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Maternal Health Financing – Issues and Options: A Study of Chiranjeevi Yojana in Gujarat

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  • Bhat Ramesh
  • Singh, Amarjit
  • Maheshwari, Sunil Kumar
  • Saha Somen

Abstract

Government of Gujarat announced a “Chiranjeevi Yojana” in April 2005. The objective of this scheme is to encourage private medical practitioners to provide maternity health services in remote areas which record the highest infant and maternal mortality and thereby improve the institutional delivery rate in Gujarat. The scheme was finally launched as a one year pilot project in December 2005 in five districts viz., Banaskantha, Dahod, Kutch, Panchmahal, and Sabarkantha. The private empanelled providers are reimbursed on capitation payment basis according to which they are reimbursed at a fixed rate for deliveries carried out by them. The payments are made for a batch of 100 deliveries. This is expected to take care of case-mix differences (i.e., normal or complicated deliveries) and help the providers to keep the costs below the reimbursed amounts. The scheme proposes to use a voucher system to target the people living below poverty line. The objective of this paper is to document the experience in implementing this scheme and discuss the issues in up-scaling it further.

Suggested Citation

  • Bhat Ramesh & Singh, Amarjit & Maheshwari, Sunil Kumar & Saha Somen, 2006. "Maternal Health Financing – Issues and Options: A Study of Chiranjeevi Yojana in Gujarat," IIMA Working Papers WP2006-08-03, Indian Institute of Management Ahmedabad, Research and Publication Department.
    • Handle: RePEc:iim:iimawp:wp01973
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    References listed on IDEAS

    as
    1. Bhat Ramesh & Maheshwari, Sunil Kumar, 2004. "Human resource issues and its implications for health sector reforms," IIMA Working Papers WP2004-01-04, Indian Institute of Management Ahmedabad, Research and Publication Department.
    2. Reuben Elan & Verma Bharat Bhushan & Bhat Ramesh, 2001. "Hospital Efficiency: An Empirical Analysis of District and Grant-in-Aid Hospitals in Gujarat," IIMA Working Papers WP2001-07-05, Indian Institute of Management Ahmedabad, Research and Publication Department.
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