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The logistics of voucher management: the underreported component in family planning voucher discussions

机译:凭证管理的后勤:计划生育凭证讨论中报告不足的部分

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摘要

BackgroundThe purpose of health care vouchers or coupons is to receive a health service in exchange which is fully or partially subsidized, such as any treatment offered for communicable disease; for immunization; antenatal care-/postnatal care-related maternal health services; a family planning (FP) service; or to get a health commodity like a medicine. Vouchers are targeted for a group of people who can benefit the most such as on the basis of poverty ranking, marginalized or living in rural areas. According to the World Health Organization, voucher schemes in the area of sexual and reproductive health are considered of high value if they are implemented to address the issues of contraceptive commodity or service unavailability or to address the barriers to access such services through contracting out health services, for example, through social franchising (SF). FP vouchers can substantially expand contraceptive access and choice and empower the underserved populations. Literature cites voucher’s effectiveness in better targeting, increasing use, and improving program outcomes in FP programs; however, there is little research or explanation of how voucher management is done in practice.
机译:背景医疗券或优惠券的目的是为了获得可以全部或部分补贴的医疗服务,例如对传染病的任何治疗;进行免疫;与产前/产后保健相关的产妇保健服务;计划生育服务;或获得诸如药品之类的健康商品。优惠券针对的是一群最受益的人,例如基于贫困排名,边缘化或生活在农村地区的人。根据世界卫生组织的说法,如果将其用于解决避孕商品或服务不可用的问题或通过将卫生服务外包来解决获得此类服务的障碍,则在性健康和生殖健康领域的优惠券计划被认为具有很高的价值。例如,通过社会特许经营(SF)。计划生育代金券可以大大扩展避孕药具的获取和选择范围,并为服务不足的人群赋权。文献援引凭证在FP计划中更好地定位,增加使用和改善计划结果方面的有效性;但是,关于实践中如何进行凭单管理的研究或解释很少。

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