Center for Health Market Innovations (CHMI)

In 2007, Jansankhya Sthirtha Kosh (JSK) - Populaton Stabilization Fund - has launched an innovative program “Santushti” to encourage participation of private health facilities (private gynaecologists and surgeons performing non scalpel vasectomy) to conduct family planning procedures, with an aim to bring down the Total Fertility Rate (TFR) in India.

Under this program, initiated as a public private partnership, private health facilities are encouraged to perform 100 tubectomy / vasectomy operations in 60 - 90 days period.

A Memorandum of Understanding (MoU) has to be signed between the District Medical and Health Officer (DMHO) or District Health Society and the Private Health Facility (Nursing Home or Individual consultant). The services are provided free of cost to the beneficiaries. Funding is provided by JSK and is paid through the District Collector’s office in order to avoid delay and ensure prompt payments. This initiative encourages private sector facilities and surgeons to partner with the government to provide family planning services and conduct sterilization procedures. An advance of INR 15,000 (approximately USD $325) is paid to the Private Health Facility with whom MoU has been signed. The private health facility also receives INR 1500 (approximately USD $32) for conducting each tubectomy / vasectomy operation. On completion of 100 cases in 60 - 90 days, the Private Health Facility receives about INR 150,000 (approximately USD $3,255).

An additional incentive of INR 500 per procedure is paid over and above INR 1500 if the private health facility conducts 30 or more operations in a single day.