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Vouchers for health: Increasing utilization of facility-based family planning and safe motherhood services in Kenya

Vouchers for health: Increasing utilization of facility-based family planning and safe motherhood services in Kenya

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Published by ben_bellows
This case study describes a Kenyan demand- and supply- side pay-for performance (P4P) scheme that uses vouchers as a means to reduce maternal and child mortality. Subsidized vouchers are targeted to poor women, enabling increased access to a range of safe motherhood and family planning services. Accredited public and private health service providers are reimbursed for voucher-supported services provided. Findings show that uptake of safe motherhood vouchers was very successful; however uptake of family planning vouchers proved more complex. This case study provides an example of a Government-led program to increase service utilization and offers lessons for countries considering implementing similar voucher-driven schemes.
This case study describes a Kenyan demand- and supply- side pay-for performance (P4P) scheme that uses vouchers as a means to reduce maternal and child mortality. Subsidized vouchers are targeted to poor women, enabling increased access to a range of safe motherhood and family planning services. Accredited public and private health service providers are reimbursed for voucher-supported services provided. Findings show that uptake of safe motherhood vouchers was very successful; however uptake of family planning vouchers proved more complex. This case study provides an example of a Government-led program to increase service utilization and offers lessons for countries considering implementing similar voucher-driven schemes.

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Published by: ben_bellows on Dec 27, 2010
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04/10/2013

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Vouchers for health:IncreasIng utIlIzatIonof facIlIty-based famIlyPlannIng and safemotherhood serVIcesIn Kenya
his case study describes a Kenyan demand- and supply- side pay-for-performance (P4P) scheme that uses vouchers as a means to reducematernal and child mortality. Subsidized vouchers are targeted to poor women, enabling increased access to a range of safe motherhood and family planning services. Accredited public and private health serviceproviders are reimbursed for voucher-supported services provided.Findings show that uptake of safe motherhood vouchers was versuccessful; however uptake of family planning vouchers proved morecomplex. This case study provides an example of a Government-led program to increase service utilization and offers lessons for countriesconsidering implementing similar voucher-driven schemes.
B Bllws, Mahw Hamil, a Fracis K
Inside
Ab h P4P CasSis Sris
 
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Acrms
2
Irci
3
Backgr
5
Prgram Srcra Maagm
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Prgram Impac
17
Smmar
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Ackwlgms
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Rfrcs
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P4P
Case Studies-Kenya
ABout tHe P4P CASe StudIeS SeRIeS
P
a-fr-prfrmac (P4P) is a srag ha liks pam rsls. Halh scr sakhlrs, frm iraial rs gvrm a halh ssm plicmakrs, prgram maagrs,a halh car prvirs icrasigl s P4P as a impracmplm  ivsig i ips sch as biligs, rgs, araiig wh wrkig  srgh halh ssms a achivh Millim dvlpm Gals (MdGs) a hr argsha rprs br halh sas fr ppl. B prviigfiacial icivs ha crag wrk war agr-prsls, P4P hlps slv challgs sch as icrasig h qalif, as wll as accss  a s f halh srvics.Ma vlpig cris ar pilig r scalig p P4Pprgrams  m MdGs a hr halh iicars. eachcr’s xpric wih P4P is iffr, b b sharigapprachs a lsss lar, all sakhlrs will brrsa h prcsss a challgs ivlv i P4Pprgram sig, implmai, valai, a scal-p.this Halh Ssm 20/20 cas s sris, which prfilsmaral a chil halh-ri P4P prgrams i crisi Africa, Asia, a h Amricas, is i  hlp hscris a rs alra gag i P4P  fi- hirprgrams a hs ha ar cmplaig P4P  ap scha prgram as par f hir ffrs  srgh hir halhssm a imprv halh cms.Ax  ach cas s ar ls ha h cr s i isP4P prgram. th axs appar i h lcric vrsis(Cd-RoM a Halh Ssms 20/20 wb si) f h cas s.Ra eichlr, Ph.dtchical Avisr, Pa fr PrfrmacHalh Ssms 20/20 Prjc
ACRonyMS
AnC Aaal CarBtL Bilaral tbal LigaiFBo Faih-bas orgaizaiFP Famil PlaigGVR Gr-bas Vilc RcvrIGeS Isi für Gshis Szialfrschg GmbH (Isifr Halh a Scial Rsarch,L.)IuCd Irari Cracpiv dvicKdHS Ka dmgraphic a HalhSrvKfW Grma dvlpm Bak KMet Ka Mical a ecaialtrsMoH Ka Miisr f HalhMtR Mirm RviwnCAPd naial Criaig Agc frPplai a dvlpmnGo ngvrmal orgaizainHIF naial Hspial Israc FoBA op-bas ApprachPnC Psaal CarPwC PricwarhsCprsSdP Srvic dlivr PiSM Saf MhrhtFR tal Frili RaVMA Vchr Maagm AgcVSP Vchr Srvic Prvir
 
3 
P4P
Case Studies-Kenya
IntroductIon
t
his cas s cms a vl halh fiac irvi i Kaha ss vchrs a irc rimbrsm  rsrcr icivsamg pais a halh car prvirs. th vchr givs pais alarg, prabl cmic sbsi ha h ca ak  a accrifacili fr priaal srvics, iclig facili-bas livris a lg-rm famil plaig (FP) prcs. Prvirs ar rimbrs fr raigvchr-barig pais accrig  a cracall agr saarf car. I h firs w ars f h prgram (J 2006–ocbr2008), mr ha 60,000 wm livr sig h Saf Mhrh(SM) vchr a h prpri f mrgc bsric srgrisicras ramaicall a crac faciliis. Mr ha 10,000 wms h FP vchr  accss lg-rm mhs (msl iraricracpiv vics a bal ligais) frm qalifi micalprfssials.th vchr prgram was lach i J 2006 wih 54 cracpblic, priva, a -prfi prvirs. th iiial prgram arghr rral isrics a w rba slms rprsig a al pplai
A man brings his newborn to a clinic toreceive postnatal care services offeredthrough the Safe Motherhood Voucher (SM).

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