Effect of previous utilization and out-of-pocket expenditure on subsequent utilization of a state led public-private partnership scheme
The scheme is "Chiranjeevi Yojana" which promotes facility births in Gujarat, India
Abstract
Background
In Gujarat, India, a state led public private partnership scheme to promote facility birth named Chiranjeevi Yojana (CY) was implemented in 2005. Institutional birth is provided free of cost at accredited private health facilities to women from socially disadvantaged groups (eligible women). CY has contributed in increasing facility birth and providing substantially subsidized (but not totally free) birth care; however, the retention of mothers in this scheme in subsequent child birth is unknown. Therefore, we conducted a study aimed to determine the effect of previous utilization of the scheme and previous out of pocket expenditure on subsequent child birth among multiparous eligible women in Gujarat.
Methods
This was a retrospective cohort study of multiparous eligible women (after excluding abortions and births at public facility).
Conclusion
Women with previous CY utilization were largely retained; therefore, steps to increase uptake of CY are expected to increase retention of mothers within CY in their subsequent child birth. To understand the reasons for subsequent child birth at home despite previous CY utilization and previous zero/minimal out of pocket expenditure, future research in the form of systematic qualitative enquiry is recommended.
This research was supported by the UK Department for International Development’s Operational Research Capacity Building Programme led by the International Union Against TB and Lung Disease (The Union)
Citation
Yasobant S, Shewade HD, Vora KS, Annerstedt KS, Isaakidis P, Dholakia NB, Mavalankar D V. Effect of previous utilization and out-of-pocket expenditure on subsequent utilization of a state led public-private partnership scheme “Chiranjeevi Yojana” to promote facility births in Gujarat, India. BMC Health Services Research. 2017;17(1):302.