Role of private sector in family planning service delivery
Leoprapai, B.
Warasan Prachakon Lae Sangkhom 7(2): 11-17
1999
ISSN/ISBN: 0857-717X PMID: 12321936 Document Number: 375913
This study relied on the 1996 Thai National Contraceptive Prevalence Survey to determine the market role of the private sector (PS) in contraceptive distribution. Contraceptive prevalence increased from 53.4% to 72.2% during 1978-96. In 1996, the PS share was 24.7%. The PS supplies few IUDs and sterilization. The share of the market has remained stable for the PS, but the share by method has fluctuated. The market share of the IUD declined from 20% to 6.5% during 1978-96. Sterilization declined from 33% to 23%. Pill share increased from 26.2% to 45.1%. Condom share declined from 70.1% to 53.9%. The PS expanded in urban areas, especially in Bangkok, where 3 of 5 contraceptive acceptors relied on private sources. The Central region had the highest number of private acceptors. Drugs stores were the major source of supply of condoms and pills. Private clinics provided injectables, male sterilization, and IUDs. Private hospitals provided female sterilization services. In urban areas, the drug store and private clinics provided most supplies in 1987, although the role of the private clinic declined by 1996. In rural areas, the role of the drug store and private clinic remained the same in both years. The drug store dominated the market in all regions in 1987, except the South. By 1996, the private clinic had the market share in the South and Northeast. The drug stores and private clinics accounted for 81% and 89%, respectively, of all private sources in 1987 and 1996.