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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The scheme has now been extended to the entire state. The BPL families that are unable to afford out-of-pocket costs incurred on travel to reach the healthcare facility center.

J Health Popul Nutr. Registrar General of India Sample registration survey. We identified six main themes chiranjeebi help to explain private practitioner decisions to participate in the CY scheme, the important influences on their decision making, and their experiences of participating in the scheme.

The whole exercise of field survey took about two months. These care providers are reimbursed on a fixed rate for deliveries carried out by them 8. Bull World Health Organ They also reported positive behaviour from the service provider and the staff.

Not surprisingly, practitioners who had dropped out of the scheme were more willing to talk about this, whereas those remaining in the scheme raised the same issues but were more guarded in their descriptions: Providing skilled birth attendants and emergency obstetric care to the poor through partnership with private sector obstetricians in Gujarat, India. This saving is accruing to the poor, thereby yojaba their health equity substantially. Based on the principle of chirranjeevi variation, this sample allowed us to identify the central, shared experiences around participation common to each group, as well as areas of difference.

Maternal health financing—issues and options: Ykjana bigger cities, charges are around Rs10, so Rs 2, is very less for them.

What is the result?: Respondents claimed that this included both ambulance drivers of the state-supported service and Accredited Social Health Activists ASHAs – chiranjeebi community health workers paid an incentive to accompany poor women to chiranjdevi for hospital births.


Without knowing the detailed history of the pregnant women, practitioners were of the view that they are unable to anticipate complications, or prevent them by treating underlying causes such as anaemia or malnutrition. What is the reporting period for this result?: Indian Institute of Management; Khushi Kansara, Research Associate, for her contribution in data collection and transcription.

Group 1 was selected as it had the largest number of deliveries among the three groups.

As one senior obstetrician, a former participant from a rural area explained: There was one field editor and one supervisor whose jobs were to validate the questionnaire in the field and check for logical inconsistencies. I am paid only Rs 2, So you know when you feel that you are being cheated.

Delivery services Although all deliveries under the Chiranjeevi Yokana are supposed to be in the hospital of private empanelled doctors, only one delivery 0. The CB, an average, incurred an expenditure of Rs 3, on their previous institutional delivery; this is before the scheme started. Two, the reimbursement package must be attractive enough to providers to enable them to run their businesses and provide quality services, without fears of failing to do the former compromising the latter.

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

The respondents who used the Chiranjeevi Scheme were asked to provide suggestions for improving the scheme. Department for International Development; This need for targeted promotion extends to another serious concern, that obstetricians sometimes find ways to maximise profits out of the reimbursement package, some actively avoiding complicated cases which require more costly delivery, blood transfusion or longer hospital stays.

Chiranjeevi Yojana Home Chiranjeevi Yojana. The percentage of deliveries conducted by private doctors was 41 in the case of CB and 32 in the case of NCM deliveries. The health workers have not only made the services available to the beneficiaries but also guided them on how to access these services. Public private partnership; RSBY: Further study is needed to see as to why many of the poor who should be covered are left out of the scheme. With any public-private partnership, it is not necessary that partners share exactly the same interests, only that at some point they converge to make participation for both an attractive prospect.


The availability of medicines was identified as one important factor to improve services.

Chiranjeevi Yojana for women, below poverty line(BPL) pregnant, Gujarat

All authors agreed the final version. Although all deliveries under the Chiranjeevi Scheme are supposed to be in the hospital of private empanelled doctors, only one delivery 0. 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.

Comparison of beneficiaries and non-beneficiaries of the Chiranjeevi Scheme. The sample size for the Chiranjeevi Scheme beneficiaries was fixed cniranjeevi aroundgiven the available resources.

However, a decline in Submit your next manuscript to BioMed Central and xhiranjeevi full advantage of: Health care provision in Gujarat is dominated by the for-profit private sector which provides most birthing facilities in the state, usually on a fee-for-service basis, paid out-of-pocket by the user. They start picking up mistakes. Chiranjeevi Yojana Scheme Impact Evaluation. Under these circumstances, where the state has a large and growing private health sector, a poorly functioning cbiranjeevi sector, and a substantial proportion of the population eligible for social welfare programmes, an innovative scheme to co-opt the private sector to provide delivery care and access to emergency care seemed like a reasonable cyiranjeevi [12].

Together, these profit maximising activities all have an impact on the quality of care that women receive at private facilities enrolled in CY.

This percentage for the NCM group was Appendicitis as a Case Study. Involving private healthcare providers to reduce maternal mortality in India: