Ayesha De Costa|Kranti Vora|Kayleigh Ryan|Parvathy Sankara Raman|Michele Santacatterina|Dileep Mavalankar
The State-Led Large Scale Public Private Partnership ‘Chiranjeevi Program’ to Increase Access to Institutional Delivery among Poor Women in Gujarat, India: How Has It Done? What Can We Learn?
Karolinska Institutet|Indian Institute of Public Health Gandhinagar|Karolinska Institutet|Indian Institute of Public Health Gandhinagar|Karolinska Institutet|Indian Institute of Public Health Gandhinagar
many lowmiddle income countries focused improving access quality obstetric care part promoting facility based intrapartum care strategy reduce maternal mortality state gujarat india implements facility based intrapartum care program large forprofit private obstetric sector stateled publicprivatepartnership chiranjeevi yojana cy state pays accredited private obstetricians perform deliveries poortribal women examine cy performance contribution overall trends institutional deliveries gujarat last decade effect private public sector deliveries theredistrict level institutional delivery data public private cy national surveys poverty estimates census data used institutional delivery trends gujarat 20002010 presented including contributions different sectors cy piecewise regression used study influence cy program public private sector institutional deliveryinstitutional delivery rose 407 2001 893 2010 driven sharp increases private sector deliveries public sector cy contributed 2529 1316 respectively deliveries year 2007 860 2000 private obstetricians participated cy since 2007 600000 cy deliveries occurred ie onethird births target population caesareans cy 6 higher 2 reported among poor women dlhs survey cy cy influence already rising proportion private sector deliveries gujaratthis paper reports stateled fully statefunded largescale publicprivate partnership improve poor womens access institutional delivery 600000 beneficiaries caesarean proportions higher cy uncertain beneficiaries require sections receive issues explore include quality care provider attrition relatively low coverage