1) The document discusses a reproductive health voucher program in Uganda aimed at improving access to safe delivery and STD treatment. Initial findings from a baseline survey found no significant differences in care between treatment and control groups.
2) Challenges included lower than expected use of antenatal and postnatal care, and a poor road network limiting access to facilities.
3) Next steps discussed using real-time evaluation to provide feedback and adjustments to better implement the program, through additional surveys, focus groups, and improving the feedback process.
3. Joan did not stop bleeding after giving birth, her husband left her with his mother-in-law to fetch a doctor. After 3 hours and twenty miles of biking in the dark under the pouring rain, he and the doctor reached Joan, but she had passed away.
4. That’s why we introduced the Health Voucher project: to help Mothers, like Joan, live…and we are convinced that this program can work.LAUNCH OF HEALTH VOUCHERS
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6. Where We Are: project’s current results, implementation gaps and challenges
20. KEY MESSAGE In order to maximize the success of this program, we must use evaluation findings as we learn them to inform the implementation process. The Uganda experience: Learn the importance of using evaluation findings as we discover them, rather than waiting until the end of the project to learn.
60. Follow-up IE Survey in same villages: care was taken to select respondents with a five-year birth history
61. Qualitative Research – Focus Groups discussions Women Values and beliefs around labor Quality of care in service providers Sensitive Issues: form focus groups of women who trust each other
62. NEXT STEPS: Improve Feedback Process Qualitative Research – Focus Groups discussions Providers Knowledge and awareness building around the voucher scheme High turnover of medical staff Problems specific to the target group DHO’s Constraints to taking ownership and leadership of the voucher schemes? How can these be increased? User fees: quality of care; sense of ownership of beneficiaries