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Improving access to safe delivery for poor women by voucher scheme in Bangladesh

机译：通过孟加拉国的代金券计划改善贫困妇女的安全分娩途径

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Maternal and child mortality are still higher in Bangladesh where delivery care services are associated with a number of problems. Demand-side financing, popularly well-known as maternal health care voucher, is found to reduce the financial barriers, increases choice for clients, and improves efficiency in delivery and quality of services which ultimately enhances maternal health. A cross-sectional study was conducted in different upzilas of Bhola district in Bangladesh among poor married women and found that voucher scheme receivers were 17.64 times more likely to receive delivery care services than respondents who were not part of the voucher scheme. On the other hand, the study pointed out that recipients of the voucher scheme received comparatively higher levels of delivery care services compared to those not in the voucher scheme, such as skilled birth attendance (64.2% vs. 26.3%), institutional delivery services (86.9% vs. 24.7%), and transport costs (92.5% vs. 23.1%). As the voucher scheme receivers’ delivery care services ensured better health status and care services than non-voucher scheme receivers in Bangladesh, the current study suggests that increasing the accessibility of voucher scheme programs will facilitate the provision of effective maternal health care services.South East Asia Journal of Public Health Vol.5(1) 2015: 39-43
机译：孟加拉国的产妇和儿童死亡率仍然较高，那里的分娩护理服务存在许多问题。人们发现，需求方融资通常被称为孕产妇保健券，可以减少财务障碍，增加客户选择的余地，并提高交付效率和服务质量，最终改善孕产妇保健。在孟加拉国Bhola区的不同地区对已婚的贫困妇女进行了一项横断面研究，发现与不属于凭证计划一部分的受访者相比，凭证计划接受者接受分娩护理服务的可能性高出17.64倍。另一方面，研究指出，与没有参加代金券计划的人相比，代金券计划的接受者获得了更高水平的分娩护理服务，例如熟练的接生率（64.2％比26.3％），机构分娩服务（ 86.9％和24.7％），以及运输成本（92.5％和23.1％）。由于孟加拉国的代金券计划接受者的分娩护理服务确保了比非代金券计划接受者更好的健康状况和护理服务，因此当前的研究表明，增加代金券计划计划的可及性将有助于提供有效的孕产妇保健服务。亚洲公共卫生杂志Vol.5（1）2015：39-43

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