Increasing access to institutional deliveries using demand and supply side incentives: early results from a quasi-experimental study

eographical inaccessibility, lack of transport, and financial burdens are some of the demand side constraints to maternal health services in Uganda, while supply side problems include poor quality services related to unmotivated health workers and inadequate supplies. Most public health interventions in Uganda have addressed only selected supply side issues, and universities have focused their efforts on providing maternal services at tertiary hospitals. To demonstrate how reforms at Makerere University College of Health Sciences (MakCHS) can lead to making systemic changes that can improve maternal health services, a demand and supply side strategy was developed by working with local communities and national stakeholders.

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Comparing private sector family planning services to government and NGO services in Ethiopia and Pakistan: how do social franchises compare across quality, equity and cost?

Policy makers in developing countries need to assess how public health programmes function across both public and private sectors. We propose an evaluation framework to assist in simultaneously tracking performance on efficiency, quality and access by the poor in family planning services. We apply this framework to field data from family planning programmes in Ethiopia and Pakistan, comparing independent private sector providers; social franchises of private providers; non-government organization (NGO) providers; and government providers on these three factors.

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Understanding the incremental cost of increasing access to maternal health care services

Chrispus Mayora of the Makerere University School of Public Health looks at the incremental costs of implementing a voucher scheme for ante-natal, delivery and post-natal care in several districts in Uganda. Presentation from iHEA's 8th World Congress on Health Economics, 11 July 2011, Toronto, Canada.

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Women’s Perceptions Of ANC And Delivery Care Services, A Community Perspective

To reduce maternal morbidity, mortality and improve neonatal health, government has focused on improving access and supply of maternal health services. Despite these efforts, maternal morbidity and mortality remain a major public health problem in Uganda. This study explores the factors and challenges experienced in utilizing ANC and choosing a delivery place in order to inform the implementation of a proposed intervention aimed at improving access to maternal delivery services.

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Determinants of Skilled Birth Attendant Utilization in Afghanistan: A Cross-Sectional Study

This article seeks to identify characteristics associated with use of skilled birth attendants where health services exist in Afghanistan. It is based on a cross-sectional study in all 33 provinces in 2004.

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