Maternal healthcare financing: Gujarat's Chiranjeevi Scheme and its beneficiaries.
Maternal mortality is an important public-health issue in India, specifically in Gujarat. Contributing factors are the Government's inability to operationalize the First Referral Units and to provide an adequate level of skilled birth attendants, especially to the poor. In response, the Gujarat stat...
| Publicado en: | Journal of Health, Population & Nutrition Vol. 27; no. 2; pp. 249 - 259 |
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| Autores principales: | , , , , , , , |
| Formato: | research Journal Article |
| Publicado: |
BioMed Central
Apr2009
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105347594&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 105347594 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 16060997 HII jtl: Journal of Health, Population & Nutrition issn: 16060997 maglogo: N pubinfo: dt: Apr2009 vid: 27 iid: 2 pid: 24147 pub: BioMed Central artinfo: ui: 105347594 NLM19489419 2010304732 10.3329/jhpn.v27i2.3367 NLM19489419 105347594 ppf: 249 ppct: 10 formats: fmt: @attributes: type: P tig: atl: Maternal healthcare financing: Gujarat's Chiranjeevi Scheme and its beneficiaries. aug: au: Bhat R Mavalankar DV Singh PV Singh N Bhat, Ramesh Mavalankar, Dileep V Singh, Prabal V Singh, Neelu affil: Indian Institute of Management, Vastrapur, Ahmedabad 380 015, India sug: subj: Delivery, Obstetric Economics Emergency Medical Services Economics Maternal Health Services Economics Cost Savings Female India Interinstitutional Relations Maternal Health Services Administration Maternal Mortality Maternal Welfare Pregnancy Socioeconomic Factors Human Female ab: Maternal mortality is an important public-health issue in India, specifically in Gujarat. Contributing factors are the Government's inability to operationalize the First Referral Units and to provide an adequate level of skilled birth attendants, especially to the poor. In response, the Gujarat state has developed a unique public-private partnership called the Chiranjeevi Scheme. This scheme focuses on institutional delivery, specifically emergency obstetric care for the poor. The objective of the study was to explore the targeting of the scheme, its coverage, and socioeconomic profile of the beneficiaries and to assess financial protection offered by the scheme, if any, in Dahod, one of the initial pilot districts of Gujarat. A household-level survey of beneficiaries (n=262) and non-users (n=394) indicated that the scheme is well-targeted to the poor but many poor people do not use the services. The beneficiaries saved more than Rs 3000 (US$ 75) in delivery-related expenses and were generally satisfied with the scheme. The study provided insights on how to improve the scheme further. Such a financing scheme could be replicated in other states and countries to address the cost barrier, especially in areas where high numbers of private specialists are available. pubtype: Academic Journal doctype: research Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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