Each year $250 million is allocated by donor agencies to developing countries for fertility
reduction purposes. This article develops an economic optimizing procedure based upon
fertility reduction effectiveness ratings on experts in the population field andjudgmental
diminishing returns patterns. The model is used to allocate this expenditure over strategies, social settings, and program implementation capabilities to maximize the reduction
in births. This allocation is compared with the actual allocation, and the reasons for the
disparity are discussed. These reasons relate to the role of efficiency-based benefit-cost
analysis in policy decisions.
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