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Making Health Systems Work for the Poor Increasing Access to Institutional Deliveries Using Demand and Supply Side Incentives Elizabeth Ekirapa-Kiracho Makerere University School of Public health Research Coordinator, FHS Uganda XII Ascon, Dhaka
Outline of the presentation ,[object Object],[object Object],[object Object],[object Object],[object Object]
Introduction  ,[object Object],[object Object],[object Object]
Increasing access to services for the poor ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[Gwatkin et al (2004),Jacobs et al (2005),Lagarde et al (2007),Peters et al (2007)]
Interventions that increase access ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[Arblaster et al ( 1996), Victoria et al ( 2007) ]
Why maternal health services? ,[object Object],[object Object],[object Object],[object Object],.
Why maternal health services? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],.
The intervention ,[object Object]
Demand and supply side initiatives  ,[object Object],[object Object],[object Object],[object Object]
Aim ,[object Object],[object Object]
Objectives ,[object Object],[object Object]
Specific Objectives ,[object Object],[object Object],[object Object]
Methodology ,[object Object],[object Object],[object Object]
Methodology ,[object Object],[object Object],[object Object],[object Object],[object Object]
Methodology ,[object Object],[object Object],[object Object]
Main activities during the intervention ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Barriers to the poor using services ,[object Object],[object Object],[object Object],[object Object],[object Object],[ Amooti et al (1997); Atuyambe et al (2005;) Kyomuhendo et al (2003); Munaaba (1995);Waiswa ( 2008) ]
  Focus on the poor - Implementation in rural areas
Allow choice -Public and private ,[object Object],[object Object]
Increase awareness ,[object Object]
  Performance based method of payment ,[object Object],[object Object],[object Object]
Removal of transport and cost barriers
Locally available transport
Accessing services  – Multiple problems
Increasing access to institutional delivery
Acknowledgements ,[object Object],[object Object],[object Object]
Referances ,[object Object],[object Object],[object Object],[object Object],[object Object]
Referances ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[Thank you for listening]

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