Maternal Healthcare Financing: Gujarat’s Chiranjeevi Scheme and Its Beneficiaries

Authors

  • Ramesh Bhat Indian Institute of Management, Vastrapur, Ahmedabad
  • Dileep V Mavalankar Indian Institute of Management, Vastrapur, Ahmedabad
  • Prabal V Singh Indian Institute of Management, Vastrapur, Ahmedabad
  • Neelu Singh Maternal Health Division, Department of Health, Government of Gujarat

DOI:

https://doi.org/10.3329/jhpn.v27i2.3367

Keywords:

Chiranjeevi scheme, Delivery, Emergency obstetric care, Maternal mortality, Obstetric care, Private-public relationship, India

Abstract

Maternal mortality is an important public-health issue in India, specifically in Gujarat. Contributing factors are the Government's inability to operationalize the First Referral Units and to provide an adequate level of skilled birth attendants, especially to the poor. In response, the Gujarat state has developed a unique public-private partnership called the Chiranjeevi Scheme. This scheme focuses on institutional delivery, specifically emergency obstetric care for the poor. The objective of the study was to explore the targeting of the scheme, its coverage, and socioeconomic profile of the beneficiaries and to assess financial protec­tion offered by the scheme, if any, in Dahod, one of the initial pilot districts of Gujarat. A household-level survey of beneficiaries (n=262) and non-users (n=394) indicated that the scheme is well-targeted to the poor but many poor people do not use the services. The beneficiaries saved more than Rs 3,000 (US$ 75) in delivery-related expenses and were generally satisfied with the scheme. The study provided insights on how to improve the scheme further. Such a financing scheme could be replicated in other states and coun­tries to address the cost barrier, especially in areas where high numbers of private specialists are available.

Key words: Chiranjeevi scheme; Delivery; Emergency obstetric care; Maternal mortality; Obstetric care; Private-public relationship; India

doi: 10.3329/jhpn.v27i2.3367

J Health Popul Nutr 2009 April;27(2):249-258

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Author Biography

Ramesh Bhat, Indian Institute of Management, Vastrapur, Ahmedabad

Dr. Dileep V. Mavalankar
Professor
Indian Institute of Management
Vastrapur, Ahmedabad 380 015
India
Email: dileep@iimahd.ernet.in

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How to Cite

Bhat, R., Mavalankar, D. V., Singh, P. V., & Singh, N. (2009). Maternal Healthcare Financing: Gujarat’s Chiranjeevi Scheme and Its Beneficiaries. Journal of Health, Population and Nutrition, 27(2), 249–258. https://doi.org/10.3329/jhpn.v27i2.3367

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Original Papers