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Reducing the Cost of Institutional Delivery in Gujarat, India

2016

This case study describes the testing of a maternal and child health intervention in Gujarat, India, where the rate of mothers giving birth to children at health care facilities (also called institutional delivery) was only 55 percent in 2005. The program, called Chiranjeevi Yojana (CY), sought to incentivize private health care facilities to cater to low-income families. Despite strong political and private sector support, upon evaluation, the program was not found to increase the rate of institutional delivery or decrease maternal and child mortality to a worthwhile extent. This case is an example of a program that was tested and deemed not worth continuing.

This case study is part of Millions Saved: New Cases of Proven Success in Global Health, a collection of case studies produced by the Center for Global Development that describes successful examples of large-scale efforts to improve health in low- and middle-income countries, as well as promising interventions that fell short of their health targets when scaled-up in real world conditions. The cases featured on the website are shortened versions of the respective book chapters in the print edition.

Source:

Glassman A, Temin M. Reducing the Cost of Institutional Delivery in Gujarat, India. Millions Saved: New Cases of Proven Success in Global Health. Center for Global Development 2016. http://millionssaved.cgdev.org/case-studies/reducing-the-cost-of-institutional-delivery-in-gujarat-india.