Cost Effectiveness of Reproductive Health Interventions in Uganda: The Case for Family Planning Services

Last updated January 2009
Sarah Ssewanyana; Ibrahim Kasirye

Although Uganda has devoted an increasing amount of resources to health interventions, funding for reproductive health services as well as general health sector remains inadequate. As such without improving the efficiency of current reproductive health interventions, Uganda is unlikely to meet so me of its Millennium Development Goals relating to maternal health. This study examines the cost effectiveness of four family planning interventions namely: oral contraception, female sterilization, injectables, and condoms. Using the 2006 Uganda Demographic survey, we estimate cost effectiveness ratios in relation to number of births averted for women aged 15-49 years. We find that use of contraceptives still limited with only one out of five women using some form of contraceptive. Worse still, at least a quarter of the women using contraceptives rely on traditional methods that are less effective in preventing child births. We regard to efficiency, we find that injectables are the most cost effective intervention. Nonetheless, we do not recommend solely targeting women in the reproductive age category with this particular method of contraception without due regard to differences in physiology.
Contact Information:
Sarah Ssewanyana,, Ibrahim Kasirye,, Makerere University