The difficulty in measuring maternal mortality, including problems associated with costs, validity and reliability of existing methods, has led Immpact to develop methods that are cheaper, more reliable or easier to undertake in a developing country context.
PQOC is a research tool that uses a combination of qualitative data sources to explore the perceptions of the community and health care providers on the factors that may affect the quality and processes of maternal health care.
This is a presentation explaining Immpact's goals, to reduce maternal mortality in poor countries, and purpose, to increase the best use of the best knowledge in policy and programme decision-making to reduce maternal mortality.
The presentation highlights two approaches for reducing financial barriers:
-Supply-side approach: pay providers up front or retrospectively for providing free or subsidized delivery care for specified group or all women.
-Demand side approach: free insurance coverage; vouchers for care; cash transfers to cover service or other costs.
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This presentation covers the conferences objectives: To make the case for greater investment in women's health, and the multiple returns such an investment yields, accelerate progress towards MDGs 5, 4, 6, 3, and 2, and finally to engage public policy makers to improve women's health and rights within national plans and strategies.
One of the most important components of maternal health services is adequate, skilled human resources (Campbell and Graham, 2006; WHO, 2006). Paying and motivating this key resource is just as important as ensuring that enough workers are in place to provide the service. At the same time, health financing policy implementation especially in low-income countries requires hard decisions about priorities for channelling limited resources, and the use of staff incentives may come into competition with other claims for resource prioritization (Ensor and Ronoh, 2005). It is important, therefore, to be able to produce evidence for the desirability and expected efficacy of offering financial incentives to staff.
A methodology to assess the incentives to deliver maternal health services was developed out of three Immpact evaluations of maternal health care interventions in Ghana, Indonesia and Burkina Faso. Although in each of the initial Immpact evaluations (see Module 2 and Module 3 for more information) the effect on human resources was considered important, the initial development of this tool was undertaken during a project in Cambodia which examined the restructuring of the medical workforce in a context of very low public spending on wages. A key question in that study was to determine how great a financial incentive is required to ensure that public sector health workers remain in their posts rather than spending part of their working hours in private practice, leaving the public sector entirely, or engaging other activities to boost their income – alternative opportunities that often motivate public health workers in many, if not most, low- and middle-income countries.
This article examines the Midwifery Programme in Indonesia and what policy implications the results it will have in the future.
The UNFPA evaluates if the focus on Emergency Obstetric Care improve the health of mothers.
Immpact reviews evidence to create safe motherhood strategies.