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Table 1 Characteristics of two Indian demand-side financing programs for maternal health

From: An evaluation of two large scale demand side financing programs for maternal health in India: the MATIND study protocol

 

 CY – a voucher program (Gujarat) 

 JSY – a conditional cash transfer (MP) 

 Area of Operation 

Gujarat (60.4 million)

Nationwide (studied here in Madhya Pradesh) (72.6 million)

 Context 

Socioeconomically relatively advanced: MMR half of that in MP (142/100 000), 16% population below the poverty line

Poor socioeconomic indicators, MMR (310/100 000), largely rural province, 38% of the population below the poverty line

 Target group 

Mothers below poverty line and tribal mothers

All mothers

 Type of Program 

Payment by state to the private provider i.e. obstetrician (voucher based)

CCT – payment by state to the mother (conditional cash transfer)

 Incentive for 

Institutional delivery

Institutional delivery

 Accepted place of delivery 

Empanelled private sector obstetric facilities

Public sector institutions largely

 Involvement of private sector 

Yes

Yes (extremely restricted)

 Payment mechanism 

Providers paid per block of 100 deliveries (20% in advance)

Payment to woman at the time of discharge from hospital after delivery

 Quantum of payment 

A flat amount of INR 288000($5760) is paid to the obstetrician per 100 women (regardless of delivery type)

INR1400 ($28) to rural mothers on discharge (INR1000 to urban mothers).

 Expected effect 

Provides access to EmOC care – which is available more widely

Increase institutional delivery, hence access to EmOC

 Support for Emergency transport 

Centralized 108 ambulance system

Decentralized Janani Express model