To reduce inequities in reproductive health care by enabling access to services, while empowering...
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Transcript of To reduce inequities in reproductive health care by enabling access to services, while empowering...
To reduce inequities in reproductive health care by enabling access to services, while empowering the below poverty line (BPL) population to choose their own providers
The Voucher SystemDemand-side Financing
IFPS II Technical Assistance Project (ITAP)
Voucher Management System
Voucher Management
Agency
Voucher Redemption
Private Nursing Homes
Voucher Redemption
BPL Families Voucher Distribution
ASHA
Voucher Distribution
ANM
Voucher Distribution
Payment forServices
The Voucher System
• Provided high-quality private sector services at deep discount rates
• Expanded services cost-effectively even with under-staffing at government facilities
• Relieved pressure on government
• Enabled clients to save money
Photos by Suneeta Sharma (top) and Simply CVR (bottom)
Some Highlights
All Below Poverty Line
Above Poverty Line
0
10
20
30
40
50
30 2931
47 47 47
Improving AccessUse of Institutional Delivery Services
Endline 2009
Baseline 2007
Use
of
Inst
itu
tion
al
Deliv
ery
Serv
ices
(%)
All Below Poverty Line
Above Poverty Line
0
10
20
30
40
50
3633
37
42 43 42
Improving AccessUse of Modern Contraceptives
Endline 2009
Baseline 2007
U
se o
f M
od
ern
C
on
trace
pti
ves
(%)
Udham Singh Nagar
Naintal
Almora
Dehradun
Haridwar
BahadrabadImlikheda
Sustainable Financing and Scaling Up
Total population coverage in pilot: 0.15 million
Total population coverage in scale up: approx. 5.36 million
USAID contribution in demonstration: USD 170,666 for 12 months
GoUK funds for scale up: USD 1,045,000 for 12 months
The Voucher Scheme in Uttarakhand, India
POLICY PAYS OFFBuilding Foundations for Sustainable Health Programs
Mobile Health Clinic: Reaching the Underserved in
UttarakhandA fixed day, fixed time, and fixed place approach to provide primary
healthcare services in remote rural areas
Jamrani
18 k
m
25 kmChorgalia
25 kmBindukhatta
HALDWANI
Maldhanchour
33 k
mThari
Amgarhi
Kotabagh
Kamola
Dhamola
20 km
25
km 35
km
25 km
BHIMTAL-BISR
30 k
m
60 km
RAMNAGAR
Total 8 sites
Visit every 15 days
Camps in a month 16
Route Map of Mobile Health Clinic
Performance Statistics (JAN 09 – DEC 09)
• 195 Camps held
• 11,352 out-patients
registered
• Average patients per camp –
59.1
• IUD insertions – 189
• Pills distributed – 1,292
cycles
• Condoms distributed (packs
of 10)– 411,00 pieces
% Female Clients %Below Poverty Line Clients
% RH clients0
10
20
30
40
50
60
7067.6
31.1
52.4
Scaling up Mobile Health Clinic Coverage & Funding
Total population coverage in pilot: 0.5 million
Total population coverage in scale up: 10 million
USAID contribution in demonstration:
Capital Costs: Nil
Operating Costs: USD 186,000
GoUK funds for scale up:
Capital costs: USD 1.97 million
Operating Costs: USD 580,000