Transcript NEX and DEX: Myth or Reality

Reproductive Health
Vouchers
Improving Women’s Access to Emergency RH Services in the Violence
Affected Areas in Syria
IAWG Global Meeting
25-27 February 2015
Dead Sea
Fatima Sufferings
Challenges hindering
Access to RH Services
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Security conditions
“Militarization” of Health care
One health system Vs. Multiple health systems
Economic barriers
Disrupted/ destroyed health facility
Gender considerations
Social norms ( home based delivery Vs. facility based
delivery)
RH Vouchers
Security barriers
Cost barriers
Tool/ mechanism
RH Vouchers
Quality services
Free of charge services
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RH Voucher Document
Components of
Implementation Strategy
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Advocacy of RH Vouchers
Selection of Implementing Partners
Capacity building
Piloting the RH voucher
Demand Based Finance Mechanism
Monitoring
Partners of RH Vouchers
High Relief Committee
MOH
Local NGOs
4- MoH- MoHE Hospitals
Mobile Teams
18- Private Hospitals
Special
Award on
Partnerships
Evidence Based Revision and
Development of the RH voucher System
Because everyone counts
MONITORING STUDIES
STUDY 1: LESSONS LEARNT FROM THE APPLICATION OF RH VOUCHERS
UNFPA, the United Nations Population Fund promotes the right of every woman, man and child to enjoy
a life of health and equal opportunity. In order to maintain the Fund’s position at the cutting edge of
development assistance in the field of population and reproductive health, we are continuously striving
to enhance our programmatic and managerial capacities.
Key Results
 18,000 women received services through vouchers
 Increase in the use of anti-post natal care , and
institutional delivery
 RH Vouchers allowed women to choose providers
 Improved equitable access to RH services
 Better staff and women satisfaction
 Less turn over of RH professionals
Challenges
 Targeting of population most in need of the RH
vouchers
 Controlling the overbilling and unnecessary
procedures,
 Persistent security barriers and difficulties in
accessing health facilities
 Difficulty to monitor private sector hospitals
 Confusion that the vouchers are designed only for
delivery
 Resources
Lessons Learnt
 The RH voucher program reduced the delays to RH
services at the community and institution services
 The RH voucher acted as a catalyst for improvements
of quality of maternity care in both public and private
sectors health facilities,
 Importance of entering into partnership with local
and international
 Third party monitoring of the RH voucher is key for
system improvement and accountability.
Thank You
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