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10/25/2018 1
A voucher scheme in Yemen
Increasing access to maternal
services for the poor
Alice Sabino
October 2018
2
Programme: reproductive health
voucher for the poor
• Voucher scheme for family
planning and safe
motherhood active since
2013
• Targeting poor rural (married)
women in 18 Districts in the
governorates of Lahj and Ibb
• Contracting public and
private providers based on
standard quality assessment
• Working together with local
health authorities
3
How to reach those most in need?
Contracting
public and private
providers
MoU with national
Ministry of Health and
local health authorities
Selection and quality
assessment of
service providers
Beneficiary
selection and
voucher distribution
Voucher is used to
access services at
provider of choice
Providers are
reimbursed for
services at agreed
rates
All data is managed in
one platform
1
4
The complementary role of the private
sector
Private providers
Public
providers
Public
providers
Emergency
support to
public
sector
Conflict
affected
facilities
• In most programme
districts it complemented
the public system
through community
midwives
• In 3 (of 18) districts the
only referral hospital
available was private
(BEMONC)
5
Role of the government
• Contributed to the definition of the benefit
package for both vouchers
• Carried out quality assessment of providers
with the programme team
• Conducted supportive supervisions to
providers
• Validated claims data against national
information system
• Received % on claims
6
Lessons
• Total market approach to identify patient
pathways and gaps
• Govt stewardship function facilitated by clear
governance framework
• Quality assessment and standards included in
the contract balanced variation
• Regular supervisions
essential to maintain
quality and control fraud
• Additional financing
essential to reach the poor

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A Voucher scheme in Yemen

  • 1. 10/25/2018 1 A voucher scheme in Yemen Increasing access to maternal services for the poor Alice Sabino October 2018
  • 2. 2 Programme: reproductive health voucher for the poor • Voucher scheme for family planning and safe motherhood active since 2013 • Targeting poor rural (married) women in 18 Districts in the governorates of Lahj and Ibb • Contracting public and private providers based on standard quality assessment • Working together with local health authorities
  • 3. 3 How to reach those most in need? Contracting public and private providers MoU with national Ministry of Health and local health authorities Selection and quality assessment of service providers Beneficiary selection and voucher distribution Voucher is used to access services at provider of choice Providers are reimbursed for services at agreed rates All data is managed in one platform 1
  • 4. 4 The complementary role of the private sector Private providers Public providers Public providers Emergency support to public sector Conflict affected facilities • In most programme districts it complemented the public system through community midwives • In 3 (of 18) districts the only referral hospital available was private (BEMONC)
  • 5. 5 Role of the government • Contributed to the definition of the benefit package for both vouchers • Carried out quality assessment of providers with the programme team • Conducted supportive supervisions to providers • Validated claims data against national information system • Received % on claims
  • 6. 6 Lessons • Total market approach to identify patient pathways and gaps • Govt stewardship function facilitated by clear governance framework • Quality assessment and standards included in the contract balanced variation • Regular supervisions essential to maintain quality and control fraud • Additional financing essential to reach the poor

Editor's Notes

  1. The private sector providers