We distribute vouchers for maternity care at an affordable cost to increase the use of antenatal care and facility-based delivery with skilled birth attendants, as well as postpartum services such as family planning.
Maternity care includes care during pregnancy, delivery in a health care facility and follow-up visits after delivery. Care during pregnancy significantly improves the likelihood of a newborn surviving, and skilled attendance at a delivery facility means that any emergencies can be treated immediately, greatly improving the woman’s chance of survival.
Many women do not receive any health care during or after pregnancy, and may deliver their babies without the assistance of a trained provider. Around 15 percent of deliveries have potentially fatal complications, many of which are unpredictable, but almost all are treatable if someone present has the knowledge and supplies necessary to address them.
Maternity care vouchers enable the woman to access health care visits during pregnancy, delivery in a health care facility and a post-delivery health care visit. The rationale behind this approach is that the vouchers are purchased all together, so once the purchase is made, the woman is more likely to use the services, as they are already paid for.
Greenstar, our local network member in Pakistan, uses maternity care vouchers to ensure that low-income women access maternity care services. The vouchers are marketed in low-income districts with high rates of maternal mortality. A recent study showed that using the vouchers increased delivery in a health care facility (compared to at home, usually without a skilled attendant) by 22 percentage points.
These maternity care vouchers ensure both mother and baby get the emergency care they need. Read more about the maternity care vouchers in Pakistan in this article in Impact Magazine.
- Samina’s Story
More than three-quarters of births in Pakistan take place at home. Read Samina's story, and how a pilot voucher program is aiming to reduce maternal and infant mortality in the country.
- Impact of Maternal Health Voucher Scheme on Facility Delivery among Low Income Women in Pakistan
Performance-based financing is the "transfer of money or material goods conditional on taking a measurable action or achieving a predetermined performance target". PBF schemes are being used as a tool to improve health system performance and accountability in low and middle-income countries. There is, however, limited research on the effectiveness of PBF schemes. The present study assesses the impact of a demand-side financing voucher scheme implemented by Greenstar Social Marketing in Dera Ghazi Khan city, in order to increase facility delivery. The results of this study will add to the evidence base on the effects of demand-side financing schemes on the utilization of maternal health servic
- Impact of a Maternal Health Voucher Scheme on Institutional Delivery Among Low Income Women in Pakistan
A pre-test/post-test non-experimental study was conducted to assess the impact of a voucher scheme on utilization of antenatal care (ANC) visits, a postnatal care (PNC) visit and institutional delivery services.