Table 3 Key design features
From: A Policy Analysis of the implementation of a Reproductive Health Vouchers Program in Kenya
Key features | Characteristics |
|---|---|
1. Benefit package | |
Safe motherhood (SM) | |
Management of labour and complications | âś“ Delivery- vacuum extraction and caesarean care |
âś“ Emergency obstetric care; manage all stages of labour | |
âś“ Refer for emergency obstetric care services | |
âś“ Management of postpartum hemorrhage, eclampsia but not abortion related issues | |
âś“ Management of retained placenta, prolonged labour/obstructed, ruptured uterus. | |
âś“ Four ANC visits | |
Post natal care | âś“ Within six hours of delivery examination of clients for danger signs |
âś“ Referral for postpartum hemorrhage, third degree tear | |
âś“ Newborn care and referral for sick new born | |
âś“ Post operative care for Caesarean section | |
âś“ Review mother and counsel on infant feeding practices | |
âś“ Contraception and PMTCT services | |
Long term Family planning methods | âś“ Long-term contraception methods but at present underutilized- implants, IUCD, male and female voluntary surgical contraception |
Gender based violence | âś“ Medical examination and treatment and management of injuries |
âś“ Hospitalization and accommodation | |
âś“ Laboratory testing and X-rays including (HIV/AIDS, High Vaginal Swab, Hepatitis, Pregnancy, Syphilis, Urinalysis, Haemogram, Liver Function | |
âś“ Access to pregnancy prevention medication & antiretroviral drugs | |
âś“ Professional counselling | |
2. Quality Assurance | |
Infrastructure and basic services | âś“ Facilities with basic equipment and infrastructure and staff according to the level of care |
âś“ Provision of basic emergency and comprehensive obstetric care | |
Monitoring quality | âś“ Documentation of treatment given including filling in the partograph, patient file notes and register |
âś“ Documentation to facilitate reimbursements and claims | |
âś“ Analysis of claims data regularly every three months | |
3. Selection of facilities and accreditation process | |
Selection of providers | âś“ Mapping of facilities in selected districts based on level of care and service given (basic and comprehensive obstetric care) and licensed service providers |
âś“ Selection made by an assessor using set criteria | |
Contracting providers and distributors | âś“ Contractual agreements with selected VSPs and distributors |
4. Marketing and distribution | |
Distribution process | âś“ Two mechanisms used; direct approach distribution where vouchers are sold to clients in their homes; use of specific locations- where clients will go to specific points to access the vouchers such as preferred fixed selling points such as pharmacies. |
Marketing strategy | âś“ Designed to use local media, radio shows, vans buses, fliers and posters and marketed as VOCHA brand |
5. Claims and reimbursement process | |
Claims processing | âś“ Time line pegged at a month from presenting claim with proper documentation |
Reimbursement | âś“ Reimbursement fee set based on a market analysis of what different facilities charged and negotiated |
6. Management system | âś“ System of managing program with clearly defined roles |