Providing skilled birth attendants and emergency obstetric care to the poor through partnership with private sector obstetricians in Gujarat, India

Abstract

Une traduction en français de ce résumé figure à la fin de l'article. Al final del artículo se facilita una traducción al español. ‫املقالة.‬ ‫لهذه‬ ‫الكامل‬ ‫النص‬ ‫نهاية‬ ‫يف‬ ‫الخالصة‬ ‫لهذه‬ ‫العربية‬ ‫الرتجمة‬

Effect ofChiranjeevi Yojanaon institutional deliveries and neonatal and maternal outcomes in Gujarat, India: a difference-in-differences analysis

“…These findings differ from those reported by previous evaluations suggesting substantial benefits of the Chiranjeevi Yojana programme, including a 27% increase in institutional deliveries, a 90% reduction in maternal deaths and a 60% reduction in neonatal deaths. 8,9,12 These earlier studies did not address self-selection of women into institutional delivery, reporting inaccuracies by hospitals, or any increases in institutional deliveries over time that were unrelated to the programme. The programme was rolled out in a period when the economy of Gujarat was growing by over 10% per year, for example.…”

“…6,7 Recognizing this limitation, in January 2006 the state government of Gujarat launched the Chiranjeevi Yojana programme, a public-private partnership designed to increase institutional delivery rates. 8 It was subsequently estimated that this programme had led to a 90% reduction in maternal deaths and a 60% reduction in neonatal deaths among beneficiaries in Gujarat. [8][9][10][11][12] The programme received the Asian Innovations Award in 2006, 13 had covered almost 800 000 deliveries by March 2012, and is generally perceived as a successful model that should be followed in other Indian states.…”

“…8 It was subsequently estimated that this programme had led to a 90% reduction in maternal deaths and a 60% reduction in neonatal deaths among beneficiaries in Gujarat. [8][9][10][11][12] The programme received the Asian Innovations Award in 2006, 13 had covered almost 800 000 deliveries by March 2012, and is generally perceived as a successful model that should be followed in other Indian states. 14 However, perceptions of the programme's success are based on the results of studies -simple cross-sectional investigations or before-and-after comparisons -that had severe limitations.…”

Improving access to maternity services: an overview of cash transfer and voucher schemes in South Asia

“…One study reports 865 of around 2,000 private practising obstetricians have joined the scheme and coverage of deliveries among the poor in the state averaged 53%. 45 Another study reports that 66% of Chiranjeevi Yojana beneficiaries were satisfied with the services. 43 So far, the scheme attributes its successes to the widespread availability of private obstetrician-gynaecologists in rural areas willing to collaborate with the government scheme, 46 though other reports question the popularity of the scheme among rural providers.…”

Mapping private-public-partnership in health organizations: India experience

“…Private-public partnership were projected to be an effective strategy in providing skilled birth attendants and emergency obstetric care at the sub-district or district level in Gujarat, where otherwise trained obstetricians within the government are unwilling to stay. [17] Similar public-private partnership success, in terms of delivering health services were reported in case of smallpox eradication. [18] Innovative public-private partnerships can maximize the delivery of anti-malarial medicines [19] and also effective in providing services to construction sites with migrant construction workers.…”