John Bua of Makerere University presents on a voucher scheme in Eastern Uganda to transport pregnant women to the care facility at iHEA 2011 in Toronto, Canada.
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Impact of voucher system on access to maternal and child health services in Eastern Uganda
1. Making Health Systems Work for the Poor Impact of voucher system on access to MCH services in Eastern Uganda Makerere University School of Public health John Hopkins University FHS Uganda
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8. Intervention Vouchers for transport Vouchers for MCH services Maternal child health services Pregnant women in control Maternal child health services Training Supervision Supplies, drugs and equipment Pregnant women in Intervention
9. Cost of service vouchers 0.32 0.46 PNC 24.95 49.9 C/section 2.30 3.07 DELIVERY 0.32 0.46 ANC 1,2,3&4 Implementation phase 1 st Cost Price 0.86 1.15 PNC 43.19 57.58 C/section 4.32 5.76 DELIVERY 0.86 1.15 ANC 2,3&4 0.72 0.96 ANC 1 Pilot Phase Cost Price Public ($) Private ($)
Looking at access in terms of ; Utilisation of services Availability of health workers Quality of MCH services offered/perceived quality Geographical accessibility Financial accessibility Structural accessibility .i.e. Equipment for MCH, drugs and sundries
Health System strengthening Training of health workers Support supervision Supplies Drugs and equipment.
These are preliminary results as the study is still on going.
Findings based on the qualitative information received.