Vernon R, Ojeda G, Townsend M C
Population Council, Bogotá, Colombia.
Stud Fam Plann. 1988 Nov-Dec;19(6 Pt 1):354-60.
Three operations research experiments were carried out in three provinces of Colombia to improve the cost-effectiveness of Profamilia's nonclinic-based programs. The experiments tested: (a) whether a contraceptive social marketing (CSM) strategy can replace a community-based distribution (CBD) program in a high contraceptive use area; (b) if wage incentives for salaried CBD instructors will increase contraceptive sales; and (c) whether a specially equipped information, education, and communication (IEC) team can replace a cadre of rural promoters to expand family planning coverage. All three strategies proved to be effective, but only the CSM system yielded a profit. Despite this, Profamilia discontinued its CSM program soon after the experiment was completed. Unexpected government controls regulating the price and sale of contraceptives in Colombia made the program unprofitable. As a result, family planning agencies are cautioned against replacing CBD programs with CSM. Instead, CBD programs might adopt a more commercial approach to become more efficient.
在哥伦比亚的三个省份开展了三项运筹学实验，以提高普罗法米拉（Profamilia）非诊所项目的成本效益。这些实验测试了：（a）在避孕药具高使用率地区，避孕社会营销（CSM）策略是否能够取代基于社区的分发（CBD）项目；（b）给受薪的CBD教员发放工资激励是否会增加避孕药具的销售量；以及（c）一支配备特殊设备的信息、教育与宣传（IEC）团队是否能够取代一批农村推广员来扩大计划生育覆盖范围。所有这三项策略都被证明是有效的，但只有CSM系统产生了利润。尽管如此，普罗法米拉在实验完成后不久就停止了其CSM项目。哥伦比亚政府对避孕药具价格和销售实施的意外管控使得该项目无利可图。因此，计划生育机构被警告不要用CSM取代CBD项目。相反，CBD项目或许可以采用更具商业性的方法来提高效率。
