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Maternal and child health voucher scheme in Myanmar: a review of early stage implementation
- Source :
- BMC Health Services Research, Vol 16, Iss 1, Pp 1-10 (2016), BMC Health Services Research
- Publisher :
- Springer Nature
-
Abstract
- Background The Maternal and Child Health Voucher Scheme (MCHVS) was introduced in Myanmar to address the high rate of maternal and infant mortalities. It aimed to increase access to maternal and child health (MCH) services by skilled birth attendants (SBAs) and improve the health of pregnant women and their babies. A study to pilot a voucher scheme was implemented in May 2013 in Yedarshey Township. This paper provides a report on a mid-term review of the programme after 7 months of implementation to determine the outcomes of the programme and its impediments. Methods Quantitative and qualitative approaches were used. Secondary quantitative data were analysed in order to measure the coverage and utilisation of the programme. Semi-structured interviews were conducted in groups and individually with 79 key informants to explore qualitative information on voucher communication, beneficiary’s identification, voucher distribution, and challenges for beneficiaries and providers under the MCHVS. Results The results showed that 63 % of eligible pregnant women who registered to the programme received voucher booklets, while the utilisation of most of the MCH services increased over time; in particular, delivery by SBAs increased significantly (P
- Subjects :
- medicine.medical_specialty
Maternal and child health
Beneficiary
Health Promotion
Myanmar
Health informatics
Health Services Accessibility
Health administration
03 medical and health sciences
0302 clinical medicine
Nursing
Pregnancy
Infant Mortality
Medicine
Humans
Family
Maternal Health Services
030212 general & internal medicine
Child
Evaluation
Service (business)
business.industry
030503 health policy & services
Public health
Nursing research
lcsh:Public aspects of medicine
Health Policy
Child Health
Infant
lcsh:RA1-1270
Voucher
Incentive
Female
0305 other medical science
business
Program Evaluation
Research Article
Subjects
Details
- Language :
- English
- ISSN :
- 14726963
- Volume :
- 16
- Issue :
- 1
- Database :
- OpenAIRE
- Journal :
- BMC Health Services Research
- Accession number :
- edsair.doi.dedup.....9e19d65319f1aae1d5e14c8f86d63a89
- Full Text :
- https://doi.org/10.1186/s12913-016-1850-3