Together for a better life

Voucher Program for Safe Motherhood and Family Planning

Background:

The Safe Motherhood and Family Planning Voucher Program tackles maternal mortality, improves reproductive healthcare and delivers family planning services and products to women most in need of them. It also contributes towards newborn health by making high quality safe motherhood and family planning services available and accessible to poor women. The program offers two voucher options for women to purchase to receive maternal healthcare or family planning services. 

The “Safe Motherhood Voucher” will reduce the obstacles women face in accessing and receiving care during their pregnancy and delivery. It includes seven coupons: four anti-natal care visits, delivery and two post-natal care visits. Transportation is included. The voucher also covers an unlimited amount of complication visits.

The “Family Planning Voucher” includes three coupons. The first coupon is for a family planning method, the second for a follow-up visit and the third for removal the method if needed. This voucher offers affordable, reliable and quality contraceptives.

A woman with one of the voucher booklets in her hand is given full reproductive health care, including for complications, with no extra charges, only the initial cost of the voucher.

Objective:

The program aims to increase the use of improved health services related to safe motherhood and family planning. The program will enhance the quality of safe motherhood and family planning services and make them available and accessible to poor women in the targeted areas.

Intervention and Results:

In April 2013, the program launched in Lahj Governorate (Tuban district). The intake was very high. The utilization rate of the safe motherhood vouchers reached 79% while the family planning vouchers reached 42%. Such figures showed clearly the high demand and the role of the program in addressing and minimizing key service seeking obstacles. During 2013, using very effective distribution network, 7939 vouchers distributed (5089 safe motherhood and 2850 family planning) which represents 365% over the planned. The table below shows some of these figures:

Service
Planned
Actual
%
Antenatal care first visit
720
3502
486%
Total deliveries
463
2341
505%
Postnatal care first visit
370
1449
391%
Family planning methods use
480
1522
317%

The following table presents the activities implemented to acheive such results:

    Activity
    Total Beneficiaries
    Program Launch
    -
    Training distributors in Tuban district
    21 (14 females: 7 males)
    Awareness workshop for religious leaders
    26
    Awareness workshop for community leaders
    20
    Health education sessions (men and women)
    1504
    Posters distribution in Tuban district
    2000
    Printing Vouchers and Posters
    - (26000 vouchers, 4000 posters)
    Assessment of quality of health facilities
    20 facilities
    Contracting selected health facilities
    20 facilities
    Program signage for selected health facilities
    20 facilities
    Training of service providers on program mechanism
    27
    Training midwives on IUD insertion and removal
    20