文章基本信息

标题：Financial Incentives and Maternal Health: Where Do We Go from Here?
本地全文：下载
作者：Lindsay Morgan ; Mary Ellen Stanton ; Elizabeth S. Higgs 等
期刊名称：The Journal of Health, Population and Nutrition
印刷版ISSN：1606-0997
电子版ISSN：2072-1315
出版年度：2013
卷号：31
期号：4 Suppl 2
页码：S8-S22
语种：English
出版社：International Centre for Diarrhoeal Disease Research Bangladesh
摘要：Health financing strategies that incorporate financial incentives are being applied in many low- and middle-income countries, and improving maternal and neonatal health is often a central goal. As yet, there have been few reviews of such programmes and their impact on maternal health. The US Government Evidence Summit on Enhancing Provision and use of Maternal Health Services through Financial Incentives was convened on 24-25 April 2012 to address this gap. This article, the final in a series assessing the effects of financial incentives—performance-based incentives (PBIs), insurance, user fee exemption programmes, conditional cash transfers, and vouchers—summarizes the evidence and discusses issues of context, programme design and implementation, cost-effectiveness, and sustainability. We suggest key areas to consider when designing and implementing financial incentive programmes for enhancing maternal health and highlight gaps in evidence that could benefit from additional research. Although the methodological rigor of studies varies, the evidence, overall, suggests that financial incentives can enhance demand for and improve the supply of maternal health services. Definitive evidence demonstrating a link between incentives and improved health outcomes is lacking; however, the evidence suggests that financial incentives can increase the quantity and quality of maternal health services and address health systems and financial barriers that prevent women from accessing and providers from delivering quality, lifesaving maternal healthcare. Key words: Healthcare-seeking behaviour, Health services research, Maternal health services, economics/utilization, Motivation, Newborn health services, Pregnancy, Programme evaluation
关键词：Healthcare-seeking behaviour; Health services research; Maternal health services; economics/utilization; Motivation; Newborn health services; Pregnancy; Programme evaluation