Vouchers, a demand-side financing (DSF) instrument for health-care services, were introduced in Bangladesh in 2006. The DSF program grants vouchers to pregnant women to receive free antenatal, delivery, and postpartum care services as well as free medicine, and financial assistance is provided for transportation. Deliveries with skilled service providers are financially incentivized and providers are reimbursed for their services from a special fund. After piloting DSF initially in 21 subdistricts (upazilas), the government expanded it to another 12 upazilas in 2007 (the second phase), and in its third phase in 2010 the program was expanded to another 11 upazilas. To measure DSF’s effect on improved access, quality, and reduced inequity for reproductive health services, during the third phase of the program the Population Council conducted a comprehensive evaluation with both baseline and endline surveys in 11 DSF upazilas and compared their outcomes with those from upazilas served by similar facilities not included in the DSF program. This final report contains key facility and policy program recommendations.
Talukder, Md. Noorunnabi, Ubaidur Rob, Syed Abu Jafar Md. Musa, Ashish Bajracharya, Kaji Tamanna Keya, Forhana Rahman Noor, Eshita Jahan, Md. Irfan Hossain, Jyotirmoy Saha, and Benjamin Bellows. 2014. "Evaluation of the impact of the voucher program for improving maternal health behavior and status in Bangladesh," Final report. Dhaka: Population Council.
RH Vouchers: Evaluating Voucher-and-Accreditation Programs to Improve Maternal and Reproductive Health Service Delivery