Policy | Practice |
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1. Conditional cash transfer to women | |
Women who deliver in a public health facility – hospital, primary health centre or health post – are entitled to a cash payment if they have no more than two living children or an obstetric complication. The cash is given at the time of discharge. If referred, the woman is to receive the cash from the referring institution. | ▪ Cash given to women delivering at home ▪ Cash given to women delivering in sub-health posts ▪ Cash given to all women, and not limited to those with no more than two living children or an obstetric complication ▪ Reduced amount of cash given to women, because the health institution did not have sufficient funds and equally divided the money among the eligible women ▪ Cash amount deducted from the patient's bill in the absence of any cash to hand over to the woman ▪ Cash given on a first come first served basis or selectively due to insufficient funds ▪ Cash not given at time of discharge but at a later time ▪ Cash given to the relatives of women on proof of identity ▪ Cash given to women with abortion complications (not in the policy) ▪ Cash given to women by the referral hospital, rather than the referring institution ▪ No cash given |
2. Health provider incentive | |
Government health professionals – medical doctor, nurse, midwife, health assistant, auxiliary health worker and maternal and child health worker – are entitled to an incentive for every delivery they attend either at home or at a government health facility | ▪ Incentive to health workers given only for attendance at those deliveries in which the woman has no more than two living children or an obstetric complication ▪ Incentive divided up among all staff involved in delivery care ▪ Incentive given to a single health professional involved in the delivery ▪ A share of the incentive taken by non health professionals – eg. the accountant ▪ Incentive given to health professionals for attending institutional deliveries only, not home deliveries ▪ Incentive claimed by health professionals for attending deliveries in private clinics ▪ No incentive given to health professionals |
3. Free delivery care to women | |
Women eligible for the cash incentive and resident in a low human development district are also entitled to free delivery care. The health institution is reimbursed 1,000 NRS for each case of free delivery care given | â–ª Free delivery provided to all women, and not limited to those with no more than two living children or an obstetric complication â–ª Health institution not reimbursed for the free delivery |