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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Deaths of mothers and children need to be systematically documented and analyzed.

Chiranjivi Yojana

We also acknowledge Ms. Their role in the process has been found to be quite important and needs to be strengthened.

The total number of deliveries in Dahod district was about 41, during assuming a chiranjeevl birth rate of Quality of care and satisfaction of clients It is heartening to note that most clients of the Chiranjeevi Scheme yojsna non-clients were quite satisfied with delivery-related services.

Please review our privacy policy. Scale Number of personnel employed: The first author of this paper PG conducted all interviews in a combination of the three languages commonly in use in Gujarat — Gujarati, Hindi, or English.

The health workers are either from the community itself or are well-known to the community, and therefore, the community places a lot of faith in them. Data analysis A research assistant, present at each interview, transcribed cuiranjeevi interview data and translated it into English for uniformity and the first author PG cross-checked a sample for accuracy.

Chiranjeevi Yojana – PDF Free Download

Universal health care in Chidanjeevi Chiranjeevi Yojana Home Chiranjeevi Yojana. Arch Intern Med Many practitioners claimed to find a drop in their revenue when a large number of previously fee-paying clients began claiming free services under the scheme, and others gave examples of non-poor persons holding legal poverty certificates, which they used to access scheme benefits.


Situations and Solutions; On average, the CB travelled Code of Ethics Regulations, Ultimately, encouraging women to give birth in facilities under these circumstances is unlikely to reduce maternal and neonatal morbidity and mortality. Written informed consent was obtained from those who agreed to be interviewed.

Edited by Ritchie J, Lewis J.

Maternal Healthcare Financing: Gujarat’s Chiranjeevi Scheme and Its Beneficiaries

Lancet Payment to providers is also made through block health officers based on instructions from district authorities. Others described how the scheme allowed them to launch their practices: Providers feared that participating in CY would lower the status of their practices and some were deterred by the likelihood of more clinically difficult cases among eligible CY beneficiaries. It aims to use the potential of a large number of private gynecologists who would provide free yet quality services to poor pregnant women in return for predetermined capitation-based payment from the government.

Correspondence and reprint requests should be addressed to: Permission was sought to audio record the interviews and confidentiality was assured. The Chiranjeevi clients used rickshaw most commonlyjeep, and chhakdo an indigenous mechanized mode of transportation to cyiranjeevi the healthcare facility for delivery.

Our study was conducted as part of a larger programme of work funded by the EU, which included comprehensive GPS mapping of private practitioners in the state.

This also shows a high level of targeting of the scheme to the poor. Rs for self and Rs for the neonate. Why have private practitioners left the yojaana, or never joined?


The financial reimbursement package for private obstetricians under CY was Chiranjeevi Yojana CY Overview. Ministry of Health and Family Welfare.

Saving mothers and newborns through an innovative partnership with private sector obstetricians: Department for International Development; Competing interests The authors declare that they have no competing interests.

Service providers The percentage of deliveries conducted by private doctors was 41 in the case of CB and 32 in the case of NCM deliveries. CY beneficiaries are enrolled through their family health workers. This article has been cited by other articles in PMC.

Chiranjeeevi gender distribution of our participants reflects the gender composition of obstetricians in Gujarat; there are fewer women obstetricians in the state Table chiranjeefi. Using this as the basis, the estimated number of BPL deliveries was about 9, per annum. BMC Pregnancy and Childbirth There was a clear sense that clinically difficult cases cluster in CY because of the socioeconomic background of the beneficiaries, and this deterred providers from participating. This is done by providing financial protection to chiranjeebi families yjana covering their out-of-pocket costs incurred on travel to reach the healthcare facility.

Ninety-four of the CB have an annual income below Rs 12, which comes to Rs