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The Voucher System

IFPS II Technical Assistance Project (ITAP). The Voucher System. Demand-side Financing. To reduce inequities in reproductive health care by enabling access to services, while empowering the below poverty line (BPL) population to choose their own providers. Voucher Management System.

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The Voucher System

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  1. IFPS II Technical Assistance Project (ITAP) • The Voucher System • Demand-side Financing To reduce inequities in reproductive health care by enabling access to services, while empowering the below poverty line (BPL) population to choose their own providers

  2. Voucher Management System Voucher Management Agency Voucher Distribution Voucher Redemption ANM Payment for Services Voucher Distribution Private Nursing Homes ASHA BPL Families Voucher Distribution Voucher Redemption

  3. The Voucher System • Some Highlights • Provided high-quality private sector services at deep discount rates • Expanded services cost-effectively even with under-staffing at government facilities • Relieved pressure on government • Enabled clients to save money Photos by Suneeta Sharma (top) and Simply CVR (bottom)

  4. Improving Access Use of Institutional Delivery Services Baseline 2007 Endline 2009 Use of Institutional Delivery Services (%)

  5. Improving Access Use of Modern Contraceptives Baseline 2007 Endline 2009 Use of Modern Contraceptives (%)

  6. Sustainable Financing and Scaling Up The Voucher Scheme in Uttarakhand, India Total population coverage in pilot: 0.15 million Total population coverage in scale up: approx. 5.36 million Dehradun USAID contribution in demonstration: USD 170,666 for 12 months GoUKfunds for scale up: USD 1,045,000 for 12 months Haridwar Almora Imlikheda Bahadrabad Naintal Udham Singh Nagar

  7. Mobile Health Clinic: Reaching the Underserved in Uttarakhand A fixed day, fixed time, and fixed place approach to provide primary healthcare services in remote rural areas POLICY PAYS OFF Building Foundations for Sustainable Health Programs

  8. Amgarhi BHIMTAL-BISR Thari Kotabagh 25 km 35 km 20 km 30 km 25 km RAMNAGAR Kamola Dhamola Jamrani 33 km 18 km 60 km Maldhanchour 25 km Chorgalia Total 8 sites Visit every 15 days Camps in a month 16 HALDWANI 25 km Bindukhatta Route Map of Mobile Health Clinic

  9. Performance Statistics (JAN 09 – DEC 09) • 195 Camps held • 11,352 out-patients registered • Average patients per camp – 59.1 • IUD insertions – 189 • Pills distributed – 1,292 cycles • Condoms distributed (packs of 10)– 411,00 pieces

  10. Scaling up Mobile Health Clinic Coverage & Funding Total population coverage in pilot: 0.5 million Total population coverage in scale up: 10 million USAID contribution in demonstration: Capital Costs: Nil Operating Costs: USD 186,000 GoUK funds for scale up: Capital costs: USD 1.97 million Operating Costs: USD 580,000

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