ascertained by a retrospective and prospective survey of unit time and personnel costs per specified detailed type of service in 37 IMSS hospitals and 16 clinics in 13 of Mexico's 32 states.
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