View
97
Download
2
Category
Preview:
Citation preview
Gender Dynamics Underlying Voucher Schemes:
Experience From Broadening Access to Maternal Health Care in Uganda
Elizabeth Ekirapa-Kiracho, Principal InvestigatorCo-Investigators- Moses Tetui, Asha George
etc ,
MANIFEST study• Action research to move beyond proof of concept
to support local ownership and promote sustainability of intervention strategies
Context: 3 districts in Eastern UgandaE.g. Kamuli district
•600,000 population•56 Health facilities
– 2 private hospitals, 2 HC IV (EmOC), 13HC III (with labs) 39 HC II (outpatient)
•50 % of health worker vacancies
Who has what?• Affects Women’s access to services
o FP, delivery, ANC, PNC etc
• Women still depend on men for savingsomen have money, but spend it on
drinking• Men slow at joining savings groups for
MNHoLeaders of savings groups -Men
Who does what?
• Incentives for boda boda drivers (male)oFollowing up women to ensure they
return for follow-up facility careoJumping the queue at health centers
and ensuring that the women they brought get attention
• Unintended consequences
Who decides?
• Still mostly men & mother-in-lawso Place of delivery, number of children, spacing etc.
• Increasing role of boda boda riderso Easier to create a linkage with transporters when
they are part of a savings group
Who is valued for what?
• Women valued for having children, but not while pregnanto Husbands slow at accepting the use of contraception
o While some do not want to identify with pregnant women or be seen with them
• Women always pressured to prove fertility.o Men can get away with being infertile.
Recommended