Reproductive Health Program, Population Council, New Delhi, India.
Health Office, United States Agency for International Development, New Delhi, India.
Int J Health Plann Manage. 2019 Oct;34(4):1078-1096. doi: 10.1002/hpm.2753. Epub 2019 Mar 15.
The private (commercial) sector in India can complement public sector for family planning services, but the roadmap to engage these two sectors remains a challenge. The total market approach (TMA) offers a strategy by understanding the comparative advantage of public, commercial, and nonprofit sectors. We estimated TMA indicators using data of four rounds of the National Family Health Surveys: 1992-93, 1998-99, 2005-06, and 2015-16. The contraceptive prevalence of modern methods in India did not increase in recent years, but the number of users increased, and so did the market size for the commercial sector. In rural areas, the current market size in 2015-16 (75 million) failed to reach its potential size in 1992-93 (84 million). In urban areas, the market of modern contraceptives is mostly composed of the users from higher wealth, and a high percentage of users obtain contraceptives from subsidized sources. The family planning market of northern part of Bihar and Uttar Pradesh and of Northeast India are in the "early" stage and need more demand generation; "matured" markets are mostly concentrated in and around big metros. Subsidization in urban areas should be offered to the targeted population who need family planning products and services at low cost.
印度私营（商业）部门可以为计划生育服务补充公共部门的力量，但让这两个部门参与进来的路线图仍然是一个挑战。总体市场方法（TMA）通过了解公共部门、商业部门和非营利部门的相对优势提供了一种策略。我们使用四轮全国家庭健康调查的数据（1992-93 年、1998-99 年、2005-06 年和 2015-16 年）来估计 TMA 指标。近年来，印度现代避孕方法的避孕普及率没有增加，但使用者的数量增加了，商业部门的市场规模也扩大了。在农村地区，2015-16 年的当前市场规模（7500 万）未能达到 1992-93 年的潜在规模（8400 万）。在城市地区，现代避孕药具市场主要由高财富水平的使用者组成，很大一部分使用者从补贴来源获得避孕药具。比哈尔邦北部和北方邦以及印度东北部的计划生育市场处于“早期”阶段，需要更多的需求产生；“成熟”的市场主要集中在大城市及其周边地区。城市地区应该向需要低成本计划生育产品和服务的目标人群提供补贴。
