Improving access to reproductive and child health services in developing countries: are competitive voucher schemes an option?
Improving access to reproductive and child health services in developing countries: are competitive voucher schemes an option?
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DOI：
10.1002/jid.1361
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发表时间：
2007-01-01
影响因子：
1.4
通讯作者：
Gorter, A. C.
中科院分区：
文献类型：
--
作者：
Bhatia, M. R.;Gorter, A. C.
降低孕产妇和儿童死亡率是《千年宣言》的一个重要目标，也是发展中国家决策者的一个主要关切。降低孕产妇死亡率的一个重要障碍是公共卫生系统通过其供应方机制提供的孕产妇保健服务利用率低。需求方筹资越来越多地被提议作为增加获得生殖和儿童保健服务机会的备选办法之一，并在一些发展中国家引起极大兴趣。需求方融资不仅通过改善获得机会和更好地瞄准补贴来促进公平，而且还通过让私营部门参与来激励效率和供应商选择。本文对需求侧融资的概念进行了探讨，分析了需求侧融资的优势和局限性。
Reducing maternal and child mortality is an important goal of the Millennium declaration and a major concern for policy makers in developing countries. One of the important barriers to reducing maternal mortality is the low utilisation of maternal health services provided by the public health system through it supply side mechanisms. Demand side financing is increasingly being proposed as one of the options to increase access to reproductive and child health services and is generating great interest in a number of developing countries. Demand side financing not only promotes equity through improved access and better targeting of subsidies, but also provides incentives for efficiency and provider choice by involving the private sector. This paper discusses the concept of demand side financing, and analyses its strengths and limitations.