Vouchers as demand side financing instruments for health care: A review of the Bangladesh maternal voucher scheme

Schmidt, Jean-Olivier; Ensor, Tim; Hossain, Atia; Khan, Salam

doi:10.1016/j.healthpol.2010.01.008

Cited by 69 publications

(77 citation statements)

References 10 publications

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“…20,21 Bangladesh Perhaps due to its rising income and education levels, Bangladesh has seen a greater reduction in its MMR than Pakistan. 1 Despite this, most births (79%) take place without skilled attendance and the public sector is characterised by inadequate supplies and equipment, high absenteeism and vacant posts. 1 In Bangladesh, every year about three million deliveries take place and around 12,000 women die due to pregnancyrelated causes.…”

Section: Pakistanmentioning

confidence: 99%

“…1 Despite this, most births (79%) take place without skilled attendance and the public sector is characterised by inadequate supplies and equipment, high absenteeism and vacant posts. 1 In Bangladesh, every year about three million deliveries take place and around 12,000 women die due to pregnancyrelated causes. 22 While only 12% of deliveries had skilled birth attendance in 2000, this proportion had increased to 20% in 2006.…”

Section: Pakistanmentioning

confidence: 99%

“…24 Though use of antenatal care, skilled birth attendance and emergency obstetric care are mediated by a range of factors, there is increasing evidence that financial and other barriers are important in determining service uptake. 1,25 Government and donor investment in improvements in service availability, training, drugs and equipment are offset by persisting difficulties with access to care experienced by poor women and their families. 8 The barriers women face are usually multiple and overlapping 24 and include: a lack of information about where and when to seek care; distance to a facility; substantial direct and indirect costs; age and gender-based norms concerning decision-making; the impact of status and caste; the allocation of family resources for women's health, and socio-cultural norms favouring home births over institutional deliveries.…”

Section: Difficulties In Access To Maternal Health Carementioning

confidence: 99%

“…[1][2][3] In these countries, however, women's uptake of maternal health care services remains strongly associated with wealth, and high financial costs are considered a major barrier in maternal health care utilisation. 1,[3][4][5][6] Against this background, governments and donors are exploring ways to reduce cost barriers for pregnant women. 5 Several demand-side financing schemes, designed to stimulate demand for maternal health care, have been implemented in South Asia.…”

mentioning

confidence: 99%

See 3 more Smart Citations

Improving access to maternity services: an overview of cash transfer and voucher schemes in South Asia

Jehan¹,

Sidney

Smith

et al. 2012

Reproductive Health Matters

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Section: Pakistanmentioning

confidence: 99%

Section: Pakistanmentioning

confidence: 99%

Section: Difficulties In Access To Maternal Health Carementioning

confidence: 99%

mentioning

confidence: 99%

See 2 more Smart Citations

Improving access to maternity services: an overview of cash transfer and voucher schemes in South Asia

Jehan¹,

Sidney

Smith

et al. 2012

Reproductive Health Matters

View full text Add to dashboard Cite

“…[4][5][6] However, few studies have documented some issues with the implementation of scheme like problem in timely disbursement of cash incentive and lacking awareness about the scheme. 7,8 The assessment of scheme in selected states of India concluded that a varied proportion of beneficiaries ranging from 5-44% received the cash incentive. 9 JSY scheme was launched in the year 2007 in Chandigarh city.…”

Section: 2mentioning

confidence: 99%

Factors influencing Janani Suraksha Yojana utilization in a Northern city of India

Goel

Sharma

Rani³

2017

Int J Reprod Contracept Obstet Gynecol

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Background: Janani Suraksha Yojana (JSY) was launched by Government of India with an objective of increasing institutional delivery. After years of operationalization in the Union territory of Chandigarh, no studies have documented the extent of its utilization and in-turn, effectiveness of its implementation. The aim and objectives of the study was to ascertain the extent of utilization of JSY scheme and to explore the factors influencing its uptake.Methods: It was a community based cross-sectional mixed method concurrent study conducted from August 2012 to March 2014 in Chandigarh city. A total of 100 women residing in the catchment areas of primary and secondary level health care facilities of Chandigarh who gave birth in proceeding two years (2011 and 2012) were interviewed using a structured questionnaire and in-depth interview checklist by trained field investigators. Data analysis was done using SPSS software for windows (version 17).Results: A total of 100 mothers were approached out of which 94 delivered in institution and 34 received JSY benefit. Logistic regression model suggested that more than 3 ANC visits by women was significantly associated with the uptake of JSY benefit (OR= 17.4). The factors influencing decreased uptake of scheme were sub-optimal incentive, delayed payment, problem in arranging for a residence proof and lot of administrative paper work.Conclusions: Though the JSY scheme led to high rate of institutional delivery but the monetary incentive was not availed by most of the beneficiaries. There is a need to remove the bottlenecks and thus ensure smooth delivery of cash benefits.

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Conditional cash transfer policies in maternal health service utilization in Nepal: Analysis of safe delivery incentive program (Aama Surakshya Karyakram) using Kingdon's multiple streams framework

Khanal

2018

Health Planning & Management

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SummaryVarious factors limit access to and utilization of health services even when provided at subsidized cost. This results in poor utilization of services that contributes to further economic impoverishment and health care disparity. Many countries are experimenting with various approaches to tackle the poor utilization of health care services including demand‐side financing policy. This paper explains the policymaking process during the formulation of safe delivery incentive program, a conditional cash transfer program in Nepal using Kindgon's multiple streams framework. Analysis of earlier policies and programs around safe motherhood concludes that high transportation cost was a major cause for poor utilization of institutional obstetric care, despite being provided at free of cost. Health was recognized as fundamental constitutional right in 2007. This assured societal support and political commitments for protecting health constitutionally. Furthermore, there was commitment from external development partners (EDPs) for investment in maternal health. Together, these problem, policy, and politics opened Kingdon's “windows of opportunity” for formulation of conditional cash transfer policy. This paper presents evolution of Aama Surakshya Karyakram and uses Kingdon's multiple streams framework to explain how problem, policy, and politics streams converged together to allow this program to be introduced in Nepal.

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Vouchers as demand side financing instruments for health care: A review of the Bangladesh maternal voucher scheme

Cited by 69 publications

References 10 publications

Improving access to maternity services: an overview of cash transfer and voucher schemes in South Asia

Improving access to maternity services: an overview of cash transfer and voucher schemes in South Asia

Factors influencing Janani Suraksha Yojana utilization in a Northern city of India

Conditional cash transfer policies in maternal health service utilization in Nepal: Analysis of safe delivery incentive program (Aama Surakshya Karyakram) using Kingdon's multiple streams framework

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