Center for Health Market Innovations (CHMI)

Programs

Safe Deliveries

last updated Sep 27, 2011

Overview

Implementing organization: 
FHS Uganda - Makerere University School of Public Health
Legal Status: 
Private (not-for-profit)
Year Launched: 
2006
Stage: 
Existing/expansion stage
Income Level of Target Population: 
Bottom 20%, 20-60% (lower to lower-middle)

Funding

Primary Source of Funding: 
Donor
Funders: 
DFID
Summary: 

The Safe Delivery Program worked both on the demand-side and supply-side to improve access to institutional deliveries in rural areas of Eastern Uganda.

Key program components: 

On the supply side, the program worked to improve health facilities by training health workers and provision of essential equipment, drugs and supplies. On the demand side, the program organized a significant voucher scheme for both maternal and newborn services (including antenatal screenings, delivery and newborn care) and for transport to clinics via boda boda (motorcycle taxis). Each safe delivery cost about US$10, and during the pilot phase, institutional deliveries increased from about 200 per month to nearly 600 -- roughly a three-fold increase.

  • Vouchers for health maternal and newborn health services, including delivery
  • Vouchers for transport via local boda boda (motorcycle taxis) to health clinics
  • Training of health workers
  • Supplementation of provision of essential equipment and drugs

Institutional deliveries increased in the pilot areas from roughly 200 per month to 600 per month. Community perceptions of health services became more favorable after trainings with health workers.

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