What drives health policy formulation: Insights from the Nepal maternity incentive scheme?

Ensor, Tim; Clapham, S.; Prasai, Devi Prasad

doi:10.1016/j.healthpol.2008.06.009

Cited by 38 publications

(39 citation statements)

References 7 publications

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“…3 Recent figures suggest maternal mortality has decreased from 550 per 100,000 live births in 2000 to 380 in 2008 (Figure 1). Though it has not been possible to isolate the drivers of the recent maternal mortality decline, it is likely to be partially due to the legalisation of abortion in 2002.…”

Section: Nepalmentioning

confidence: 99%

“…12 In mountainous areas, skilled birth attendance is estimated at just 7%. 3 A national free delivery policy was launched in Nepal in January 2009, though reports of user charges persist and outcomes of this policy are still being monitored. 13 …”

Section: Nepalmentioning

confidence: 99%

“…1,24,26 Of these obstacles, the cost of services and other financial barriers are perceived by poor women as one of the major reasons against delivering in a health facility. 2,3,27 Health policy and decision-makers have therefore focused attention on mechanisms to address the cost barriers that women face.…”

Section: Difficulties In Access To Maternal Health Carementioning

confidence: 99%

“…12 At the same time, they are considered more relevant than simply free service provision, as they often cover extra costs, such as transport. 3 If designed and implemented well, it is argued that cash transfers are affordable and cost-effective for funders and can be scaled up easily. 9 Both the major cash transfer schemes in Nepal and India are deployed nationwide.…”

Section: 8mentioning

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 4 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: Nepalmentioning

confidence: 99%

Section: Nepalmentioning

confidence: 99%

Section: Difficulties In Access To Maternal Health Carementioning

confidence: 99%

Section: 8mentioning

confidence: 99%

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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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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Who shapes the environmental policy in the global south? Unpacking the reality of Nepal

Aryal

Laudari

Neupane

et al. 2021

Environmental Science & Policy

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What drives health policy formulation: Insights from the Nepal maternity incentive scheme?

Cited by 38 publications

References 7 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

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

Who shapes the environmental policy in the global south? Unpacking the reality of Nepal

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