Increasing Access to Institutional Deliveries Using Demand and Supply Side Incentives

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The document discusses a study that aims to increase institutional deliveries in Uganda by using demand and supply side incentives. The study uses a cluster randomized trial across 4 sub-districts, with 2 as intervention and 2 as control. The intervention provides vouchers for transport and maternity services to address barriers like cost and distance that prevent the poor from accessing facilities. The study assesses the effectiveness of the voucher system in increasing facility deliveries, especially among the poor. It also evaluates impacts on birth outcomes, antenatal care, and postnatal care utilization.

Health & Medicine

Making Health Systems Work for the Poor Increasing Access to Institutional Deliveries Using Demand and Supply Side Incentives Elizabeth Ekirapa-Kiracho Makerere University School of Public health Research Coordinator, FHS Uganda XII Ascon, Dhaka

Outline of the presentation ,[object Object],[object Object],[object Object],[object Object],[object Object]

Introduction ,[object Object],[object Object],[object Object]

Increasing access to services for the poor ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[Gwatkin et al (2004),Jacobs et al (2005),Lagarde et al (2007),Peters et al (2007)]

Interventions that increase access ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[Arblaster et al ( 1996), Victoria et al ( 2007) ]

Why maternal health services? ,[object Object],[object Object],[object Object],[object Object],.

Why maternal health services? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],.

Demand and supply side initiatives ,[object Object],[object Object],[object Object],[object Object]

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Specific Objectives ,[object Object],[object Object],[object Object]

Methodology ,[object Object],[object Object],[object Object]

Methodology ,[object Object],[object Object],[object Object],[object Object],[object Object]

Main activities during the intervention ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Barriers to the poor using services ,[object Object],[object Object],[object Object],[object Object],[object Object],[ Amooti et al (1997); Atuyambe et al (2005;) Kyomuhendo et al (2003); Munaaba (1995);Waiswa ( 2008) ]

Focus on the poor - Implementation in rural areas

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Performance based method of payment ,[object Object],[object Object],[object Object]

Increasing access to institutional delivery

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