| Study of Public Private Partnerships for Emergency Obstetric Care |
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The National Rural Health Mission has introduced and advocated the idea of Public Private Partnerships (PPP) to ensure the availability of emergency obstetric care (EmOC), a central factor in reducing maternal and neonatal mortality. The FRCH conducted a study during 2008-09 in Ahmednagar District with the aim to understand issues in the design and implementation of the PPPs for EmOC under the Janani Suraksha Yojana (JSY) in Maharashtra. |
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| The researchers used qualitative methods such as semi-structured interviews and focus group discussions to assimilate experiences of women, EmOC providers and administrators of JSY. The study brought in to light important lacunae in the system.
Based on these findings a larger study was undertaken in Amravati, Satara and Nandurbar districts of Maharashtra using a mixed methods approach during August 2009 to March 2011. This involved a survey of all secondary and tertiary public facilities in study districts to assess |
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equippedness to provide EmOC and issues with implementation of PPPs for the same. Also the influence of PPPs on access of poor women to EmOC was studied through a birth survey among JSY eligible mothers in selected 272 villages. Women reporting birth complications were interviewed for further understanding of issues with access to EmOC. Public and private EmOC providers were interviewed as also administrators at various levels.
These studies identify areas for improvement in effective EmOC provision and mechanisms for successful PPPs. |
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| Support |
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Ahmednagar study : Centre for Health and Social Justice |
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New Delhi |
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UNFPA India |
| Maharashtra study |
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John D. and Catherine T. MacArthur Foundation |
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U.S.A. |
| Contact persons |
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Bharat Randive,Sarika Chaturvedi |
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