To Have Versus To Have Not: A Cross-City Configurational Analysis of Social Service Contracting

2021 ◽  
pp. 027507402110600
Author(s):  
Bin Chen ◽  
Jiahuan Lu ◽  
Qiang Dong
Keyword(s):  
Social Service ◽  
Large Scale ◽  
Nonprofit Sector ◽  
Policy Issue ◽  
Small Scale ◽  
Supply Side ◽  
Service Needs ◽  
Government Contracting ◽  
Demand And Supply ◽  
Supply Side Factors

This study employs a fuzzy-set qualitative comparative analysis to explore how combinations of demand- and supply-side factors jointly shape the scale of government-nonprofit contracting in social services across 38 Chinese cities. Our analysis reveals a huge disparity by identifying two pathways to large-scale government contracting for “to-have” (well-resourced cities with low service needs but a well-developed nonprofit sector) versus the other two pathways to small-scale government contracting for “to-have-not” (poorly-resourced cities with an underdeveloped nonprofit sector struggling with meeting high service needs). The study contributes to the literature by highlighting how different demand- and supply-side factors can complement each other to form different combinations in shaping the scale of government contracting with new empirical evidence from an authoritarian context. The rise of government-nonprofit contracting in China is more supply-driven, reflecting the government's active role in cultivating the nonprofit sector development. The findings also raise an important policy issue of accessibility and equity in social service provision.

scholarly journals Demand- and supply-side factors associated with the use of contraceptive methods in Pakistan: a comparative study of demographic and health surveys, 1990–2018

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Sadia Jabeen ◽  
Adnan Rathor ◽  
Maria Riaz ◽  
Rubeena Zakar ◽  
Florian Fischer
Keyword(s):  
Family Planning ◽  
Health Surveys ◽  
Media Exposure ◽  
Data Series ◽  
Demographic And Health Surveys ◽  
Supply Side ◽  
Contraceptive Methods ◽  
Demand And Supply ◽  
Factors Associated ◽  
Supply Side Factors

Abstract Background A remarkable decline in fertility rates has been observed in many countries, with a primary determinant being an increase in the use of contraceptives. However, the birth rate in Pakistan is still higher compared to the other countries of the region. Therefore, this study aims to assess the effect of demand- and supply-side factors associated with the use of contraceptive measures in Pakistan. Methods Secondary data analysis of four data series of the Pakistan Demographic and Health Surveys (PDHS 1990–1991, 2006–2007, 2012–2013 and 2017–2018) were used. The data includes ever-married women aged 15–49 years who had given birth in the previous five years and participated in the family planning module of the PDHS. A total of 25,318 women were included in the analysis. Data were analysed by investigating the associations between independent variables (demand- and supply-side factors) and the use of contraceptive measures through unadjusted odds ratios (OR) and adjusted OR (AOR). Results The results among demand-side factors indicated that in 2012–2013, women without media exposure were less likely to use contraceptives and the trend remains almost constant for 2017–2018 (AOR = 0.664, 95% CI 0.562–0.784) in 2012–2013 and (AOR = 0.654, 95% CI 0.483–0.885) in 2017–2018. However, they still show a lower likelihood of using contraceptives without media exposure. The results among supply-side factors indicated that absence of transport (2012–2013) and limited visits by family planning workers over the previous 12 months (2006–2007, 2012–2013 and 2017–2018) remained significant factors for not using contraceptive methods. Conclusions The results of the study indicate that certain demand- and supply-side factors are associated with the use of contraceptive measures in Pakistan. It highlights the need for the provision of family planning resources and further structural factors, particularly in remote areas.

ROLE OF COMMUNITY AND CONTEXT IN CONTRACEPTIVE BEHAVIOUR IN RURAL WEST BENGAL, INDIA: A MULTILEVEL MULTINOMIAL APPROACH

2016 ◽  
Vol 49 (1) ◽  
pp. 48-68 ◽  
Author(s):  
Saswata Ghosh ◽  
Md. Zakaria Siddiqui
Keyword(s):  
West Bengal ◽  
Community Level ◽  
Small Scale ◽  
Supply Side ◽  
Individual Level ◽  
Child Health Outcomes ◽  
Multinomial Logit Models ◽  
Supply Side Factors ◽  
Method Mix

SummaryStudies examining the influence of community-level interactions and contextual/supply-side factors in determining contraceptive choices have yielded mixed results in the context of rural India. Using small-scale survey data of 1348 women from rural West Bengal and by employing multilevel multinomial logit models, this study tested the influence of these factors after controlling for various socio-demographic and individual-level socioeconomic factors. The study reveals that supply-side intervention strategies, i.e. addressing outreach and advocacy activities and socio-religious needs at the community level, are essential prerequisites to breaking away from the predominance of sterilization in the contraceptive method-mix and enhancing the adoption of modern reversible contraceptives for improved spacing of births – a crucial factor in maternal and child health outcomes.

scholarly journals Demand- and supply-side factors affecting utilisation and provision of maternal health services under the free maternal health care policy in one municipality in Northern Ghana

2021 ◽  
Author(s):  
Philip Ayizem Dalinjong ◽  
Alex Y Wang ◽  
Caroline SE Homer
Keyword(s):  
Maternal Health ◽  
Health Care Policy ◽  
Supply Side ◽  
Care Policy ◽  
Maternal Deaths ◽  
Demand And Supply ◽  
Factors Affecting ◽  
Provision Of Services ◽  
Emergency Transport ◽  
Supply Side Factors

Abstract BackgroundA free maternal health care policy was introduced in Ghana in 2008 to cater for the health needs of pregnant women for the reduction of maternal deaths. Experiences from other regions and countries show that demand- and supply-side factors often affect the success of such policies although this is unknown in this context. The study aimed to assess demand- and supply-side factors affecting the utilisation and provision of services during pregnancy under the policy. MethodsA convergent parallel mixed methods study was undertaken, collecting quantitative and qualitative data. The study was carried out in the Kassena-Nankana East Municipality in Ghana. Questionnaire were used to collect data from women (n=406) who utilised services during pregnancy. Focus group discussions with women (n=10) and in-depth interviews with midwives and nurses (n=25) were also conducted. Quantitative data were analysed and presented using descriptive statistics. Qualitative data were audio-recorded, transcribed and coded using themes and sub-themes. ResultsBoth demand- and supply-side factors impacted the use and provision of services. Distance and time to facilities challenged the use of services. Supply-side factors such as laboratory services, equipment, drugs and supplies were not adequately available. Antenatal, childbirth and postnatal services were carried out together in the same rooms at the community-based health planning and services (CHPS) compounds. Emergency transport was also unavailable for referral of emergencies. ConclusionDemand- and supply-side factors were reported to impede the use and provision of services. Government and stakeholders should prioritise building as well as expanding the infrastructure of CHPS compounds. Emergency transport for women should also be provided. These together may contribute to improving the use and provision of services, leading to a reduction in maternal deaths and achievement of universal health coverage.

scholarly journals Demand and Supply Side Factors Associated with the Use of Contraceptive Methods in Pakistan: A Contemplative Study of Demographic and Health Surveys, 1990-2018

2020 ◽  
Author(s):  
Sadia Jabeen ◽  
Adnan Rathor ◽  
Maria Riaz ◽  
Rubeena Zakar ◽  
Florian Fischer
Keyword(s):  
Family Planning ◽  
Health Surveys ◽  
Media Exposure ◽  
Data Series ◽  
Demographic And Health Surveys ◽  
Supply Side ◽  
Contraceptive Methods ◽  
Demand And Supply ◽  
Factors Associated ◽  
Supply Side Factors

Abstract Background A remarkable decline in fertility rates has been observed in many countries, with a primary determinant being an increase in the use of contraceptives. Therefore, this study aims to assess the effect of demand and supply-side factors associated with the use of contraceptive measures in Pakistan. Method: Secondary data analysis of four data series of the Pakistan Demographic and Health Surveys (PDHS 1990–91, 2006–07, 2012–13, and 2017–18) were used. The data includes ever-married women aged 15–49 years who had given birth in the previous five years and participated in the family-planning module of the PDHS. A total number of 25,318 women were included in the analysis. Data was analysed by investigating the associations between independent variables (demand and supply-side factors) and the use of contraceptive measures through unadjusted Odds Ratios (OR) and adjusted OR (AOR). Results A majority of the women were illiterate and not in employment. There was an increase in the number of women who did not use contraceptive methods in rural areas over time. Among demand-side factors, the results indicated that, in 2012–13, women without media exposure were less likely to use contraceptives (OR 0.396, 95% CI 0.353–0.442), and the trend remains almost constant for 2017–18 (OR 0.432, 95% CI 0.391–0.477). These findings change slightly in the adjusted analysis (AOR 0.664, 95% CI 0.562–0.784) in 2012–13 and (AOR 0.654, 95% CI 0.483–0.885) in 2017–18; however, they still show a lower likelihood of using contraceptives without media exposure. Among supply-side factors, the results indicated that absence of transport (2012–13) and limited visits by family-planning workers over the previous 12 months (2006–07, 2012–13, and 2017–18) remained significant factors for not using contraceptive methods. Conclusion The results of the study indicate that certain demand and supply-side factors are associated with the use of contraceptive measures in Pakistan. It highlights the need for the provision of family-planning resources and further structural factors, particularly in remote areas.

scholarly journals Demand and Supply Side Factors Associated with the Use of Contraceptive Methods in Pakistan: A Contemplative Study of Demographic and Health Surveys, 1990-2018

2019 ◽  
Author(s):  
Sadia Jabeen ◽  
Adnan Rathor ◽  
Maria Riaz ◽  
Rubeena Zakar ◽  
Florian Fischer
Keyword(s):  
Family Planning ◽  
Health Surveys ◽  
Media Exposure ◽  
Data Series ◽  
Demographic And Health Surveys ◽  
Supply Side ◽  
Contraceptive Methods ◽  
Demand And Supply ◽  
Factors Associated ◽  
Supply Side Factors

Abstract Background A remarkable decline in fertility rates has been observed in many countries, with a primary determinant being an increase in the use of contraceptives. Therefore, this study aims to assess the effect of demand and supply-side factors associated with the use of contraceptive measures in Pakistan.Method Secondary data analysis of four data series of the Pakistan Demographic and Health Surveys (PDHS 1990–91, 2006–07, 2012–13, and 2017–18) were used. The data includes ever-married women aged 15–49 years who had given birth in the previous five years and participated in the family-planning module of the PDHS. A total number of 25,318 women were included in the analysis. Data was analysed by investigating the associations between independent variables (demand and supply-side factors) and the use of contraceptive measures through unadjusted Odds Ratios (OR) and adjusted OR (AOR).Results A majority of the women were illiterate and not in employment. There was an increase in the number of women who did not use contraceptive methods in rural areas over time. Among demand-side factors, the results indicated that, in 2012–13, women without media exposure were less likely to use contraceptives (OR 0.396, 95% CI 0.353–0.442), and the trend remains almost constant for 2017–18 (OR 0.432, 95% CI 0.391–0.477). These findings change slightly in the adjusted analysis (AOR 0.664, 95% CI 0.562–0.784) in 2012–13 and (AOR 0.654, 95% CI 0.483–0.885) in 2017–18; however, they still show a lower likelihood of using contraceptives without media exposure. Among supply-side factors, the results indicated that absence of transport (2012–13) and limited visits by family-planning workers over the previous 12 months (2006–07, 2012–13, and 2017–18) remained significant factors for not using contraceptive methods.Conclusion The results of the study indicate that certain demand and supply-side factors are associated with the use of contraceptive measures in Pakistan. It highlights the need for the provision of family-planning resources and further structural factors, particularly in remote areas.

The transition probabilities for inflation episodes in Ghana

2018 ◽  
Vol 13 (6) ◽  
pp. 2028-2046
Author(s):  
Philip Kofi Adom ◽  
Mawunyo Prosper Agradi ◽  
Christopher Quaidoo
Keyword(s):  
Time Series Data ◽  
Transition Probabilities ◽  
Supply And Demand ◽  
Series Data ◽  
Supply Side ◽  
Demand And Supply ◽  
Content Type ◽  
High Inflation ◽  
Annual Time Series ◽  
Supply Side Factors

Purpose Following the reforms in monetary policy and shift in fiscal policies, it is logical to presume that these reforms may cause a significant structural change in the dynamic processes of inflation and hence affect the nature of inflation persistence. The purpose of this paper is to examine the persistence nature of the different inflation episodes while controlling for the effects of demand- and supply-side factors, which are modeled as regime-dependent. Design/methodology/approach This paper used the Markov-switching dynamic regression and annual time series data. Findings The results showed that high inflation regime is more persistent than low inflation regime, with a respective average duration of an escape of 3.5 and 2.57 years, which suggests that price stability achievements are less sustainable. In both regimes, demand- and supply-side factors play significant roles in driving inflation, but the effect of the latter dominates. Thus, on the argument of whether inflation in Ghana is structural or monetary, the results support the former. The roles of both structural and monetary factors have changed over time, but that of the former has been more significant and important in Ghana. Originality/value This study provides the first empirical attempt, in the case of Ghana, that examines the persistence nature of different inflation regimes, while modeling the effects of supply and demand factors as regime dependent. In the modeling sense, the authors also contribute by ruling out the assumption that the researcher knows the processes responsible for each observation at each point in time.

scholarly journals Effect of a package of integrated demand- and supply-side interventions on facility delivery rates in rural Bangladesh: Implications for large-scale programs

PLoS ONE ◽  
2017 ◽  
Vol 12 (10) ◽  
pp. e0186182 ◽  
Author(s):  
Sayedur Rahman ◽  
Aziz Ahmed Choudhury ◽  
Rasheda Khanam ◽  
Syed Mamun Ibne Moin ◽  
Salahuddin Ahmed ◽  
...  
Keyword(s):  
Large Scale ◽  
Facility Delivery ◽  
Supply Side ◽  
Demand And Supply ◽  
Rural Bangladesh
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