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maternal mortality Govt. of Gujarat launched scheme called Chiranjeevi Yojana ( CY) in Dec. Shortage of obstetricians in rural areas of India. The research. Background The Chiranjeevi Yojana (CY) is a Public-Private-Partnership between the state and private obstetricians in Gujarat, India, since. Effect of Chiranjeevi Yojana on institutional deliveries and neonatal and maternal outcomes in Gujarat, India: a difference-in-differences analysis.

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For this, training in negotiation, consultation and networking were provided to the officials. He is from Pune. Twenty percent of all global maternal deaths occur in India, and mostly among poor women [9]. Further research should address the technical quality of care. Vishal Hule is the founder of www. The authors thank Dr. Bureaucratic procedures and perceptions of programme misuse seemed to influence providers to withdraw from the programme or not participate at chiranjervi.

Every month, the empanelled providers present their filled-in vouchers for deliveries conducted and claim their reimbursement. A number of respondents described obstetricians paying community healthworkers to bring more patients to their hospitals.

Additional expenditure incurred by the Chiranjeevi clients on medicines for self and child was, on average, Rs When designing the study, we anticipated that providers would refuse to be interviewed or allow interviews to be audio recorded, due to concerns about confidentiality.

Second, better monitoring is needed as to why the doctors ordered additional medicines. We frequently referred back to the raw data and used matrices containing data for each theme to help us identify similarities and differences across the different types of providers, age groups and gender. This sense of asymmetrical power sharing breeds feelings of resentment from the private doctors and fuels mutual suspicion and mistrust.

This amount includes consultancy and procedure fees of Rs 1, paid to the doctor, transportation cost of Rsand medicine cost of Rs Lancet Why should I participate? For example, this urban practitioner, a past participant, explained: Key program components Under the scheme the government contracts private providers that volunteer to render their services by signing a memorandum of understanding with the district government.


This scheme encourages poor women to deliver in a healthcare facility; for many, it is likely that they have accessed health services at an institution for the first time. Code of Ethics Regulations, Open in a separate window. The BPL families that are unable to afford out-of-pocket costs incurred on travel to reach the healthcare facility center.

Chiranjeevi Yojna for girls for the pregnant women belonging to below poverty line(BPL)

Providers we interviewed claimed: Private sector obstetricians claimed to work to their own kind of moral code, one which they believed would operate even in the absence of such schemes. Data for the number of deliveries under the Chiranjeevi Scheme conducted in all seven talukas subdistrict of the district from January to December were obtained from the DHO of the district. The population of Dahod was 1, in when the study was implemented.

Private practitioners in rural areas in particular felt that CY beneficiaries as a group are at much higher risk of complications, as they are often highly anaemic, malnourished and multiparous. Another reason doctors withdrew from CY was the amount of paperwork and procedural burden generated by the scheme. Registrar General of India Sample registration survey. Women not using the services yet should be motivated to take benefit of uojana scheme.

Chiranjeevi Yojana (CY)

The findings suggest that the scheme needs to be strengthened by improving some aspects, including more funds for medicines, transportation, etc. Weak obstetric care provision in the public sector [12] and wide availability of obstetric care in the private sector chianjeevi the state Government to implement a public-private partnership to encourage poor women to give births in private obstetric care facilities.

Nov 5, – state launched a public-private partnership PPP programme, Chiranjeevi Yojana CYunder yojanw the state pays accredited private On the other hand providers told us that informally they feel they do behave charitably towards poor patients regardless of the scheme, by treating poor women in their practices and charging them less.


Uterotonics, Injectable Anticonvulsants, Manual removal of placenta, Removal of retained products, Assisted Vaginal delivery, Neonatal resuscitati. Whole responsibility comes on us only. Correspondence and reprint requests should be addressed to: Another strength is that the principle investigator who conducted the interviews in this study is a practising public health physician with experience working in the public and private sector in Chkranjeevi state; this chidanjeevi allowed him to quickly establish rapport, generate discussion, and gather in-depth and frank accounts of the CY scheme.

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Maternal health financing in Gujarat: Almost all the obstetricians interviewed in both districts expressed their concern over misuse of the scheme by families they perceived as non-poor. Key program components include: It was apparent in almost all the interviews across the three categories of respondents those who were currently participants, past participants and had never participated.

The first author PG was awarded a fellowship under the above mentioned grant.

The perception that difficult youana cluster around CY and that little protection is offered for private providers in the scheme was an important concern, and is a disincentive for providers to join.

Age at marriage and parity: Other cost cutting measures reported included using inferior equipment, supplies and medication as well as inducing ASHAs or ambulance staff to bring more eligible women to their practice.

The data from this study suggest that an emphasis on strong contractual agreements which are well-monitored by the state and allow better negotiation with private providers would increase success of the scheme.

We also selected respondents from different geographical areas: What is the reporting period for this result?: Maternal and child mortality and total fertility rates: