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Health Policy and Planning; 19(2): 88-100
© Oxford University Press 2004

Measuring family planning sustainability at the outcome and programme levels

Rob Stephenson1, Amy Ong Tsui1 and Rodney Knight2

1 Bill and Melinda Gates Institute for Population and Reproductive Health, Department of Population and Family Health Sciences, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA and
2 Principia International Inc., Chapel Hill, North Carolina, USA

The paper examines the validity of two indices of sustainability: family planning programme sustainability (PSI) and outcome sustainability (OSI) developed by Tsui and Knight (1997) by applying their original method to recent data. The indices succeed in identifying the directional path of programme and outcome sustainability. Close correlations are found between PSI and OSI predicted values and actual programme and outcome values. The indices provide a repeatable method for measuring sustainability, although they are sensitive to data measurement errors. The indices provide a policy tool for funding decisions but should be used with other data sources to judge sustainability.


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