The document discusses a reproductive health voucher program in Yemen that aims to increase access to maternal services for poor rural women. The program issues vouchers that can be used at contracted public or private health providers. It has operated since 2013 in 18 districts, targeting family planning and safe motherhood. The program works with the Ministry of Health and local authorities in provider selection, quality assessment, and data management. It has complemented public services by also contracting community midwives and private hospitals. Lessons learned include taking a total market approach, maintaining government stewardship, ensuring quality standards, and providing additional financing to reach the poor.