Satia J K, Maru R M
Stud Fam Plann. 1986 May-Jun;17(3):136-45.
The Indian family welfare program has offered financial incentives since the early 1960s to both family planning motivators and acceptors of sterilization and the IUD. This article reviews the available evidence regarding the impact of incentives on the quality and quantity of family planning services in India. Administrative concerns related to the implementation of incentive programs are discussed, and the current debate on disincentives, as well as the brief period when disincentives were used, is summarized. The studies reviewed, though few in number and varying in quality and methodology, indicate that incentives to acceptors help to increase the level of contraceptive acceptance, especially when they are part of a well designed strategy of service delivery and client motivation. Incentives do not appear to have an adverse effect on quality of services and acceptors, and they do not seem to influence method choice. Disincentives, if they are used, should not impinge on fundamental individual rights of either the parents or the child.
自20世纪60年代初以来,印度家庭福利计划一直向计划生育推广人员以及绝育和宫内节育器的接受者提供经济激励。本文回顾了关于激励措施对印度计划生育服务质量和数量影响的现有证据。讨论了与激励计划实施相关的行政问题,并总结了当前关于抑制措施的辩论以及使用抑制措施的短暂时期。所审查的研究虽然数量不多,质量和方法也各不相同,但表明对接受者的激励有助于提高避孕措施的接受程度,特别是当它们成为精心设计的服务提供和客户激励策略的一部分时。激励措施似乎对服务质量和接受者没有不利影响,而且似乎也不会影响方法选择。如果使用抑制措施,不应侵犯父母或儿童的基本个人权利。