Impacts of Demand Side financing Instruments on the Continuum of Care for Maternal and Child Health in India and Bangladesh

需求方融资工具对印度和孟加拉国妇幼健康连续护理的影响

• 批准号: MR/N006267/1
• 负责人: Saseendran Pallikadavath
• 金额: $ 70.98万
• 依托单位: University of Portsmouth
• 依托单位国家: 英国
• 项目类别: Research Grant
• 财政年份: 2015
• 资助国家: 英国
• 起止时间: 2015 至 无数据
• 项目状态: 已结题
• 来源: https://gtr.ukri.org/projects?ref=MR%2FN006267%2F1
• 关键词: Impacts; Demand; Side; financing; Instruments

Having one of the highest global rates of premature deaths and poor health among pregnant women and their newborn, India and Bangladesh remain as key nations to reduce global rates of unfavourable health outcomes among women and children. Key to reducing these rates is to encourage improved coverage of health care services. Among the number of strategies used by policy-makers in both these countries - drawing on international experiences - are interventions that aim to influence women and children - particularly those from poorer households or other socially vulnerable communities - to use key health services by providing them with direct or indirect financial incentives. In this project, we aim to investigate to what extent these incentives, either involving directly paying cash amounts or providing free services in private health facilities, are successful in improving some of the most important indicators related to improved health care services directed at pregnant women and young children. In addition, we will study the barriers impeding improved access to health services, including factors such as availability of and accessibility to health facilities; we will also consider quality of care in the health services as a potentially strong determinant of whether people choose to use the health services that are offered. The results will help us to determine how these different barriers can be reduced so that the optimum potential of these financial incentives could be attained in these two countries. Ultimately, the data gathered will allow us to identify what likely modifications in the design of these financial incentive are required, in conjunction with supportive, positive improvements in quality of care, in order to attain improved health goals for women and children. The project builds on the collective, multidisciplinary expertise of experienced researchers brought together by a rich collaboration of Universities and research Institutes from the UK, India and Bangladesh. The research we propose involves extensive use of available household survey data and fresh data collected through primary surveys in three Indian states (Bihar, Gujarat and Karnataka) and two divisions in Bangladesh. The surveys will cover the three most important schemes regarding financial incentives in the two countries - the Janani Suraksha Yojana (Maternity Security Scheme) and Chiranjeevi (or the Long-Life Scheme) schemes in India and the Maternal Health Voucher Scheme (MHVS) in Bangladesh. Key decision-makers in the Health Ministries in both the countries have shown a great interest in the proposed project, and intend to use the evidence generated to strengthen or review the existing interventions. By using robust, scientific approaches combined with micro-level insights from the target population, the project results will be of crucial influence in the decision-making toolkit for the health policy-makers in both India and Bangladesh.

印度和孟加拉国是全球孕妇及其新生儿过早死亡率和健康状况不佳率最高的国家之一，因此仍然是降低全球妇女和儿童不良健康结果发生率的关键国家。降低这些比率的关键是鼓励改善医疗保健服务的覆盖范围。这两个国家的政策制定者借鉴国际经验，采取了一系列干预措施，旨在通过向妇女和儿童提供直接或间接的经济激励，影响妇女和儿童，特别是来自贫困家庭或其他社会弱势社区的妇女和儿童，使用关键的卫生服务。在这个项目中，我们的目的是调查这些激励措施，无论是直接支付现金还是在私人医疗机构提供免费服务，在多大程度上成功地改善了与改善针对孕妇和幼儿的医疗保健服务相关的一些最重要的指标。此外，我们将研究阻碍改善获得卫生服务的障碍，包括卫生设施的可用性和可及性等因素；我们还将把卫生服务的护理质量视为人们是否选择使用所提供的卫生服务的潜在重要决定因素。研究结果将帮助我们确定如何减少这些不同的障碍，以便在这两个国家发挥这些财政激励措施的最佳潜力。最终，收集到的数据将使我们能够确定需要对这些经济激励措施的设计进行哪些可能的修改，并结合支持性、积极的护理质量改进，以实现改善妇女和儿童的健康目标。该项目建立在来自英国、印度和孟加拉国的大学和研究机构的丰富合作下，经验丰富的研究人员的集体、多学科专业知识的基础上。我们建议的研究涉及广泛使用现有的家庭调查数据以及通过印度三个邦（比哈尔邦、古吉拉特邦和卡纳塔克邦）和孟加拉国两个省的初步调查收集的新数据。调查将涵盖两国经济激励方面的三个最重要的计划——印度的Janani Suraksha Yojana（生育保障计划）和Chiranjeevi（或长寿计划）计划以及孟加拉国的孕产妇健康券计划（MHVS）。两国卫生部的主要决策者对拟议项目表现出了极大的兴趣，并打算利用所产生的证据来加强或审查现有的干预措施。通过使用稳健、科学的方法，结合目标人群的微观洞察，该项目的结果将对印度和孟加拉国卫生政策制定者的决策工具包产生至关重要的影响。

项目成果

The Effect of A Demand Side Financing Program on the Continuum of Maternal and Child Health Care in India

需求方融资计划对印度妇幼保健连续体的影响

• DOI: 10.21203/rs.3.rs-124406/v1
• 发表时间: 2020
• 作者: Pallikadavath S

Perplexing condition of child full immunisation in economically better off Gujarat in India: An assessment of associated factors.

印度经济状况较好的古吉拉特邦儿童全面免疫的令人困惑的状况：相关因素的评估。

• DOI: 10.1016/j.vaccine.2020.06.041
• 发表时间: 2020
• 期刊: Vaccine
• 影响因子: 5.5
• 作者: Goli S

by

经过

• 发表时间: 2021
• 作者: Goli, Srinivas

Does Shorter Postnatal Hospital Stay Lead to Postdischarge Complications? An Instrumental Variables Approach

产后住院时间较短是否会导致出院后并发症？

• DOI: 10.1002/jid.3412
• 发表时间: 2019
• 期刊: Journal of International Development
• 影响因子: 1.4
• 作者: Rahman M

Natural menopause among women below 50 years in India: A population-based study.

• DOI: 10.4103/0971-5916.198676
• 发表时间: 2016-09
• 期刊: The Indian journal of medical research
• 作者: Pallikadavath S;Ogollah R;Singh A;Dean T;Dewey A;Stones W
• 通讯作者: Stones W