Effect of Introducing an ‘Afternoon Pay Clinic’ on Service Utilization and Cost Recovery

The Chhetrapati Family Welfare Center (CFWC) in Nepal provided comprehensive family planning and maternal and child health (MCH) services during morning hours. Because no services were provided in the afternoon hours, full-time staff was not fully utilized. An operations research study was initiated with financial and technical assistance from the FRONTIERS Program to examine whether introducing an afternoon clinic at the CFWC with a substantially higher registration fee could improve cost recovery by adding more to program revenues than to program costs.