Abstract

Vouchers are used extensively for the provision of services such as education and healthcare across the globe. They entail numerous potential benefits such as freedom of choice, better targeting of vulnerable populations and improved quality and cost effectiveness of service delivery through provider competition. In the field of maternal healthcare services, vouchers present an excellent mechanism by which to overcome the financial, knowledge and socio-cultural barriers that prevent women in low resource settings from seeking institutionalized health care. This paper profiles voucher schemes implemented for maternal health care within India and discusses some of the challenges faced by these programmes. Suggestions for enhancing efficacy of voucher schemes have been made in the hope that they be incorporated within the policy framework of both existing and future initiatives.

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