ABSTRACT

Ministries of Health in developing countries must make decisions regarding the allocation of investment and recurrent resources in order to move more efficiently toward achieving overall sectoral goals and objectives. This chapter explores the analysis of how demographic, socioeconomic, and programmatic factors are related to the output of the mobile units, with emphasis on including variables of policy and management relevance. Tunisia adopted a mobile model of family planning service delivery in 1968 to overcome the lack of health infrastructure and medical personnel in rural areas. In 1986, the Office National de la Famille et de la Population, with technical and financial assistance from the Population Council under a United States Agency for International Development contract, undertook a study of the costeffectiveness of mobile units which provide family planning services in Tunisia. The fixed costs of each unit were assumed to include labor compensation, vehicle repair and maintenance, vehicle fuel, and education outreach expenses.