Download - The Voucher System
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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
The Voucher SystemDemand-side Financing
IFPS II Technical Assistance Project (ITAP)
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Voucher Management System
Voucher Management
Agency
Voucher Redemption
Private Nursing Homes
Voucher Redemption
BPL Families Voucher Distribution
ASHA
Voucher Distribution
ANM
Voucher Distribution
Payment forServices
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The Voucher System
• 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)
Some Highlights
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All Below Poverty Line
Above Poverty Line
0
10
20
30
40
50
30 2931
47 47 47
Improving AccessUse of Institutional Delivery Services
Endline 2009
Baseline 2007
Use
of
Inst
itu
tion
al
Deliv
ery
Serv
ices
(%)
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All Below Poverty Line
Above Poverty Line
0
10
20
30
40
50
3633
37
42 43 42
Improving AccessUse of Modern Contraceptives
Endline 2009
Baseline 2007
U
se o
f M
od
ern
C
on
trace
pti
ves
(%)
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Udham Singh Nagar
Naintal
Almora
Dehradun
Haridwar
BahadrabadImlikheda
Sustainable Financing and Scaling Up
Total population coverage in pilot: 0.15 million
Total population coverage in scale up: approx. 5.36 million
USAID contribution in demonstration: USD 170,666 for 12 months
GoUK funds for scale up: USD 1,045,000 for 12 months
The Voucher Scheme in Uttarakhand, India
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POLICY PAYS OFFBuilding Foundations for Sustainable Health Programs
Mobile Health Clinic: Reaching the Underserved in
UttarakhandA fixed day, fixed time, and fixed place approach to provide primary
healthcare services in remote rural areas
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Jamrani
18 k
m
25 kmChorgalia
25 kmBindukhatta
HALDWANI
Maldhanchour
33 k
mThari
Amgarhi
Kotabagh
Kamola
Dhamola
20 km
25
km 35
km
25 km
BHIMTAL-BISR
30 k
m
60 km
RAMNAGAR
Total 8 sites
Visit every 15 days
Camps in a month 16
Route Map of Mobile Health Clinic
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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
% Female Clients %Below Poverty Line Clients
% RH clients0
10
20
30
40
50
60
7067.6
31.1
52.4
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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